HOU Xin Guo; WANG Chuan; MA Ze Qiang; YANG Wei Fang; WANG Ji Xiang; LI Cheng Qiao; WANG Yu Lian; LIU Shu Min; Hu Xiu Ping; ZHANG Xiu Ping; JIANG Mei; WANG Wei Qing; NING Guang; ZHENG Hui Zhen; MA Ai Xia; SUN Yu; SONG Jun; LIN Peng; LIANG Kai; LIU Fu Qiang; LI Wen Juan; XIAO Juan; GONG Lei; WANG Mei Jian; LIU Ji Dong; YAN Fei; YANG Jun Peng; WANG Ling Shu; TIAN Meng; ZHAO Ru Xing; JIANG Ling; CHEN Li

doi:10.3967/bes2014.060

doi: 10.3967/bes2014.060

基金项目: The present study was supported by the National Natural Science Foundation of China(81100617)%the Medical and Health Science and Technology Development Projects of Shandong Province(2011HD005)%the National Science and Technology Support Plan(2009BAI80B04)%the Natural Science Foundation of Shandong Province(ZR2012HM014)%the International Science and Technology Projects of Shandong Province(2010GHZ20201,2012GGE27126)%the Business Plan of Jinan Students Studying Abroad(20110407)%the special scientific research fund of clinical medicine of Chinese Medical Association(12030420342)

Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

Department of Endocrinology, Qilu Hospital and Institute of Endocrinology and Metabolism, Shandong University, Jinan 250012, Shandong, China
China National Heavy Duty Truck Group Corporation Hospital, Jinan 250116, Shandng, China
Jining Lukang Hospital, Jining 272141, Shandong, China
Department of Endocrinology, Jining Second People's Hospital, Jining 272049, Shandong, China
Shantui Community Health Center, Jining 272000, Shandong, China
Department of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiaotong University Medical School, Shanghai 200025, China

Funds: The present study was supported by the National Natural Science Foundation of China(81100617)%the Medical and Health Science and Technology Development Projects of Shandong Province(2011HD005)%the National Science and Technology Support Plan(2009BAI80B04)%the Natural Science Foundation of Shandong Province(ZR2012HM014)%the International Science and Technology Projects of Shandong Province(2010GHZ20201,2012GGE27126)%the Business Plan of Jinan Students Studying Abroad(20110407)%the special scientific research fund of clinical medicine of Chinese Medical Association(12030420342)

摘要: Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China.
Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared.
Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men.
Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.
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Abstract: Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China.
Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared.
Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men.
Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.
- Waist circumference /
- Metabolic syndrome /
- Central obesity

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doi: 10.3967/bes2014.060

Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

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Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

doi: 10.3967/bes2014.060

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Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

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doi: 10.3967/bes2014.060

Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

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Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

doi: 10.3967/bes2014.060

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Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

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