Document Detail


Waist-to-height ratio, an optimal predictor for obesity and metabolic syndrome in Chinese adults.
MedLine Citation:
PMID:  21085910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Anthropometric indices to obesity were evaluated as predictors of metabolic syndrome risk factors. Our purpose was to explore an optimal or more reliable anthropometric indicator and optimal cut-off points for obesity on metabolic syndrome in Chinese adults.
PARTICIPANTS AND METHODS: The survey was conducted involving 2947 participants, aged 20 or above with cross-sectional study of population. The predictive validity and optimal cut-off values were analyzed by receiver operating characteristic (ROC) curves, area under curve (AUC) and the largest Youden's index (sensitivity + specificity - 1) by gender group, respectively. Kappa value showed diagnostic consistency.
RESULTS: According to the criteria of CDS 2004, IDF 2005 and AHA/NHLBI 2005, the prevalence of metabolic syndrome was 10.32%, 9.64% and 16.12% respectively, which indicated that the prevalence was higher in men than in women and increased with age (P < 0.05). The BMI, WC, WHR and WHtR in metabolic syndrome patients were greater than those in healthy volunteers and the indices in men were higher than those in women. With adjusted age and gender, the partial correlation coefficient for BMI-WC, BMI-WHR and BMI-WHtR was 0.7991, 0.5278 and 0.8196, respectively (P < 0.05). The area under curves (AUCs) of receiver operating characteristic (ROC) curves for WHtR was larger (P < 0.05) than that for WC and WHR. The cut-point of WHtR was approximately 0.5 in both genders with a satisfactory balance between sensitivity and specificity, where the Kappa (k) value for WHtR-BMI was higher than that for WHtR-WHR, and WHtR-WC.
CONCLUSIONS: The results indicated that WHtR might be an optimal anthropometric predictor of metabolic syndrome risk factors and the cut-point of WHtR was approximately 0.50 in both genders of Chinese adults.
Authors:
J Shao; L Yu; X Shen; D Li; K Wang
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of nutrition, health & aging     Volume:  14     ISSN:  1760-4788     ISO Abbreviation:  J Nutr Health Aging     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-18     Completed Date:  2011-05-04     Revised Date:  2011-06-15    
Medline Journal Info:
Nlm Unique ID:  100893366     Medline TA:  J Nutr Health Aging     Country:  France    
Other Details:
Languages:  eng     Pagination:  782-5     Citation Subset:  IM    
Affiliation:
Department of Public Health, Xuzhou Medical College, China. jihongshao@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Area Under Curve
Asian Continental Ancestry Group
Body Height*
Body Mass Index*
China / epidemiology
Cross-Sectional Studies
Female
Humans
Male
Metabolic Syndrome X / diagnosis*,  epidemiology,  etiology
Middle Aged
Obesity / complications,  diagnosis*
Prevalence
ROC Curve
Reference Values
Risk Factors
Sex Factors
Waist Circumference*
Waist-Hip Ratio

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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