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The six obesity indices, which one is more compatible with metabolic syndrome? A population based study.
Diabetes Metab Syndr. 2017 Jul - Sep; 11(3):173-177.DM

Abstract

OBJECTIVES

The present study was conducted to determine the best discriminators in the diagnosis of the metabolic syndrome (MetS) among six obesity indexes. Furthermore the optimal cutoff points for all obesity indexes were determined.

METHODS

The baseline data of 5910 subjects of Haraz cohort study which was conducted in northern Iran were analyzed. Receiver operating characteristic (ROC) analyses were separately performed to determine discriminatory power of six obesity indexes, including, body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), waist to height ratio (WHtR), abdominal volume index (AVI) and conicity index (CI) for diagnosis of at least two other components of MetS. Youden index was used to determine the optimal cutoff points.

RESULTS

While the optimal cutoff points in men were 26.0kg/m2 for BMI, 90cm for WC, 0.90 for WHR, 0.53 for WHtR, 16.6 (cm2) for AVI and 1.24(m32/kg12) for CI, the optimal values in women were 29.0kg/m2 for BMI, 91cm for WC, 0.86 for WHR, 0.58 for WHtR, 17.0(cm2) for AVI and 1.23 (m32/kg12) for CI. The prevalence of overweight or obesity was 46.1% to 54.1% in women and 49.5% to 53.6% in men based on various obesity indexes. The area under the ROC curves (AUCs) varied from 0.671(0.651-0.690) for CI to 0.718(0.700-0.736) for WC in men and from 0.668 (0.646-0.690) for BMI to 0.755(0.735-0.774) for WHR and CI in women.

CONCLUSION

Except for CI in men and BMI in women, other obesity indexes were good discriminator in the diagnosis of the MetS.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Motamed N
Department of Social Medicine, Zanjan University of Medical Sciences, Zanjan, Iran; Gastrointestinal and Liver Diseases Research Center (GILDRC), Iran University of Medical Sciences, Tehran, Iran.
Sohrabi M
Gastrointestinal and Liver Diseases Research Center (GILDRC), Iran University of Medical Sciences, Tehran, Iran.
Poustchi H
Gastrointestinal and Liver Diseases Research Center (GILDRC), Iran University of Medical Sciences, Tehran, Iran; Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Maadi M
Amol Health Network, Mazandaran University of Medical Sciences, Amol, Iran.
Malek M
Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.
Keyvani H
Department of Virology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Amoli MS
Amol Health Network, Mazandaran University of Medical Sciences, Amol, Iran.
Zamani F
Gastrointestinal and Liver Diseases Research Center (GILDRC), Iran University of Medical Sciences, Tehran, Iran. Electronic address: zamani.farhad@gmail.com.

MeSH

AdolescentAdultAgedBody Mass IndexCross-Sectional StudiesFemaleHumansIntra-Abdominal FatIranMaleMetabolic SyndromeMiddle AgedObesityPopulation SurveillanceRisk FactorsWaist CircumferenceWaist-Height RatioWaist-Hip RatioYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27658893

Citation

Motamed, Nima, et al. "The Six Obesity Indices, Which One Is More Compatible With Metabolic Syndrome? a Population Based Study." Diabetes & Metabolic Syndrome, vol. 11, no. 3, 2017, pp. 173-177.
Motamed N, Sohrabi M, Poustchi H, et al. The six obesity indices, which one is more compatible with metabolic syndrome? A population based study. Diabetes Metab Syndr. 2017;11(3):173-177.
Motamed, N., Sohrabi, M., Poustchi, H., Maadi, M., Malek, M., Keyvani, H., Amoli, M. S., & Zamani, F. (2017). The six obesity indices, which one is more compatible with metabolic syndrome? A population based study. Diabetes & Metabolic Syndrome, 11(3), 173-177. https://doi.org/10.1016/j.dsx.2016.08.024
Motamed N, et al. The Six Obesity Indices, Which One Is More Compatible With Metabolic Syndrome? a Population Based Study. Diabetes Metab Syndr. 2017 Jul - Sep;11(3):173-177. PubMed PMID: 27658893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The six obesity indices, which one is more compatible with metabolic syndrome? A population based study. AU - Motamed,Nima, AU - Sohrabi,Masoudreza, AU - Poustchi,Hossein, AU - Maadi,Mansooreh, AU - Malek,Mojtaba, AU - Keyvani,Hossein, AU - Amoli,Mahboobeh Safaean, AU - Zamani,Farhad, Y1 - 2016/08/23/ PY - 2016/07/18/received PY - 2016/08/22/accepted PY - 2016/9/24/pubmed PY - 2018/4/19/medline PY - 2016/9/24/entrez KW - Cutoff points KW - Metabolic syndrome KW - Obesity indexes SP - 173 EP - 177 JF - Diabetes & metabolic syndrome JO - Diabetes Metab Syndr VL - 11 IS - 3 N2 - OBJECTIVES: The present study was conducted to determine the best discriminators in the diagnosis of the metabolic syndrome (MetS) among six obesity indexes. Furthermore the optimal cutoff points for all obesity indexes were determined. METHODS: The baseline data of 5910 subjects of Haraz cohort study which was conducted in northern Iran were analyzed. Receiver operating characteristic (ROC) analyses were separately performed to determine discriminatory power of six obesity indexes, including, body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), waist to height ratio (WHtR), abdominal volume index (AVI) and conicity index (CI) for diagnosis of at least two other components of MetS. Youden index was used to determine the optimal cutoff points. RESULTS: While the optimal cutoff points in men were 26.0kg/m2 for BMI, 90cm for WC, 0.90 for WHR, 0.53 for WHtR, 16.6 (cm2) for AVI and 1.24(m32/kg12) for CI, the optimal values in women were 29.0kg/m2 for BMI, 91cm for WC, 0.86 for WHR, 0.58 for WHtR, 17.0(cm2) for AVI and 1.23 (m32/kg12) for CI. The prevalence of overweight or obesity was 46.1% to 54.1% in women and 49.5% to 53.6% in men based on various obesity indexes. The area under the ROC curves (AUCs) varied from 0.671(0.651-0.690) for CI to 0.718(0.700-0.736) for WC in men and from 0.668 (0.646-0.690) for BMI to 0.755(0.735-0.774) for WHR and CI in women. CONCLUSION: Except for CI in men and BMI in women, other obesity indexes were good discriminator in the diagnosis of the MetS. SN - 1878-0334 UR - https://www.unboundmedicine.com/medline/citation/27658893/The_six_obesity_indices_which_one_is_more_compatible_with_metabolic_syndrome_A_population_based_study_ DB - PRIME DP - Unbound Medicine ER -