Optimal waist circumference cutoffs for abdominal obesity in Chinese

被引:246
作者
Bao, Yuqian [1 ]
Lu, Junxi [1 ]
Wang, Chen [1 ]
Yang, Ming [1 ]
Li, Huating [1 ]
Zhang, Xiaoyan [1 ]
Zhu, Jiehua [1 ]
Lu, Huijuan [1 ]
Jia, Weiping [1 ]
Xiang, Kunsan [1 ]
机构
[1] Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Dept Endocrinol & Metab, Shanghai Diabet Inst,Shanghai Clin Ctr Diabet, Shanghai 200233, Peoples R China
关键词
Visceral fat area; Waist circumference; Metabolic syndrome;
D O I
10.1016/j.atherosclerosis.2008.03.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To determine the appropriate cutoffs for visceral fat area (VFA) measured by magnetic resonance imaging linking to risk of the metabolic syndrome (MetS) and the corresponding waist circumference in Chinese. Methods and results: Totally 1140 individuals (men 525, women 615) aged from 35 to 75 years were included. The components of the MetS were defined by International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) definition, respectively. Receive operating characteristic curve analyses were used to determine the appropriate cutoffs of VFA and corresponding waist circumference in the prediction of the Mets. The optimal VFA cutoff was near 80 cm(2) in identifying the Mets with two or more components but not including overweight/obesity by either of the two definitions in all subjects. There was no difference in men by ages while women aged <50 years tended to have lower VFA cutoff than those aged >= 50 years by the two definitions. The appropriate waist circumference cutoffs were 90 cm in men and 85 cm in women for the MetS. Conclusion: The optimal cutoff of waist circumference for abdominal obesity is 90 cm for men and 85 cm for women in Chinese. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:378 / 384
页数:7
相关论文
共 26 条
[21]   RELATION OF CENTRAL OBESITY AND INSULIN RESISTANCE WITH HIGH DIABETES PREVALENCE AND CARDIOVASCULAR RISK IN SOUTH ASIANS [J].
MCKEIGUE, PM ;
SHAH, B ;
MARMOT, MG .
LANCET, 1991, 337 (8738) :382-386
[22]   Association of visceral adipose tissue with incident myocardial infarction in older men and women - The health, aging and body composition study [J].
Nicklas, BJ ;
Penninx, BWJH ;
Cesari, M ;
Kritchevsky, SB ;
Newman, AB ;
Kanaya, AM ;
Pahor, M ;
Ding, JZ ;
Harris, TB .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2004, 160 (08) :741-749
[23]   The inconsistency of "optimal" cutpoints obtained using two criteria based on the receiver operating characteristic curve [J].
Perkins, NJ ;
Schisterman, EF .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2006, 163 (07) :670-675
[24]   ROLE OF INSULIN RESISTANCE IN HUMAN-DISEASE [J].
REAVEN, GM .
DIABETES, 1988, 37 (12) :1595-1607
[25]   Association of simple anthropometric measures of obesity with visceral fat and the metabolic syndrome in male Caucasian and Indo-Asian subjects [J].
Valsamakis, G ;
Chetty, R ;
Anwar, A ;
Banerjee, AK ;
Barnett, A ;
Kumar, S .
DIABETIC MEDICINE, 2004, 21 (12) :1339-1345
[26]  
Zhou Beifan, 2002, Obes Rev, V3, P147, DOI 10.1046/j.1467-789X.2002.00068.x