Cut-off value of waist circumference for identifying metabolic syndrome in middle-aged and elder residents in Changfeng community of Shanghai
- VernacularTitle:上海市长风社区中老年人群代谢综合征腰围切点的研究
- Author:
Sunfang JIANG
;
Xin GAO
;
Limin REN
;
Xusheng CHEN
;
Naiqing ZHAO
- Publication Type:Journal Article
- Keywords:
Metabolic syndrome X;
Waist circumference;
Cross-sectional studies
- From:
Chinese Journal of General Practitioners
2008;7(12):818-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore an optimal cut-off value of waist circumference(WC)for identifying metabolic syndrome(MS)in middle-aged and elder residents in an urban community.Methods Database of 1558 residents aged 40-79 years at high-risk in screening for diabetes from Changfeng community,Putuo District,Shanghai during 2005 to 2007 was used to analyze sensitivity and specificity of varied cut-off values of WC for identifying two or more components of MS in men and women,respectively.Receiver operating characteristics(ROC)curve was used to explore the optimal value.Results Optimal cut-off value of WC was 85.0 cm for men and 80.0 cm for women,respectively,for identifying two or more components of MS bv ROC curve,with sensitivity of 72.3%and 74.9%,and specificity of 50.2%and 62.2%,respectively.Based on that optimal cut-off value of WC and definition of International Diabetes Federation(IOF),prevalence of MS was 38.8%in this population,40.7%in men and 37.8%in women,respectively.Conclusion The optimal cut-off value of WC was 85.0 cm in men and 80.0 cm in women,respectively,for identifying MS in the middle-aged and eldedy in an urban community of Shanghai.