Measurement error and ethnic comparisons of measures of abdominal obesity

Dhaliwal, Satvinder S.; Welborn, T.

doi:10.1016/j.ypmed.2009.06.023

Cited by 41 publications

(41 citation statements)

References 26 publications

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“…44,45 Furthermore, errors in measurement and inconsistency of technique are common. 46,47 The NIH/NHLBI cut points that distinguish between people at higher and lower cardiovascular risk are >102 cm (40") for men and >88 cm (35") for women. 48 On the basis of a large random sample of people from the Netherlands, the WHO recommends cut points of >94 cm for men and 80 cm for women to identify those with increased risk of metabolic complications and >102 cm for men and >88 cm for women to identify those with substantially increased risk of metabolic complications.…”

Section: Waist Circumferencementioning

confidence: 99%

Identification of Obesity and Cardiovascular Risk in Ethnically and Racially Diverse Populations

Rao¹,

Powell‐Wiley²,

Ancheta³

et al. 2015

Circulation

129

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Section: Waist Circumferencementioning

confidence: 99%

Identification of Obesity and Cardiovascular Risk in Ethnically and Racially Diverse Populations

Rao¹,

Powell‐Wiley²,

Ancheta³

et al. 2015

Circulation

129

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“…However, an epidemiological study by Kuk et al showed that correlation of WC and VFA is influenced by age and sex (14). In addition, WC measurement is reported to show variation between measurements (15,16). The most accurate and reliable method to measure VFA is using CT.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Visceral Fat Area Measured by Dual Impedance Method on the Diagnostic Components of Metabolic Diseases in a Middle-aged Japanese Population

et al. 2016

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Objective The aim of this study was to examine the associations between the visceral fat area (VFA) and the subcutaneous fat area (SFA) as estimated by the dual impedance method with a body composition monitor (BCM) and the diagnostic components of metabolic syndrome in a middle-aged Japanese population. Methods The subjects included 303 men (average age 51.3±9.0 years old) and 345 women (average age 40.0±9.4 years old). The VFA and SFA were estimated by BCM, and the associations among the components of metabolic syndrome (waist circumference, blood pressure and related blood sample tests) were evaluated. Results VFA showed positive correlations with waist circumference, HbA1c, high-density lipoprotein (HDL)/low-density lipoprotein (LDL) cholesterol, triglyceride and uric acid level in men, while showing positive correlations with waist circumference, HDL cholesterol, triglyceride and HbA1c in women. The estimated SFA showed positive correlations with systolic blood pressure, HDL/LDL cholesterol and triglyceride in men, and HDL cholesterol and triglyceride in women. A receiver operating characteristic (ROC) analysis showed the estimated VFA to be as effective as WC to identify subject with metabolic syndrome. Conclusion By estimating the VFA using BCM, it may be possible to identify patients at risk of developing metabolic syndrome and hyperuricemia.

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“…Optimal BMI and WC values for predicting metabolic disorders differ between Mexicans, Asians, and blacks and whites, [185][186][187] but WHtR and WHR adjust for these ethnic differences in body shape. 187 Despite all the evidence and the issue of practicality, we do not recommend the routine use of ratios to assess adiposity. WHtR and WHR, however, are promising measures for adjusting for ethnic differences in body shape when determining metabolic risk.…”

Section: Ratiosmentioning

confidence: 99%

Assessing Adiposity

Cornier¹,

Després²,

Davis³

et al. 2011

Circulation

719

356

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T he prevalence of obesity in the United States and the world has risen to epidemic/pandemic proportions. This increase has occurred despite great efforts by healthcare providers and consumers alike to improve the health-related behaviors of the population and a tremendous push from the scientific community to better understand the pathophysiology of obesity. This epidemic is all the more concerning given the clear association between excess adiposity and adverse health consequences such as cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). The risks associated with overweight/obesity are primarily related to the deposition of adipose tissue, which leads to excess adiposity or body fatness. Furthermore, weight loss, specifically loss of body fat, is associated with improvement in obesity-related comorbidities. Before weight loss interventions can be recommended, however, patients must be assessed for their adiposity-related risk. Unfortunately, healthcare providers and systems have not done a good job of assessing for excess adiposity even in its simplest form, such as measuring body mass index (BMI). It is for these reasons that we must emphasize the importance of assessing adiposity in clinical practices. Although it can be argued that the entire population should be targeted as an important public health issue with a goal of prevention of weight gain and obesity, there are currently so many "at risk" individuals that simple strategies to identify and treat those individuals are necessary. We must identify those individuals at highest risk of comorbidities in order to identify those who might benefit the most from aggressive weight management.This scientific statement will first briefly review the epidemiology of obesity and its related comorbidities, supporting the need for improved assessment of adiposity in daily clinical practice. This will be followed by a discussion of some of the challenges and issues associated with assessing adiposity and then by a review of the methods available for assessing adiposity in adults. Finally, practical recommendations for the clinician in practice will be given with a goal of identifying more at-risk overweight/obese individuals.

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Measurement error and ethnic comparisons of measures of abdominal obesity

Cited by 41 publications

References 26 publications

Identification of Obesity and Cardiovascular Risk in Ethnically and Racially Diverse Populations

Identification of Obesity and Cardiovascular Risk in Ethnically and Racially Diverse Populations

Impact of the Visceral Fat Area Measured by Dual Impedance Method on the Diagnostic Components of Metabolic Diseases in a Middle-aged Japanese Population

Assessing Adiposity

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