In the clinical settings, different anthropometric indicators like neck circumference (NC), waist circumference (WC), midupper arm circumference (MUAC), waist-to-height ratio (WHtR), and arm-to-height 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-off 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 5-12 years collected in a cross-sectional 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-off 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 (). In the overall sample, AHtR, WHtR, MUAC, WC, and NC cut-off points indicative of overweight, in both boys and girls, were 0.14, 0.46, 18.41 cm, 62.86 cm, and 26.36 cm and 0.14, 0.47, 18.16 cm, 64.39 cm, and 26.54 cm, respectively; the corresponding values for obesity were 0.14, 0.47, 18.67 cm, 62.10 cm, and 26.36 cm and 0.14, 0.48, 20.19 cm, 64.39 cm, and 25.27 cm. We concluded that the sex-specific cut-off points for AHtR, WHtR, MUAC, WC, and NC can be used to diagnose overweight and obesity in Pakistani children.

中文翻译：

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用于检测超重和肥胖儿童的不同人体测量指标的诊断性能和适当的截止值

在临床环境中，不同的人体测量指标，如颈围 (NC)、腰围 (WC)、中上臂围 (MUAC)、腰高比 (WHtR) 和臂高比 (AHtR)建议用于评估儿童的超重和肥胖。这些指标在巴基斯坦的比较能力尚不清楚。本研究旨在同时检验超重和肥胖的不同人体测量指标的有效性，并确定它们能够正确检测儿童超重和肥胖的最高级临界值。为此，使用了在横断面多民族人体测量调查 (MEAS) 中收集的 5,964 名 5-12 岁的巴基斯坦儿童的身高、体重、WC、MUAC 和 NC 的人体测量数据集。进行接受者操作特征（ROC）曲线分析以评估不同人体测量指标的有效性。还计算了每个指标的最敏感和特异的截止点、阳性和阴性预测值。ROC曲线结果表明，所有研究指标均表现良好，但指标AHtR和WHtR在超重和肥胖儿童筛查中的曲线下面积（AUC）值最高。）。在整个样本中，表明男孩和女孩超重的 AHtR、WHtR、MUAC、WC 和 NC 截止点分别为 0.14、0.46、18.41 厘米、62.86 厘米和 26.36 厘米和 0.14、0.47、18.16 厘米、64.39 厘米和 26.54 厘米；肥胖的相应值为 0.14、0.47、18.67 cm、62.10 cm 和 26.36 cm 和 0.14、0.48、20.19 cm、64.39 cm 和 25.27 cm。我们得出结论，AHtR、WHtR、MUAC、WC 和 NC 的性别分界点可用于诊断巴基斯坦儿童的超重和肥胖。