Diabetes Research and Clinical Practice
Volume 75, Issue 1 , Pages 72-80 , January 2007

Appropriate waist circumference cutoff points for central obesity in Korean adults

  • Sang Yeoup Lee

      Affiliations

    • Department of Family Medicine, College of Medicine, Pusan University, Pusan, Republic of Korea
  • ,
  • Hye Soon Park

      Affiliations

    • Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
    • Corresponding Author InformationCorresponding author at: Department of Family Medicine, University of Ulsan College of Medicine, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea. Tel.: +82 2 3010 3813; fax: +82 2 3010 3815.
  • ,
  • Dae Jung Kim

      Affiliations

    • Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Republic of Korea
  • ,
  • Jee Hye Han

      Affiliations

    • Department of Family Medicine, Eulji General Hospital, Eulji Medical University, Seoul, Republic of Korea
  • ,
  • Seon Mee Kim

      Affiliations

    • Department of Family Medicine, College of Medicine, Korea University, Seoul, Republic of Korea
  • ,
  • Guem Joo Cho

      Affiliations

    • Gurogu Public Health Center, Seoul, Republic of Korea
  • ,
  • Dae Young Kim

      Affiliations

    • Department of Family Medicine, Eastern Municipal Hospital, Seoul, Republic of Korea
  • ,
  • Hyuk Sang Kwon

      Affiliations

    • Department of Internal Medicine, College of Medicine, Catholic University of Korea, Seoul, Republic of Korea
  • ,
  • Sung Rae Kim

      Affiliations

    • Department of Internal Medicine, College of Medicine, Catholic University of Korea, Seoul, Republic of Korea
  • ,
  • Chang Beom Lee

      Affiliations

    • Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea
  • ,
  • Seung Joon Oh

      Affiliations

    • Department of Endocrinology and Metabolism, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
  • ,
  • Cheol Young Park

      Affiliations

    • Department of Internal Medicine, College of Medicine, Hallym University, Chunchon, Republic of Korea
  • ,
  • Hyung Joon Yoo

      Affiliations

    • Department of Internal Medicine, College of Medicine, Hallym University, Chunchon, Republic of Korea

Received 9 March 2006 ,Accepted 24 April 2006.

References 

  1. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA. 2002;288:2709–2716
  2. Alberti KG, Zimmet P, Shaw J. IDF Epidemiology Task Force Consensus Group. The metabolic syndrome—a new worldwide definition. Lancet. 2005;366:1059–1062
  3. Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1. Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet. Med. 1998;15:539–553
  4. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 285 (2001) 2486–2497.
  5. Balkau B, Charles MA. Comment on the provisional report from the WHO consultation. European Group for the Study of Insulin Resistance (EGIR). Diabet. Med. 1999;16:442–443
  6. McKeigue PM, Shah B, Marmot MG. Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. Lancet. 1991;337:382–386
  7. Deurenberg-Yap M, Chew SK, Lin VF, Tan BY, van Staveren WA, Deurenberg P. Relationships between indices of obesity and its co-morbidities in multi-ethnic Singapore. Int. J. Obes. Relat. Metab. Disord. 2001;25:1554–1562
  8. International Obesity Task Force. Asia–Pacific perspective: redefining obesity and its treatment. Western Pacific Region, Sydney, Australia, 2000.
  9. Examination Committee of Criteria for ‘Obesity Disease’ in Japan; Japan Society for the Study of Obesity. New criteria for ‘obesity disease’ in Japan. Circ. J. 66 (2002) 987–992.
  10. Park HS, Oh SW, Cho SI, Choi WH, Kim YS. The metabolic syndrome and associated lifestyle factors among South Korean adults. Int. J. Epidemiol. 2004;33:328–336
  11. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287:356–359
  12. Park HS, Oh SW, Kang JH, Park YW, Kim YS, Choi WH, et al. Prevalence and associated factors with metabolic syndrome in South Korea. J. Korean Soc. Study Obes. 2003;12:1–14(Korean)
  13. American Society of Hypertension . Recommendations for routine blood pressure measurement by indirect cuff sphygmomanometry. Am. J. Hypertens. 1992;5:207–209
  14. Biggerstaff BJ. Comparing diagnostic tests: a simple graphic using likelihood ratios. Stat. Med. 2000;19:649–663
  15. Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes. 1988;37:1595–1607
  16. Bloomgarden ZT. American Association of Clinical Endocrinologists (AACE) Consensus Conference on the Insulin Resistance Syndrome: August 25–26, 2002, Washington, DC. Diabet. Care. 2003;26:1297–1303
  17. Park HS, Yun YS, Park JY, Kim YS, Choi JM. Cut-off value of waist circumference for metabolic syndrome patients in Korean adult population. J. Korean Soc. Study Obes. 2004;13:53–60(Korean)
  18. Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ. 1995;311:158–161
  19. Han TS, van Leer EM, Seidell JC, Lean ME. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ. 1995;311:1401–1405
  20. Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am. J. Clin. Nutr. 2005;81:555–563
  21. Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB. Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am. J. Clin. Nutr. 2002;76:743–749
  22. Molarius A, Seidell JC, Visscher TL, Hofman A. Misclassification of high-risk older subjects using waist action levels established for young and middle-aged adults—results from the Rotterdam Study. J. Am. Geriatr. Soc. 2000;48:1638–1645
  23. WHO Expert Consultation . Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–163
  24. Ko GT, Chan JC, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int. J. Obes. Relat. Metab. Disord. 1999;23:1136–1142
  25. Zhou BF Cooperative Meta-Analysis Group of the Working Group on Obesity in China. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults—study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed. Environ. Sci. 2002;15:83–96
  26. Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am. J. Clin. Nutr. 2004;79:31–39
  27. Wildman RP, Gu D, Reynolds K, Duan X, He J. Appropriate body mass index and waist circumference cut-offs for categorization of overweight and central adiposity among Chinese adults. Am. J. Clin. Nutr. 2004;80:1129–1136
  28. Snehalatha C, Viswanathan V, Ramachandran A. Cut-off values for normal anthropometric variables in Asian Indian adults. Diabet. Care. 2003;26:1380–1384
  29. Berber A, Gomez-Santos R, Fanghanel G, Sanchez-Reyes L. Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population. Int. J. Obes. Relat. Metab. Disord. 2001;25:1794–1799

 This study was supported by a grant from the Korean Society for the Study of Obesity 2005.

PII: S0168-8227(06)00169-0

doi: 10.1016/j.diabres.2006.04.013

Diabetes Research and Clinical Practice
Volume 75, Issue 1 , Pages 72-80 , January 2007