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The discriminative ability of waist circumference, body mass index and waist-to-hip ratio in identifying metabolic syndrome: Variations by age, sex and race.
Diabetes Metab Syndr. 2015 Apr-Jun; 9(2):74-8.DM

Abstract

OBJECTIVES

Many studies have suggested that there is variation in the capabilities of BMI, WC and WHR in predicting cardiometabolic risk and that it might be confounded by gender, ethnicity and age group. The objective of this study is to examine the discriminative abilities of body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) to predict two or more non-adipose components of the metabolic syndrome (high blood pressure, hypertriglyceridemia, low high density lipoprotein-cholesterol and high fasting plasma glucose) among the adult Malaysian population by gender, age group and ethnicity.

METHODS

Data from 2572 respondents (1044 men and 1528 women) aged 25-64 years who participated in the Non Communicable Disease Surveillance 2005/2006, a population-based cross sectional study, were analysed. Participants' socio-demographic details, anthropometric indices (BMI, WC and WHR), blood pressure, fasting lipid profile and fasting glucose level were assessed. Receiver operating characteristics curves analysis was used to evaluate the ability of each anthropometric index to discriminate MetS cases from non-MetS cases based on the area under the curve.

RESULTS

Overall, WC had better discriminative ability than WHR for women but did not perform significantly better than BMI in both sexes, whereas BMI was better than WHR in women only. Waist circumference was a better discriminator of MetS compared to WHR in Malay men and women. Waist circumference and BMI performed better than WHR in Chinese women, men aged 25-34 years and women aged 35-44 years.

CONCLUSIONS

The discriminative ability of BMI and WC is better than WHR for predicting two or more non-adipose components of MetS. Therefore, either BMI or WC measurements are recommended in screening for metabolic syndrome in routine clinical practice in the effort to combat cardiovascular disease and type II diabetes mellitus.

Authors+Show Affiliations

Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia. Electronic address: kee@imr.gov.my.Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia.Institute for Public Health, Ministry of Health, Kuala Lumpur, Malaysia.Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia.Institute for Public Health, Ministry of Health, Kuala Lumpur, Malaysia.Institute for Public Health, Ministry of Health, Kuala Lumpur, Malaysia.Non-Communicable Disease Section, Disease Control Division, Ministry of Health, Putrajaya, Malaysia.Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia.Institute for Medical Research, Ministry of Health, Kuala Lumpur, Malaysia.

Pub Type(s)

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

Language

eng

PubMed ID

25819369

Citation

Cheong, Kee C., et al. "The Discriminative Ability of Waist Circumference, Body Mass Index and Waist-to-hip Ratio in Identifying Metabolic Syndrome: Variations By Age, Sex and Race." Diabetes & Metabolic Syndrome, vol. 9, no. 2, 2015, pp. 74-8.
Cheong KC, Ghazali SM, Hock LK, et al. The discriminative ability of waist circumference, body mass index and waist-to-hip ratio in identifying metabolic syndrome: Variations by age, sex and race. Diabetes Metab Syndr. 2015;9(2):74-8.
Cheong, K. C., Ghazali, S. M., Hock, L. K., Subenthiran, S., Huey, T. C., Kuay, L. K., Mustapha, F. I., Yusoff, A. F., & Mustafa, A. N. (2015). The discriminative ability of waist circumference, body mass index and waist-to-hip ratio in identifying metabolic syndrome: Variations by age, sex and race. Diabetes & Metabolic Syndrome, 9(2), 74-8. https://doi.org/10.1016/j.dsx.2015.02.006
Cheong KC, et al. The Discriminative Ability of Waist Circumference, Body Mass Index and Waist-to-hip Ratio in Identifying Metabolic Syndrome: Variations By Age, Sex and Race. Diabetes Metab Syndr. 2015 Apr-Jun;9(2):74-8. PubMed PMID: 25819369.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The discriminative ability of waist circumference, body mass index and waist-to-hip ratio in identifying metabolic syndrome: Variations by age, sex and race. AU - Cheong,Kee C, AU - Ghazali,Sumarni M, AU - Hock,Lim K, AU - Subenthiran,Soobitha, AU - Huey,Teh C, AU - Kuay,Lim K, AU - Mustapha,Feisul I, AU - Yusoff,Ahmad F, AU - Mustafa,Amal N, Y1 - 2015/03/06/ PY - 2015/3/31/entrez PY - 2015/3/31/pubmed PY - 2016/2/13/medline KW - Adult KW - Body mass index KW - Metabolic syndrome KW - Waist circumference KW - Waist–hip ratio SP - 74 EP - 8 JF - Diabetes & metabolic syndrome JO - Diabetes Metab Syndr VL - 9 IS - 2 N2 - OBJECTIVES: Many studies have suggested that there is variation in the capabilities of BMI, WC and WHR in predicting cardiometabolic risk and that it might be confounded by gender, ethnicity and age group. The objective of this study is to examine the discriminative abilities of body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) to predict two or more non-adipose components of the metabolic syndrome (high blood pressure, hypertriglyceridemia, low high density lipoprotein-cholesterol and high fasting plasma glucose) among the adult Malaysian population by gender, age group and ethnicity. METHODS: Data from 2572 respondents (1044 men and 1528 women) aged 25-64 years who participated in the Non Communicable Disease Surveillance 2005/2006, a population-based cross sectional study, were analysed. Participants' socio-demographic details, anthropometric indices (BMI, WC and WHR), blood pressure, fasting lipid profile and fasting glucose level were assessed. Receiver operating characteristics curves analysis was used to evaluate the ability of each anthropometric index to discriminate MetS cases from non-MetS cases based on the area under the curve. RESULTS: Overall, WC had better discriminative ability than WHR for women but did not perform significantly better than BMI in both sexes, whereas BMI was better than WHR in women only. Waist circumference was a better discriminator of MetS compared to WHR in Malay men and women. Waist circumference and BMI performed better than WHR in Chinese women, men aged 25-34 years and women aged 35-44 years. CONCLUSIONS: The discriminative ability of BMI and WC is better than WHR for predicting two or more non-adipose components of MetS. Therefore, either BMI or WC measurements are recommended in screening for metabolic syndrome in routine clinical practice in the effort to combat cardiovascular disease and type II diabetes mellitus. SN - 1878-0334 UR - https://www.unboundmedicine.com/medline/citation/25819369/The_discriminative_ability_of_waist_circumference_body_mass_index_and_waist_to_hip_ratio_in_identifying_metabolic_syndrome:_Variations_by_age_sex_and_race_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1871-4021(15)00019-3 DB - PRIME DP - Unbound Medicine ER -