A Proposal for the Cutoff Point of Waist Circumference for the Diagnosis of Metabolic Syndrome in the Japanese Population

Hara, Kazuo; Matsushita, Yushu; Horikoshi, Momoko; Yoshiike, Nobuo; Yokoyama, Tetsuji; Tanaka, Heizo; Kadowaki, Takashi

doi:10.2337/dc05-2540

Cited by 155 publications

(125 citation statements)

References 5 publications

Supporting

Mentioning

108

Contrasting

Order By: Relevance

“…6 Although the female diagnostic cutoff value for waist circumference was set at 90 cm in the new Japanese criteria, we used 80 cm in this study because recent studies have shown that the most suitable cutoff level exists at around 80 cm. 7,8 This is consistent with the Asian criteria. 1 Exclusion criteria included: severe obesity (body mass index X35 kg m À2 ); uncontrolled DM (fasting blood glucose X160 mg dl À1 or HbA1c X8.0%); renal failure (plasma creatinine concentration X1.5 mg dl À1 ); previous history of cardiovascular diseases, cancer or other serious diseases.…”

Section: Methods Subjectssupporting

confidence: 89%

Repeated counselling improves the antidiabetic effects of limited individualized lifestyle guidance in metabolic syndrome: J-STOP-METS final results

Munakata

Honma²,

Akasi³

et al. 2011

Hypertens Res

View full text Add to dashboard Cite

on behalf of the J-STOP-MetS Study GroupThe aim of this study was to examine whether additional repeated counselling further improves the health effects of limited, highly individualized lifestyle guidance in metabolic syndrome. One hundred and nine previously untreated metabolic syndrome patients received highly standardized and individualized lifestyle guidance for weight loss. A tentative goal of 5% weight reduction over the course of 2 months was set. Patients were then randomly assigned to either the multiple guidance group who received further counselling every 2 months (n¼52) or the single guidance group who received no further guidance until the final assessment 6 months later (n¼57). Baseline data between the multiple guidance and single guidance groups were similar. Body weight and waist circumference were significantly reduced, and liver function, lipid profiles and glucose metabolism were significantly improved in both groups. After adjustment for baseline data, the multiple guidance group showed considerably higher reduction in waist circumference and fasting blood sugar concentration than the single guidance group. These data suggest that additional counselling further improved the antidiabetic effects of limited individualized lifestyle guidance in metabolic syndrome.

show abstract

Section: Methods Subjectssupporting

confidence: 89%

Repeated counselling improves the antidiabetic effects of limited individualized lifestyle guidance in metabolic syndrome: J-STOP-METS final results

Munakata

Honma²,

Akasi³

et al. 2011

Hypertens Res

View full text Add to dashboard Cite

show abstract

“…Fasting glycemia ≥110 mg/dL was found in 24.8% of men and 10.9% of women, low HDL in 6.6% of men and 9.2% of women, high TGs in 30.4% of men and 9.9% of women, and high blood pressure in 43.9% of men and 34.5% of women. 26 It was alarming to observe that mean fasting glycemia values in our population were higher than the cutoff value of 100 mg/dL for both genders. It was also disconcerting to see that the number of individuals with elevated systemic blood pressure was higher than over 10 years before in fi rst-and second-generation Japanese-Brazilians (fi rst generation, 24.7% in men and 30.7% in women, and second generation, 28.7% in men and 30.9% in women).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Metabolic Syndrome in Japanese-Brazilians According to Specific Definitions for Ethnicity

Xavier

Chaim²,

Gimeno³

et al. 2010

Metabolic Syndrome and Related Disorders

View full text Add to dashboard Cite

Background: The American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI), revising the National Cholesterol Evaluation Program for Adult Treatment Panel III (NCEP ATP III), and the International Diabetes Federation (IDF) have proposed defi nitions of metabolic syndrome that take into account waist circumference thresholds according to ethnicity. In this study we estimated the prevalence of metabolic syndrome in a Japanese-Brazilian population using NCEP defi nitions for Westerners (NCEPwe) and Asians (NCEPas), and IDF for Japanese (IDF). Methods: A total of 650 Japanese-Brazilians living in a developed Brazilian city and aged 30-88 years were included. Results: Metabolic syndrome prevalence according to NCEPwe, NCEPas, and IDF was, respectively, 46.5%, 56.5%, and 48.3%. Only 43.5% of subjects did not have metabolic syndrome by any of the 3 defi nitions, and 38.3% fulfi lled metabolic syndrome criteria for all 3 defi nitions. Ten percent of subjects were positive for metabolic syndrome based on NCEPas and IDF, but not for NCEPwe. Because IDF requires abdominal obesity as a criterion, the frequency of subjects without metabolic syndrome according to IDF, but with metabolic syndrome by NCEPwe and NCEPas was 8.2%. Conclusions: Independent of the metabolic syndrome defi nition, Japanese-Brazilians present an elevated metabolic syndrome prevalence, which was higher when using NCEP criteria for Asians, followed by the IDF defi nition for Japanese.

show abstract

“…The difference was partly due to the fact that they measured waist circumference at the mid-level between the lowest rib and the iliac crest, and that measurement in females is a few centimeters longer than ACM (at the umbilicus level). Thus, Hara et al (14) also estimated ACM cutoff levels for males and females of ~85 cm and ~80 cm, respectively. Taken together, the results of these two recent studies (13,14) and the results of the present study on Japanese subjects support the notion that the appropriate ACM cutoff level for diagnosis of metabolic syndrome in Japanese females is 78-80 cm.…”

Section: Definition Of Visceral Obesity As a Component Of Metabolic Smentioning

confidence: 99%

“…Thus, Hara et al (14) also estimated ACM cutoff levels for males and females of ~85 cm and ~80 cm, respectively. Taken together, the results of these two recent studies (13,14) and the results of the present study on Japanese subjects support the notion that the appropriate ACM cutoff level for diagnosis of metabolic syndrome in Japanese females is 78-80 cm.…”

Section: Definition Of Visceral Obesity As a Component Of Metabolic Smentioning

confidence: 99%

“…Miyawaki et al (13) calculated ACM cutoff levels for males and females of 86 cm and 77 cm, respectively, based on their VFA cutoff levels of 100 cm 2 in males and 65 cm 2 in females. Although VFA was not determined in their study, Hara et al (14) recently applied the waist circumference data for 692 subjects (age: 30-80 years) who had undergone annual health examinations to ROC analysis to determine the ACM cutoff for diagnosis of metabolic syndrome. They found that the cutoff levels of ACM yielding maximum sensitivity and specificity were 85 cm for males and 78 cm for females.…”

Section: Definition Of Visceral Obesity As a Component Of Metabolic Smentioning

confidence: 99%

See 1 more Smart Citation

Visceral Obesity in Japanese Patients with Metabolic Syndrome: Reappraisal of Diagnostic Criteria by CT Scan

et al. 2007

View full text Add to dashboard Cite

A Proposal for the Cutoff Point of Waist Circumference for the Diagnosis of Metabolic Syndrome in the Japanese Population

Cited by 155 publications

References 5 publications

Repeated counselling improves the antidiabetic effects of limited individualized lifestyle guidance in metabolic syndrome: J-STOP-METS final results

Repeated counselling improves the antidiabetic effects of limited individualized lifestyle guidance in metabolic syndrome: J-STOP-METS final results

Prevalence of Metabolic Syndrome in Japanese-Brazilians According to Specific Definitions for Ethnicity

Visceral Obesity in Japanese Patients with Metabolic Syndrome: Reappraisal of Diagnostic Criteria by CT Scan

Contact Info

Product

Resources

About