Report from a Centers for Disease Control and Prevention Workshop on Use of Adult Anthropometry for Public Health and Primary Health Care

Seidell, J.C.; Kahn, Henry S.; Williamson, David F.; Lissner, Lauren; Valdéz, Rodolfo

doi:10.1093/ajcn/73.1.123

Cited by 163 publications

(151 citation statements)

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“…One concern is that measurement errors could be included in a ratio and that the interpretation of these, in terms of pathophysiology is difficult. 40 Numerous studies have found a higher association to diverse risk indicators using waist circumference instead of WHR, which in addition is easier to measure. 55,41,56 However, in a number of reports evaluating the association of waist circumference or WHR to diverse cardiovascular risk factors, the latter was an equal or better predictor than waist circumference.…”

Section: Discussionmentioning

confidence: 99%

“…WHR is typically used as a tool to quantify central body fat distribution and as a predictor of cardiovascular risk and metabolic syndrome. 15,39,40 The ratio was calculated by dividing waist by hip (in centimeters) circumferences. We estimated mean anthropometric characteristics by WHR tertile and calculated the prevalence of WHR greater than 0.85, a cutoff point for MCA previously described in Mexican population.…”

Section: Anthropometric Informationmentioning

confidence: 99%

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Coexistence of maternal central adiposity and child stunting in Mexico

et al. 2007

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Objective: To assess the coexistence of maternal adiposity and child stunting (CS) in Mexico, estimate its national prevalence and identify the associated socio-demographic factors. Methods: A secondary analysis from the Mexican Nutrition Survey 1999, a nationally representative survey, was conducted. Mother and children subsamples were matched and a total of 6225 mother/child pairs were obtained. Stunting was defined as height-for-age z-scores oÀ2.0. Maternal body mass index (BMI) was classified according to World Health Organization recommended cutoff points. Waist-to-hip ratio (WHR) was calculated by dividing waist by hip circumferences. Logistic regression models were fitted to explore the coexistence of CS and maternal central adiposity (MCA) (WHRX0.85) while controlling for biological and socio-demographic factors. Results: A total of 5974 pairs had complete information. MCA coexisted with CS in 6.2% of the mother/child pairs. The phenomenon was more prevalent in rural locations, in the south region and among indigenous families (14.5, 12.5 and 23.9%). After controlling for child age and maternal BMI, a 78% increase in the likelihood of CS was related to maternal WHR X0.85 (odds ratio (OR) ¼ 1.78, 95% confidence interval (CI) ¼ 1.53, 2.10). After controlling for maternal height, the magnitude of the OR decreased (OR ¼ 1.33, 95%CI ¼ 1.13, 1.57), but remained significant. Therefore, it is suggested that women with a WHR B1 have had twice the probability of having a stunted child as those with a WHR of 0.65. Conclusion: Although MCA and CS are two conditions frequently regarded as result of opposite determinants, our observation suggests that this is not necessarily the case, particularly in populations undergoing the nutrition transition. MCA was associated not only to chronic diseases, but also to child stunting.

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Section: Discussionmentioning

confidence: 99%

Section: Anthropometric Informationmentioning

confidence: 99%

Coexistence of maternal central adiposity and child stunting in Mexico

et al. 2007

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“…9 The WHO Expert Committee on Obesity in Asian and Pacific populations suggested revised cutoff points for waist circumference: 90 cm for men and 80 cm for women for identifying persons with abdominal obesity. 5 However, these preliminary proposals were derived from limited data.…”

Section: Introductionmentioning

confidence: 99%

Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity

et al. 2005

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Objective: To test the validity of internationally accepted waist circumference (WC) action levels for adult Asian Indians. Design: Analysis of data from multisite cross-sectional epidemiological studies in north India. Subjects: In all, 2050 adult subjects 418 years of age (883 male and 1167 female subjects). Measurements: Body mass index (BMI), WC, waist-to-hip circumference ratio, blood pressure, and fasting samples for blood glucose, total cholesterol, serum triglycerides, and high-density lipoprotein cholesterol. Results: In male subjects, a WC cutoff point of 78 cm (sensitivity 74.3%, specificity 68.0%), and in female subjects, a cutoff point of 72 cm (sensitivity 68.7%, specificity 71.8%) were appropriate in identifying those with at least one cardiovascular risk factor and for identifying those with a BMI 421 kg/m 2 . WC levels of X90 and X80 cm for men and women, respectively, identified high odds ratio for cardiovascular risk factor(s) and BMI level of X25 kg/m 2 . The current internationally accepted WC cutoff points (102 cm in men and 88 cm in women) showed lower sensitivity and lower correct classification as compared to the WC cutoff points generated in the present study. Conclusion: We propose the following WC action levels for adult Asian Indians: action level 1: men, X78 cm, women, X72 cm; and action level 2: men, X90 cm, women, X80 cm.

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“…But the same waist circumference leads to comparable incidences of type 2 diabetes within different populations. 5 These differences are, however, relatively small. In the San Antonio Heart Study, high waist circumference predicted the development of diabetes over seven years in Mexican Americans.…”

Section: Body Mass Index and The Development Of Type 2 Diabetesmentioning

confidence: 94%

“…This complex term without a biological basis, and has subsequently been proven to be inferior to waist circumference alone for most purposes. 5 The waist-to-hip ratio was, however, first popularised in cross-sectional studies for the prediction of diabetes. 9,10 More detailed analysis in larger studies suggests that both high waist circumference and low hip circumference play a part in the development of type 2 diabetes.…”

Section: Body Mass Index and The Development Of Type 2 Diabetesmentioning

confidence: 99%

The importance and predictive value of BMI and waist circumference in the development of Type 2 Diabetes

Merwe¹

2004

South African Family Practice

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Report from a Centers for Disease Control and Prevention Workshop on Use of Adult Anthropometry for Public Health and Primary Health Care

Cited by 163 publications

References 0 publications

Coexistence of maternal central adiposity and child stunting in Mexico

Coexistence of maternal central adiposity and child stunting in Mexico

Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity

The importance and predictive value of BMI and waist circumference in the development of Type 2 Diabetes

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