Curves of the waist to height ratio of Colombian adults
Abstract
Introduction. Colombia presents a progressive increase in overweight and abdominal obesity in adults, with a greater impact on women.
Objective. To design percentile curves of the waist-height index (WHI) of Colombian adults by sex and age.
Materials and methods. Secondary analysis of data from the National Survey of Nutritional Status 2015, with waist, weight and height measurements in adults between 20 and 60 years of age. Generalized Additive Location, Scale and Shape Additive Models with B--ox-Cox Power Exponential (BCPE) transformation were used to construct the curves; internal validation was performed to ensure that the models fit the data.
Results. We studied 23,759 multiethnic adults from Colombia, 49.8% of whom were women. The ICT curves of men were visualized with slight curvature, while those of women appeared flatter. The median CI/T increased continuously in both sexes: up to 45 years in women (0.45 to 0.49) and in men up to 55 years (0.44 to 0.49). In men, the value of 0.50 was maintained after 55 years, but not in women, since it remained at 0.50 until 53 years of age and thereafter increased to 0.51.
Conclusion. The curves fitted with the BCPE distribution explained the increasing behavior of the ICT by age and sex, and the predictive capacity of the model. The total increase in the median ICT by age and sex was similar and incremental (women: 0.45 - 0.51; men: 0.44.
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