Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity
Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity
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DOI：
10.1038/sj.ijo.0803111
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发表时间：
2006-01-01
影响因子：
4.9
通讯作者：
Gupta, VP
中科院分区：
文献类型：
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作者：
Misra, A;Vikram, NK;Gupta, VP
目的：测试国际公认的亚洲印度人腰围 (WC) 行动水平的有效性。设计：对印度北部多地点横断面流行病学研究的数据进行分析。受试者：总共 2050 名 418 岁的成年受试者（883 名男性和 1167 名女性受试者）。测量：体重指数 (BMI)、WC、腰臀围比、血压、 结果：在男性受试者中，WC 截止点为 78cm（敏感性 74.3%，特异性 68.0%），在女性受试者中，WC 截止点为 72cm（敏感性 68.7%，特异性 71.8%）适合识别那些 至少一种心血管危险因素，并用于识别 BMI 421 kg/m(2) 的人。男性和女性的 WC 水平分别 >= 90 和 >= 80cm，表明心血管危险因素的比值比较高，BMI 水平 >= 25 kg/m(2)。与本研究中生成的 WC 截止点相比，当前国际公认的 WC 截止点（男性 102 厘米，女性 88 厘米）显示出较低的敏感性和较低的正确分类。 结论：我们为成年亚洲印度人提出以下 WC 行动水平：行动水平 1：男性，>= 78 cm，女性，>= 72 cm；动作级别 2：男性，>= 90 厘米，女性，>= 80 厘米。
Objective: To test the validity of internationally accepted waist circumference (WC) action levels for adult Asian Indians.Design: Analysis of data from multisite cross-sectional epidemiological studies in north India.Subjects: In all, 2050 adult subjects 418 years of age (883 male and 1167 female subjects).Measurements: Body mass index (BMI), WC, waist-to-hip circumference ratio, blood pressure, and fasting samples for blood glucose, total cholesterol, serum triglycerides, and high-density lipoprotein cholesterol.Results: In male subjects, a WC cutoff point of 78cm ( sensitivity 74.3%, specificity 68.0%), and in female subjects, a cutoff point of 72cm (sensitivity 68.7%, specificity 71.8%) were appropriate in identifying those with at least one cardiovascular risk factor and for identifying those with a BMI 421 kg/m(2). WC levels of >= 90 and >= 80cm for men and women, respectively, identified high odds ratio for cardiovascular risk factor(s) and BMI level of >= 25 kg/m(2). The current internationally accepted WC cutoff points (102 cm in men and 88cm in women) showed lower sensitivity and lower correct classification as compared to the WC cutoff points generated in the present study.Conclusion: We propose the following WC action levels for adult Asian Indians: action level 1: men, >= 78 cm, women, >= 72 cm; and action level 2: men, >= 90 cm, women, >= 80 cm.