Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China
- Author:
Guo Xin HOU
1
;
Chuan WANG
;
Qiang Ze MA
;
Fang Wei YANG
;
Xiang Ji WANG
;
Qiao Cheng LI
;
Lian Yu WANG
;
Min Shu LIU
;
Ping Xiu HU
;
Ping Xiu ZHANG
;
Mei JIANG
;
Qing Wei WANG
;
Guang NING
;
Zhen Hui ZHENG
;
Xia Ai MA
;
Yu SUN
;
Jun SONG
;
Peng LIN
;
Kai LIANG
;
Qiang Fu LIU
;
Juan Wen LI
;
Juan XIAO
;
Lei GONG
;
Jian Mei WANG
;
Dong Ji LIU
;
Fei YAN
;
Peng Jun YANG
;
Shu Ling WANG
;
Meng TIAN
;
Xing Ru ZHAO
;
Ling JIANG
;
Li CHEN
Author Information
- Keywords: Waist circumference; Metabolic syndrome; Central obesity
- From: Biomedical and Environmental Sciences 2014;(5):353-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China.
Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared.
Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men.
Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.
