{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:52:18Z","timestamp":1769107938104,"version":"3.49.0"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000},"content-version":"vor","delay-in-days":257,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>In the clinical settings, different anthropometric indicators like neck circumference (NC), waist circumference (WC), midupper arm circumference (MUAC), waist\u2010to\u2010height ratio (WHtR), and arm\u2010to\u2010height ratio (AHtR) have been suggested for evaluating overweight and obesity in children. The comparative ability of these indicators in Pakistan is yet unknown. This study is aimed at examining the validity of different anthropometric indicators of overweight and obesity simultaneously and at determining their superlative cut\u2010off values that would correctly detect overweight and obesity in children. For this purpose, the dataset of anthropometric measurements height, weight, WC, MUAC, and NC of 5,964 Pakistani children, aged 5\u201012 years collected in a cross\u2010sectional multiethnic anthropometric survey (MEAS), was used. Receiver operating characteristic (ROC) curve analysis was performed to assess the validity of different anthropometric indicators. The most sensitive and specific cut\u2010off points, positive and negative predictive values of each indicator were also calculated. The results of the ROC curve indicated that all the studied indicators had a good performance but the indicators AHtR and WHtR had the highest value of the area under the curve (AUC) for the screening of children with overweight and obesity (AUC &gt; 0.80). In the overall sample, AHtR, WHtR, MUAC, WC, and NC cut\u2010off points indicative of overweight, in both boys and girls, were 0.14, 0.46, 18.41\u2009cm, 62.86\u2009cm, and 26.36\u2009cm and 0.14, 0.47, 18.16\u2009cm, 64.39\u2009cm, and 26.54\u2009cm, respectively; the corresponding values for obesity were 0.14, 0.47, 18.67\u2009cm, 62.10\u2009cm, and 26.36\u2009cm and 0.14, 0.48, 20.19\u2009cm, 64.39\u2009cm, and 25.27\u2009cm. We concluded that the sex\u2010specific cut\u2010off points for AHtR, WHtR, MUAC, WC, and NC can be used to diagnose overweight and obesity in Pakistani children.<\/jats:p>","DOI":"10.1155\/2021\/1608760","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T19:20:05Z","timestamp":1631733605000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnostic Performance and Appropriate Cut\u2010Offs of Different Anthropometric Indicators for Detecting Children with Overweight and Obesity"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4406-7755","authenticated-orcid":false,"given":"Muhammad","family":"Asif","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Aslam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalim","family":"Ullah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Qasim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khurram","family":"Afzal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Abbas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manzar","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Younis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Ullah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2739-9416","authenticated-orcid":false,"given":"Muhammad Hassham Hassan Bin","family":"Asad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justyna","family":"Wyszy\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"e_1_2_9_1_2","volume-title":"Obesity: preventing and managing the global epidemic report of a WHO consultation","author":"World Health Organization","year":"2000"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114507280559"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-8-130"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000973"},{"key":"e_1_2_9_5_2","first-page":"189","article-title":"Childhood obesity and Pakistan","volume":"14","author":"Afzal M.","year":"2004","journal-title":"Journal of the College of Physicians and Surgeons\u2014pakistan"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.125641"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0004816"},{"key":"e_1_2_9_8_2","first-page":"18","article-title":"Body composition by underwater weighing and bioelectrical impedance methods in college students","volume":"1","author":"de Carvalho A. 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