Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults
Abdominal obesity is associated closely with insulin resistance, diabetes, and cardiovascular disease. Waist circumference (WC) is a useful surrogate marker commonly used for abdominal adiposity. The determination of WC cutoff levels is important in the prevention and treatment of obesity, type 2 di...
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2014-12-01
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doaj-619d4785d60140b0bf9ca2c638cdb1c52020-11-24T23:59:06ZengAcademya Publishing Co.Endocrinology and Metabolism2093-596X2093-59782014-12-0129441842610.3803/EnM.2014.29.4.41821203Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean AdultsYeong Sook YoonSang Woo OhAbdominal obesity is associated closely with insulin resistance, diabetes, and cardiovascular disease. Waist circumference (WC) is a useful surrogate marker commonly used for abdominal adiposity. The determination of WC cutoff levels is important in the prevention and treatment of obesity, type 2 diabetes, and related cardiovascular diseases. Recent epidemiological evidence suggested that appropriate optimal cutoffs for Koreans ranged over 80 to 89.8 cm in males and 76.1 to 86.5 cm in females. We analyzed the data from two large cohorts using receiver operating characteristic curve analysis with the incidences of diabetes, hypertension, dyslipidemia, cerebrovascular disease, myocardial infarct, angina, coronary artery disease, and multiple metabolic risk factors as outcome variables. Optimal WC cutoff points for Koreans were 85 cm in males and 80 cm in females. However, considering the prevalence of abdominal obesity and the health costs for its prevention and management, 90 cm in males and 85 cm in females are probably more appropriate thresholds for abdominal obesity. These values may be modified once better research is performed through prospective studies using representative populations, common health outcomes, and proper analytical approaches.http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-29-418.pdfObesity, abdominalWaist circumferenceMetabolic syndromeCohort studiesROC curveSensitivity and specificity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yeong Sook Yoon Sang Woo Oh |
spellingShingle |
Yeong Sook Yoon Sang Woo Oh Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults Endocrinology and Metabolism Obesity, abdominal Waist circumference Metabolic syndrome Cohort studies ROC curve Sensitivity and specificity |
author_facet |
Yeong Sook Yoon Sang Woo Oh |
author_sort |
Yeong Sook Yoon |
title |
Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults |
title_short |
Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults |
title_full |
Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults |
title_fullStr |
Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults |
title_full_unstemmed |
Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults |
title_sort |
optimal waist circumference cutoff values for the diagnosis of abdominal obesity in korean adults |
publisher |
Academya Publishing Co. |
series |
Endocrinology and Metabolism |
issn |
2093-596X 2093-5978 |
publishDate |
2014-12-01 |
description |
Abdominal obesity is associated closely with insulin resistance, diabetes, and cardiovascular disease. Waist circumference (WC) is a useful surrogate marker commonly used for abdominal adiposity. The determination of WC cutoff levels is important in the prevention and treatment of obesity, type 2 diabetes, and related cardiovascular diseases. Recent epidemiological evidence suggested that appropriate optimal cutoffs for Koreans ranged over 80 to 89.8 cm in males and 76.1 to 86.5 cm in females. We analyzed the data from two large cohorts using receiver operating characteristic curve analysis with the incidences of diabetes, hypertension, dyslipidemia, cerebrovascular disease, myocardial infarct, angina, coronary artery disease, and multiple metabolic risk factors as outcome variables. Optimal WC cutoff points for Koreans were 85 cm in males and 80 cm in females. However, considering the prevalence of abdominal obesity and the health costs for its prevention and management, 90 cm in males and 85 cm in females are probably more appropriate thresholds for abdominal obesity. These values may be modified once better research is performed through prospective studies using representative populations, common health outcomes, and proper analytical approaches. |
topic |
Obesity, abdominal Waist circumference Metabolic syndrome Cohort studies ROC curve Sensitivity and specificity |
url |
http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-29-418.pdf |
work_keys_str_mv |
AT yeongsookyoon optimalwaistcircumferencecutoffvaluesforthediagnosisofabdominalobesityinkoreanadults AT sangwoooh optimalwaistcircumferencecutoffvaluesforthediagnosisofabdominalobesityinkoreanadults |
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