Md Mustafizur Rahman Talukder, Colin Green, Md Mamun-Ur-Rashid
Primary science teaching in Bangladesh: A critical analysis of the role of the DPEd program to improve the quality of learning in science teaching
Heliyon
clinical utility waisttoheight ratio whtr predicting cardiometabolic risk factors cmrfs subclinical markers cardiovascular disease remains controversial aimed compare utility whtr waist circumference wc body mass index bmi identifying children adolescents youths risk cardiometabolic outcomes including clustered cmrfs high carotid intimamedia thickness cimt arterial stiffness assessed high pulse wave velocity pwv analyzed data 34224 youths 510 boys aged 618 years cmrfs 5004 495 boys aged 618 years cimt measurement 3100 564 boys aged 617 years pwv measurement 20 pediatric samples across 14 countries whtr wc bmi zscores similar performance discriminating youths 3 cmrfs area curve auc 95 confidence interval ci ranging 077 075078 078 076080 using modified national cholesterol education program ncep definition 077 074079 077 074080 using international diabetes federation idf definition similarly three measures showed similar performance discriminating youths subclinical vascular outcomes auc 95 ci ranging 067 064071 070 066073 high cimt p95 values 060 058066 062 058066 high pwv p95 values findings suggest whtr wc bmi equally effective identifying atrisk youths across diverse pediatric populations worldwide given simplicity ease use whtr could preferable option quickly screening youths increased cardiometabolic risk clinical settings