Optimal Waist Circumference Cutoff Values for Metabolic Syndrome Diagnostic Criteria in a Korean Rural Population
Optimal Waist Circumference Cutoff Values for Metabolic Syndrome Diagnostic Criteria in a Korean Rural Population
复制标题
DOI：
10.3346/jkms.2010.25.5.734
复制
发表时间：
2010-05-01
影响因子：
4.5
通讯作者：
Chung, Choon Hee
中科院分区：
文献类型：
--
作者：
Koh, Jang Hyun;Koh, Sang Baek;Chung, Choon Hee
韩国肥胖研究学会(KSSO)将中心性肥胖的腰围分界值定义为男性90厘米，女性85厘米。本次调查的目的是确定相应的腰围值。韩国农村基因组队列研究共有3,508人参加了这项调查。通过受试者工作特征(ROC)曲线分析，找出与胰岛素抵抗(HOMA-IR)、体重指数(BMI)和代谢综合征成分的稳态模型评估(HOMA-IR)确定的与胰岛素抵抗相关的合适腰围分界值。根据HOMA-IR的ROC分析，最佳腰围分界值为男性87 cm，女性83 cm；根据ROC分析，合并两种以上代谢综合征的腰围分界值分别为男性86 cm，女性83 cm。采用BMI&Gt；=25 kg/m(2)，男性86厘米，女性82厘米为最佳腰围分界值。在这项研究中，我们建议最合理的腰围分界值男性为86-87厘米，女性为82-83厘米。
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.