Revised Optimal Cut-Off Point of Waist Circumference for the Diagnosis of Metabolic Syndrome in Japanese Women and the Influence of Height

• Shimajiri Tsuyako

  Wakayama Seijinbyo Center.

• Imagawa Mitsuyo

  Wakayama Seijinbyo Center.

• Kokawa Mika

  Wakayama Seijinbyo Center.

• Konami Tomomi

  Wakayama Seijinbyo Center.

• Hara Hitomi

  Wakayama Seijinbyo Center.

• Kyoku Inbou

  Wakayama Seijinbyo Center.

• Sone Emiko

  Wakayama Seijinbyo Center.

• Ishigame Masayuki

  First Department of Internal Medicine, Wakayama Medical University.

• Kikuoka Hiroyoshi

  Wakayama Seijinbyo Center.

抄録

Aim: We reevaluated waist circumference as a diagnostic criterion of metabolic syndrome (MetS) in Japanese.<br>Methods: We enrolled 5,571 subjects (3,148 men and 2,423 women) who had health check-ups in our center. The criterion was reevaluated using the positive predictive value of a receiver-operating characteristics (ROC) curve at 10 different hypothesized lengths of waist circumference with or without a cluster of risk factors. We also drew ROC curves based on the atherosclerotic findings of clinical examinations.<BR>Results: Based on the ROC curves, the optimal waist circumference cut-off was 85 cm in men and 80 cm in women. Using this 80 cm cut-off point in women, misdiagnosis rates of MetS were lowered (-19.1--56.6%) compared to the cut-off point currently in use. Integrating the influence of height, namely by using a waist-to-height² ratio, misdiagnosis rates in shorter populations were decreased in both men and women.<BR>Conclusion: These data suggested an optimal waist circumference cut-off to improve the diagnostic probability of MetS in Japanese women of 80 cm, as well as the utility of an easily detected anthropometric index such as a waist-to-height (cm × 100/cm) or waist-to-height² (cm × 10,000/cm²) ratio, determined as 51 in men and 52 in women, or 30 in men and 33 in women, respectively.

収録刊行物

• Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ

  Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ 15 (2), 94-99, 2008

  一般社団法人 日本動脈硬化学会

キーワード

• Metabolic syndrome (MetS)
• Waist circumference
• ROC curve
• Height

詳細情報

• CRID: 1390282679409660800
• NII論文ID: 10022608079
• NII書誌ID: AA11018976
• DOI: 10.5551/jat.e540
• COI: 1:STN:280:DC%2BD1czgs1SitA%3D%3D
• ISSN: 18803873
• ISSN: 13403478
• ISSN: http://id.crossref.org/issn/13403478
• PubMed: 18385535
• Web Site: https://search.jamas.or.jp/link/ui/2008292851
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可