scholarly journals Optimal Cut Points of Waist Circumference for the Clinical Diagnosis of Metabolic Syndrome in the Japanese Population

Diabetes Care ◽  
2007 ◽  
Vol 31 (3) ◽  
pp. 590-592 ◽  
Author(s):  
Y. Matoba ◽  
T. Inoguchi ◽  
S. Nasu ◽  
S. Suzuki ◽  
T. Yanase ◽  
...  



Diabetes Care ◽  
2006 ◽  
Vol 29 (5) ◽  
pp. 1123-1124 ◽  
Author(s):  
K. Hara ◽  
Y. Matsushita ◽  
M. Horikoshi ◽  
N. Yoshiike ◽  
T. Yokoyama ◽  
...  


2020 ◽  
Author(s):  
Diana A. Chirinos ◽  
Maria M. Llabre ◽  
Ronald Goldberg ◽  
Marc Gellman ◽  
Armando Mendez ◽  
...  

<b>Objective: </b>Various organizations have highlighted the need to examine whether abdominal obesity cut-points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic/Latino living in western societies. This study aimed (1) to establish optimal definitions for abdominal obesity among Hispanic/Latinos, and (2) determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (IJS) definition and an updated definition with optimal abdominal obesity cut points. <p><b>Research Design and Methods:</b> The sample included 16,289 adults who self-identified as Hispanic/Latino ages 18-74 years enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Receiving operating characteristic (ROC) curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut-points. </p> <p><b>Results:</b> Among US Hispanic/Latino adults, waist circumference cut points of >102 cm in men (in line with current IJS criteria) and >97 cm (9 points higher than IJS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current IJS criteria. The prevalence of the metabolic syndrome was overestimated by about 5% points among women based on IJS criteria when compared to our definition. </p> <p><b>Conclusions: </b>Our results suggest that the current recommendations for waist circumference cut-points may not be appropriate for US Hispanic/Latino women. </p>



2020 ◽  
Author(s):  
Diana A. Chirinos ◽  
Maria M. Llabre ◽  
Ronald Goldberg ◽  
Marc Gellman ◽  
Armando Mendez ◽  
...  

<b>Objective: </b>Various organizations have highlighted the need to examine whether abdominal obesity cut-points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic/Latino living in western societies. This study aimed (1) to establish optimal definitions for abdominal obesity among Hispanic/Latinos, and (2) determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (IJS) definition and an updated definition with optimal abdominal obesity cut points. <p><b>Research Design and Methods:</b> The sample included 16,289 adults who self-identified as Hispanic/Latino ages 18-74 years enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Receiving operating characteristic (ROC) curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut-points. </p> <p><b>Results:</b> Among US Hispanic/Latino adults, waist circumference cut points of >102 cm in men (in line with current IJS criteria) and >97 cm (9 points higher than IJS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current IJS criteria. The prevalence of the metabolic syndrome was overestimated by about 5% points among women based on IJS criteria when compared to our definition. </p> <p><b>Conclusions: </b>Our results suggest that the current recommendations for waist circumference cut-points may not be appropriate for US Hispanic/Latino women. </p>



Endocrine ◽  
2014 ◽  
Vol 47 (3) ◽  
pp. 959-961 ◽  
Author(s):  
Svelka Hoebel ◽  
Leoné Malan ◽  
Judith Botha ◽  
Mariëtte Swanepoel


Diabetes Care ◽  
2006 ◽  
Vol 29 (8) ◽  
pp. 1986-1987 ◽  
Author(s):  
T. Ohkubo ◽  
M. Kikuya ◽  
K. Asayama ◽  
Y. Imai


2006 ◽  
Vol 70 (12) ◽  
pp. 1663 ◽  
Author(s):  
Toshihide Oizumi ◽  
Makoto Daimon ◽  
Kiriko Wada ◽  
Yumi Jimbu ◽  
Wataru Kameda ◽  
...  


2016 ◽  
Vol 7 (4) ◽  
pp. 587-593 ◽  
Author(s):  
Hidekazu Tsukiyama ◽  
Yoshio Nagai ◽  
Fumiaki Matsubara ◽  
Hiroyuki Shimizu ◽  
Teruaki Iwamoto ◽  
...  


Cholesterol ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Mojgan Gharipour ◽  
Nizal Sarrafzadegan ◽  
Masoumeh Sadeghi ◽  
Elham Andalib ◽  
Mohammad Talaie ◽  
...  

This study aimed to investigate whether body mass index (BMI), waist circumference (WC), or waist to hip ratio (WHR) could be a better predictor of metabolic syndrome and, if so, what would be the cutoff points for these surrogates to appropriately differentiate metabolic syndrome in different age and sex subgroups. Methods. The present cross-sectional study was conducted on a sample of Isfahan Cohort Study (ICS). In total, 468 individuals (194 with and 274 subjects without metabolic syndrome) according to the National Cholesterol Education Program’s Adult Treatment Panel III (ATP-III) criteria were selected. Anthropometric indices were measured and plotted using receiver-operating characteristic (ROC) curves. Results. According to ROC curve analysis, WC and WHR parameters were better indicators of metabolic syndrome compared to BMI in women, whereas in men WHR had a lower discriminating value compared to the other two parameters. Among these three anthropometric parameters, BMI had a lower sensitivity and WC and WHR both had a higher sensitivity for predicting metabolic syndrome in women compared with in men. The cut points for WC were nearly equal in men and women, 90.3 versus 90.0, respectively. Women had higher cut points for BMI (28.5 kg/m2) compared to men (26.0 kg/m2). Our results showed the highest sensitivity and specificity for WC cut points specially in women. To predict metabolic syndrome, we looked into optimal age-specific cut points for BMI, WC, and WHR. The results indicated that WC had the highest discriminating value compared to other indicators in the different age subgroups. The optimal cut points for all three parameters gradually increased with age. Conclusion. Our results demonstrated that regardless of gender and age variables, WC could be a preferred parameter for predicting metabolic syndrome compared to BMI and WHR in Iranian population.



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