Optimal Waist Circumference Cutoff Values for Metabolic Syndrome Diagnostic Criteria in a Korean Rural Population

被引：12

作者：

Koh, Jang Hyun ^{[1
]}

Koh, Sang Baek ^{[2
,3
]}

Lee, Mi Young ^{[4
]}

Jung, Pil Moon ^{[4
]}

Kim, Bo Hwan ^{[4
]}

Shin, Jang Yel ^{[4
]}

Shin, Young Goo ^{[4
]}

Ryu, So Yeon ^{[5
]}

Lee, Tae Yong ^{[6
]}

Park, Jong Ku ^{[2
,3
]}

Chung, Choon Hee ^{[4
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Hlth Promot Ctr, Seoul, South Korea

[2] Yonsei Univ, Wonju Coll Med, Dept Prevent Med, Wonju 220701, South Korea

[3] Yonsei Univ, Wonju Coll Med, Inst Genom Cohort, Wonju 220701, South Korea

[4] Yonsei Univ, Wonju Coll Med, Dept Internal Med, Wonju 220701, South Korea

[5] Chosun Univ, Coll Med, Dept Prevent Med, Kwangju, South Korea

[6] Chungnam Natl Univ, Coll Med, Dept Prevent Med, Taejon, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2010年 / 25卷 / 05期

关键词：

Waist Circumference; Cutoff Value; Metabolic Syndrome; CARDIOVASCULAR RISK-FACTORS; INSULIN-RESISTANCE SYNDROME; IDENTIFICATION; PREVALENCE; MORTALITY; OBESITY;

D O I：

10.3346/jkms.2010.25.5.734

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The Korean Society for the Study of Obesity (KSSO) has defined the waist circumference cutoff value of central obesity as 90 cm for men and 85 cm for women. The purpose of this investigation was to determine the corresponding waist circumference values. A total of 3,508 persons in the Korean Rural Genomic Cohort Study were enrolled in this survey. Receiver operating characteristic (ROC) curve analysis was used to find appropriate waist circumference cutoff values in relation to insulin resistance determined by homeostasis model assessment for insulin resistance (HOMA-IR), body mass index (BMI), and components of metabolic syndrome. The optimal waist circumference cutoff values were 87 cm for men and 83 cm for women by ROC analysis to HOMA-IR and 86 cm for men and 83 cm for women by ROC analysis to value with more than two components of metaobolic syndrome. By using a BMI >= 25 kg/m(2), 86 cm for men and 82 cm for women were optimal waist circumference cutoff values. In this study, we suggest that the most reasonable waist circumference cutoff values are 86-87 cm for men and 82-83 cm for women.

引用

页码：734 / 737

页数：4

共 20 条

[1] The metabolic syndrome - a new worldwide definition [J].

Alberti, KGMM ;

Zimmet, P ;

Shaw, J .

LANCET, 2005, 366 (9491) :1059-1062

[2]

Alberti KGMM, 1998, DIABETIC MED, V15, P539, DOI 10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO

[3]

2-S

[4] General characteristics of the insulin resistance syndrome - Prevalence and heritability [J].

Beck-Nielsen, H .

DRUGS, 1999, 58 (Suppl 1) :7-10

[5] American Association of Clinical Endocrinologists (AACE) consensus conference on the insulin resistance syndrome - 25-26 August 2002, Washington, DC [J].

Bloomgarden, ZT .

DIABETES CARE, 2003, 26 (04) :1297-1303

[6] Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) [J].

Cleeman, JI ;

Grundy, SM ;

Becker, D ;

Clark, LT ;

Cooper, RS ;

Denke, MA ;

Howard, WJ ;

Hunninghake, DB ;

Illingworth, DR ;

Luepker, RV ;

McBride, P ;

McKenney, JM ;

Pasternak, RC ;

Stone, NJ ;

Van Horn, L ;

Brewer, HB ;

Ernst, ND ;

Gordon, D ;

Levy, D ;

Rifkind, B ;

Rossouw, JE ;

Savage, P ;

Haffner, SM ;

Orloff, DG ;

Proschan, MA ;

Schwartz, JS ;

Sempos, CT ;

Shero, ST ;

Murray, EZ .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 285 (19) :2486-2497

[7] WAIST CIRCUMFERENCE ACTION LEVELS IN THE IDENTIFICATION OF CARDIOVASCULAR RISK-FACTORS - PREVALENCE STUDY IN A RANDOM SAMPLE [J].

HAN, TS ;

VANLEER, EM ;

SEIDELL, JC ;

LEAN, MEJ .

BRITISH MEDICAL JOURNAL, 1995, 311 (7017) :1401-1405

[8] Cardiovascular morbidity and mortality associated with the metabolic syndrome [J].

Isomaa, B ;

Almgren, P ;

Tuomi, T ;

Forsén, B ;

Lahti, K ;

Nissén, M ;

Taskinen, MR ;

Groop, L .

DIABETES CARE, 2001, 24 (04) :683-689

[9] Cut-off values of visceral fat area and waist circumference: Diagnostic criteria for abdominal obesity in a Korean population [J].

Kim, Jeong Ah ;

Choi, Chang Jin ;

Yum, Keun Sang .

JOURNAL OF KOREAN MEDICAL SCIENCE, 2006, 21 (06) :1048-1053

[10] The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men [J].

Lakka, HM ;

Laaksonen, DE ;

Lakka, TA ;

Niskanen, LK ;

Kumpusalo, E ;

Tuomilehto, J ;

Salonen, JT .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (21) :2709-2716

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