Abstract
entire cohort was screened for MS defined according to modified American Heart Association Criteria. For each patient wemeasured WC and calculate Waist to Height ratio (WHtR, WC (cm)/Height (cm)). We used Receiver Operating Characteristic (ROC) curve and Youden Index for detecting the usefulness of this parameter. Results: The prevalence rate of MS was 13.07% (105 pts). Children with MS had meanWHtR of 0.65±0.09. Children without MS presented mean WHtR of 0.62±0.06, this difference was statistically significant (p<0.001). The Area Under ROC curve (AUC) was 0.690 for WCHtr (CI 95%: 0.637–0.743, p<0.001) in detecting MS. WHtr cut-off value equal to 0.62 showed a sensibility of 76.3% and a specificity of 56% in identifying obese children affected by MS. Conclusions:WHtR is strongly related to MS and it seems to be a simple, non invasive and practical tool in detecting PaediatricMS: a cut-off value of 0.62 should suggest second-level examinations.
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