Predictive values of anthropometric measurements for multiple metabolic disorders in Asian populations

Optimal Cutoff Points of Waist Circumference for the Criteria of Abdominal Obesity Comparison With the Criteria of the International Diabetes Federation

“…4,5 Nevertheless, because a number of studies for Asians have suggested lower cutoff points for waist circumference, controversies over this criteria have not yet been resolved. [10][11][12][14][15][16] To define abdominal obesity for Korean adults, some studies, but not all, have suggested that a waist circumference of 90 cm for men and 85 cm or 86 cm for women may be appropriate cutoff points. [6][7][8] However, there are few studies that compare varied measures of diagnostic accuracy, beyond sensitivity and specificity, for selected cutoff points with other cutoff points of waist circumference, such as those proposed by the IDF and the NCEP.…”

“…9,10 Showing more inconsistent results, investigations among Japanese adults have provided varied optimal cutoff points of waist circumference. [11][12][13][14][15][16] On the basis of these findings for some Asian ethnicities, more reliable cutoff points of waist circumference need to be proposed than those from the IDF and the NCEP criteria. In spite of several reports on cutoff points of waist circumference among Korean adults, data are limited in comparing measures of diagnostic accuracy, which are obtained from receiver-operating characteristic (ROC) curves, for selected optimal cutoff points with those for waist cutoff points given by the IDF.…”

“…4,5 Although the IDF and the NCEP seem to have recently agreed on the cutoff points of waist circumference for Asians, a number of studies for Korean, Chinese and Japanese adults have produced conflicting findings. [6][7][8][9][10][11][12][13][14][15][16] Studies for Korean adults have suggested that 89-90 cm for men and 85-86 cm for women may be appropriate cutoff points of waist circumference for the definition of abdominal obesity. 7,8 Chinese data have demonstrated that minimum waist cutoff points associated with the metabolic syndrome are 90 cm for men and 85 cm for women, while nationally representative data have revealed that it is 80 cm for both men and women.…”

Optimal cut-off values and population means of waist circumference in different populations

“…Those articles reported optimal cut-off values of waist circumference for different populations including Australians (16,31) , Brazilians (8,13,25,48) , Canadians (20) , Chinese (12,29,30,35 -37,40,62,64 -67) , French (11) , Guadeloupeans (24) , Indians (Asia) (19,42,59) , Iranians (18,22,26) , Iraqis (41) , Jamaicans (54) , Japanese (21,28,32,33,38,43,46,52,55,57,58,61) , Koreans (10,27,34,39,47) , Mexicans (9,14,53) , Mongolians (58) , New Zealand Maoris (51) , Singaporeans (49,50) , Swedish (45) , Thais (7,44) , Tongans (17) , Tunisians (15) , Turkish (63) , and African-Americans and White Americans (23,60) . Among sixty-one studies, thirty-eight (62 %) used the maximum of the sum of sensitivity and specificity to identify an optimal cutoff point (Table 1).…”

Multicentric, Randomized, Controlled Trial to Evaluate Blood Glucose Control by the Model Predictive Control Algorithm Versus Routine Glucose Management Protocols in Intensive Care Unit Patients

“…If they had determined the cut points of waist circumference by receiver-operating characteristic curves as they did to determine the cut points of BMI and visceral fat area and those of visceral fat area separately by sex, the cut points of waist circumference might have been different values. For example, Shiwaku et al (4) reported that optimal cut points of waist circumference were 82 cm for men and 73 cm for women in Japanese, and Hara et al (5) recently proposed 83-85 cm for men and 73-78 cm for women as optimal cut points of waist circumference for the diagnosis of metabolic syndrome in Japan. Sone et al (6) recalculated the risk of metabolic syndrome for cardiovascular events in Japanese diabetic patients, applying Asian cut points for waist circumference (90 cm for men and 80 cm for women) instead of Japanese criteria (85 cm for men and 90 cm for women) and reached different results from their previous reports (7,8).…”