Prevalence of metabolic syndrome and optimal waist circumference cut-off points for adults in Beijing

Wang, Wei; Luo, Yanxia; Liu, Yunning; Cui, Can; Wu, Lijuan; Wang, Youxin; Wang, Hong; Zhang, Puhong; Guo, Xiuhua

doi:10.1016/j.diabres.2010.01.022

« Previous Next »Diabetes Research and Clinical Practice
Volume 88, Issue 2 , Pages 209-216, May 2010

Prevalence of metabolic syndrome and optimal waist circumference cut-off points for adults in Beijing

Wei Wang
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
- Wei Wang and Yanxia Luo are joint first authors. They contributed equally to the work.
Yanxia Luo
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
- Wei Wang and Yanxia Luo are joint first authors. They contributed equally to the work.
Yunning Liu
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
Can Cui
- School of Statistics, Southwestern University of Finance and Economics, Cheng Du 611130, Sichuan, China
Lijuan Wu
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
Youxin Wang
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
Hong Wang
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
Puhong Zhang
- Institute of Chronic and Noncommunicable Disease Control and Prevention, Beijing Center for Disease Control and Prevention, Beijing 100013, China
- School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
- Now: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing 100050, China.
- Corresponding author. Tel.: +86 1083911508; fax: +86 1083911508.
Xiuhua Guo
- Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
- Corresponding author. Tel.: +86 1083911508; fax: +86 1083911508.

Received 11 October 2009; received in revised form 11 January 2010; accepted 18 January 2010. published online 15 February 2010.

Abstract

Background

In the modified ATP III definition for metabolic syndrome (MS), the cut-off values for central obesity were set to ≥90cm for male and ≥80cm for women. Recently, a new Chinese definition for central obesity was set to ≥90cm for male and ≥85cm for women according to the corresponding BMI value of 25kg/m².

Objective

The purpose of this study was to explore the optimal WC cut-off points to reflect the cluster of multiple risk factors for adults in Beijing.

Method

The data collected during the surveillance of risk factors for non-communicable diseases in Beijing 2005 were used, with a total of 16,711 adults studied. Subjects with two or more components from the modified ATP III definition other than central obesity were considered to have multiple risk factors.

Results

The optimal WC cut-off points were 87cm in men and 80cm for women. When applied the WC advised definition for MS, the age-standardized prevalence was 38.0% for male and 32.3% for women, which is significantly higher than using the original one for men (34.7% vs 32.3%, P<0.001).

Conclusion

The present study indicated that optimal waist circumference cut-off points were lower than that proposed in the modified ATP III definition, especially for men.

Keywords: Waist circumference, Cut-off point, Metabolic syndrome, Central obesity, Chinese