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The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study.
BMC Public Health. 2009 Dec 02; 9:443.BP

Abstract

BACKGROUND

In Korea, the cutoff values of waist circumference (WC) for the identification of metabolic syndrome (MetS) were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral fat, the cutoff value of WC may differ according to age. In addition, the usefulness of visceral abdominal fat area (VFA) to predict MetS in the elderly has not been studied yet. We aimed to suggest WC and VFA criteria and to compare the predictability of WC and VFA to identify people at risk for MetS.

METHODS

A total of 689 elderly subjects aged>or=63 years (308 men, 381 women) were chosen in this cross-sectional study from an ongoing, prospective, population-based study, the Ansan Geriatric (AGE) cohort study. VFA was measured by single slice abdominal computed tomography scanning. The metabolic risk factors except WC (plasma glucose, blood pressure, serum triglycerides and HDL cholesterol levels) were defined using modified NCEP-ATP III criteria. We estimated the accuracy of VFA and WC for identifying at least two of these factors by receiver operating characteristic (ROC) curve analysis.

RESULTS

Two hundred three of 308 men and 280 of 381 women had >or=2 metabolic risk factors. The area under the ROC curve (AUC) value for VFA to predict the presence of >or=2 metabolic risk factors was not significantly different from that for WC (men, 0.735 and 0.750; women, 0.715 and 0.682; AUC values for VFA and WC, respectively). The optimal cutoff points for VFA and WC for predicting the presence of >or=2 metabolic risk factors were 92.6 cm2 and 86.5 cm for men and 88.9 cm2 and 86.5 cm for women.

CONCLUSION

WC had comparable power with VFA to identify elderly people who are at risk for MetS. Elderly Korean men and women had very similar cutoff points for both VFA and WC measurements for estimating the risk of MetS. Age-specific cutoff point for WC might be considered to identify subjects at risk for MetS.

Authors+Show Affiliations

Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, 516 Gojan-1-dong, Danwon-gu, Ansan, Gyeonggi-do 425-707, Republic of Korea. seo-ji-a@hanmail.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19951442

Citation

Seo, Ji A., et al. "The Cutoff Values of Visceral Fat Area and Waist Circumference for Identifying Subjects at Risk for Metabolic Syndrome in Elderly Korean: Ansan Geriatric (AGE) Cohort Study." BMC Public Health, vol. 9, 2009, p. 443.
Seo JA, Kim BG, Cho H, et al. The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study. BMC Public Health. 2009;9:443.
Seo, J. A., Kim, B. G., Cho, H., Kim, H. S., Park, J., Baik, S. H., Choi, D. S., Park, M. H., Jo, S. A., Koh, Y. H., Han, C., & Kim, N. H. (2009). The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study. BMC Public Health, 9, 443. https://doi.org/10.1186/1471-2458-9-443
Seo JA, et al. The Cutoff Values of Visceral Fat Area and Waist Circumference for Identifying Subjects at Risk for Metabolic Syndrome in Elderly Korean: Ansan Geriatric (AGE) Cohort Study. BMC Public Health. 2009 Dec 2;9:443. PubMed PMID: 19951442.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study. AU - Seo,Ji A, AU - Kim,Byoung Gwon, AU - Cho,Hyunjoo, AU - Kim,Hye Sook, AU - Park,Juri, AU - Baik,Sei Hyun, AU - Choi,Dong Seop, AU - Park,Moon Ho, AU - Jo,Sangmee Ahn, AU - Koh,Young Ho, AU - Han,Changsu, AU - Kim,Nan Hee, Y1 - 2009/12/02/ PY - 2009/06/17/received PY - 2009/12/02/accepted PY - 2009/12/3/entrez PY - 2009/12/3/pubmed PY - 2010/1/15/medline SP - 443 EP - 443 JF - BMC public health JO - BMC Public Health VL - 9 N2 - BACKGROUND: In Korea, the cutoff values of waist circumference (WC) for the identification of metabolic syndrome (MetS) were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral fat, the cutoff value of WC may differ according to age. In addition, the usefulness of visceral abdominal fat area (VFA) to predict MetS in the elderly has not been studied yet. We aimed to suggest WC and VFA criteria and to compare the predictability of WC and VFA to identify people at risk for MetS. METHODS: A total of 689 elderly subjects aged>or=63 years (308 men, 381 women) were chosen in this cross-sectional study from an ongoing, prospective, population-based study, the Ansan Geriatric (AGE) cohort study. VFA was measured by single slice abdominal computed tomography scanning. The metabolic risk factors except WC (plasma glucose, blood pressure, serum triglycerides and HDL cholesterol levels) were defined using modified NCEP-ATP III criteria. We estimated the accuracy of VFA and WC for identifying at least two of these factors by receiver operating characteristic (ROC) curve analysis. RESULTS: Two hundred three of 308 men and 280 of 381 women had >or=2 metabolic risk factors. The area under the ROC curve (AUC) value for VFA to predict the presence of >or=2 metabolic risk factors was not significantly different from that for WC (men, 0.735 and 0.750; women, 0.715 and 0.682; AUC values for VFA and WC, respectively). The optimal cutoff points for VFA and WC for predicting the presence of >or=2 metabolic risk factors were 92.6 cm2 and 86.5 cm for men and 88.9 cm2 and 86.5 cm for women. CONCLUSION: WC had comparable power with VFA to identify elderly people who are at risk for MetS. Elderly Korean men and women had very similar cutoff points for both VFA and WC measurements for estimating the risk of MetS. Age-specific cutoff point for WC might be considered to identify subjects at risk for MetS. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/19951442/The_cutoff_values_of_visceral_fat_area_and_waist_circumference_for_identifying_subjects_at_risk_for_metabolic_syndrome_in_elderly_Korean:_Ansan_Geriatric__AGE__cohort_study_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-9-443 DB - PRIME DP - Unbound Medicine ER -