The abilities of new anthropometric indices in identifying cardiometabolic abnormalities, and influence of residence area and lifestyle on these anthropometric indices in a Chinese community-dwelling population

Fu, Shihui; Luo, Li; Liu, Yuan; Zhu, Bing; Bai, Yulong; Bai, Jie

doi:10.2147/cia.s54240

Cited by 13 publications

(12 citation statements)

References 31 publications

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“…Of note also, when we investigated optimal cut-offs for distinct ethnic groups living in Brazil we did not find important differences, except for those of Asian origin, particularly for men. These findings are in agreement with their generally described lower cut-offs for obesity/central obesity [ 5 , 30 – 32 ]. The similarity we found for optimal cut-offs for whites, blacks and mixed race/color groups in Brazil contrasts with findings of Zhu et al [ 33 ] based on The Third National Health and Nutrition Examination Survey (NHANES III) for US adults.…”

Section: Discussionsupporting

confidence: 93%

Optimal cut-off points for waist circumference in the definition of metabolic syndrome in Brazilian adults: baseline analyses of the Longitudinal Study of Adult Health (ELSA-Brasil)

Cardinal

Vigo

Duncan

et al. 2018

Diabetol Metab Syndr

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BackgroundWaist circumference (WC) has been incorporated in the definition of the metabolic syndrome (MetS) but the exact WC cut-off points across populations are not clear. The Joint Interim Statement (JIS) suggested possible cut-offs to different populations and ethnic groups. However, the adequacy of these cut-offs to Brazilian adults has been scarcely investigated. The objective of the study is to evaluate possible WC thresholds to be used in the definition of MetS using data from the Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter cohort study of civil servants (35–74 years old) of six Brazilian cities.MethodsWe analyzed baseline data from 14,893 participants (6772 men and 8121 women). A MetS was defined according to the JIS criteria, but excluding WC and thus requiring 2 of the 4 remaining elements. We used restricted cubic spline regression to graph the relationship between WC and MetS. We identified optimal cut-off points which maximized joint sensitivity and specificity (Youden’s index) from Receiver Operator Characteristic Curves. We also estimated the C-statistics using logistic regression.ResultsWe found no apparent threshold for WC in restricted cubic spline plots. Optimal cut-off for men was 92 cm (2 cm lower than that recommended by JIS for Caucasian/Europids or Sub-Saharan African men), but 2 cm higher than that recommended for ethnic Central and South American. For women, optimal cut-off was 86, 6 cm higher than that recommended for Caucasian/Europids and ethnic Central and South American. Optimal cut-offs did not very across age groups and most common race/color categories (except for Asian men, 87 cm).ConclusionsSex-specific cut-offs for WC recommended by JIS differ from optimal cut-offs we found for adult men and women of Brazil´s most common ethnic groups.

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Section: Discussionsupporting

confidence: 93%

Optimal cut-off points for waist circumference in the definition of metabolic syndrome in Brazilian adults: baseline analyses of the Longitudinal Study of Adult Health (ELSA-Brasil)

Cardinal

Vigo

Duncan

et al. 2018

Diabetol Metab Syndr

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“…Results from the study of Fu et al . in a Chinese population suggest that 22·2 % of men and 28·1 % of women were generally obese with 65·99 % of men and 65·97 % of women having central obesity ( 29 ) . Among those within the normal range according to BMI there are persons with the incorrect distribution of fat.…”

Section: Discussionmentioning

confidence: 99%

Comparison of different anthropometric measures in the adult population in Serbia as indicators of obesity: data from the National Health Survey 2013

Maksimović¹,

Rakić²,

Vlajinac³

et al. 2016

Public Health Nutr.

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Objective: The present study aimed to compare different indicators of obesity in the Serbian adult population. Design: Cross-sectional study. A stratified, two-stage, national-representative random sampling approach was used for the selection of the survey sample. Data sources were questionnaires created according to the European Health Interview Survey questionnaire. Measurements of weight, height and waist circumference (WC) were performed using standard procedures. Anthropometric measures included BMI, WC and waist-to-height ratio (WHtR). Setting: Data for the study were obtained from the 2013 National Health Survey, performed in line with the EUROSTAT recommendations for performance of the European Health Interview Survey. Subjects: Adults aged ≥20 years. Results: According to BMI, out of the whole studied population (12 460 adults of both sexes) 2·4 % were underweight, 36·4 % overweight and 22·4 % obese. Using WC and WHtR as measures of adiposity showed that 22·5 % and 42·8 % of participants were overweight and 39·8 % and 25·3 % were obese, respectively. Men and women differed significantly in all variables observed. Overweight was more frequent in men and obesity in women regardless of adiposity measure used. Conclusions: In spite of strong correlations between BMI, WC and WHtR, substantial discrepancies between these three measures in the assessment of overweight and obesity were found, especially in some age groups. Which of these anthropometric measures should be used, or whether two or all three of them should be applied, depends on their associations with cardiovascular or some other disease of interest. Keywords Anthropometric measuresObesity Adults Cross-sectional study Overweight and obesity are increasing in prevalence, representing a growing public health problem worldwide. According to WHO estimates, more than 50 % of the adult population in the WHO European Region is overweight and more than 20 % is clinically obese (1) . Data from the National Health Survey in 2013 show that 56·3 % of the adult population in Serbia (≥20 years old) is overweight, subdivided as 35·1 % pre-obese (BMI = 25·0-29·9 kg/m 2 ) and 21·2 % obese (BMI ≥ 30·0 kg/m 2 ) (2) . Obesity, and in particular abdominal obesity, predisposes people to a series of risk factors for chronic non-communicable diseases. It is often associated with conditions such as dyslipidaemia, arterial hypertension, insulin resistance and diabetes, which contribute to the occurrence of cardio-and cerebrovascular events (3,4) . These chronic non-communicable diseases account for the highest burden of disease in Serbia (5) .Different anthropometric methods are used for the assessment of excess body fat. BMI is an index widely used to diagnose obesity and to identify patients at increased risk of adiposity-related adverse health outcomes. Guidelines generally suggest that those within the

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“…Abdominal obesity was determined using waist circumference (WC) standards defined for females and males by the International Diabetes Federation (IDF) for European (IDF EURO ) population [ 49 ]. The waist-to-height ratio (WHtR) index [ 50 ] was also calculated, as it has received attention in the scientific literature for being strongly associated with metabolic syndrome and several related NCDs [ 51 , 52 , 53 ] regardless of sex, age, or ethnic group [ 54 ]. In addition, anthropometric indices that estimate percentage of body fat (PBF) were defined, using four different anthropometric equations for estimating PBF [ 55 , 56 , 57 , 58 ].…”

Section: Methodsmentioning

confidence: 99%

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

et al. 2020

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Nutrition studies among Roma are scarce and to date no quantified dietary data are available. This report provides, for the first time, quantified dietary data and comprehensive anthropometric information for the Hungarian Roma (HR) population, with Hungarian general (HG) adults as reference. Data were obtained from a complex comparative health survey, involving 387 and 410 subjects of HR and HG populations, respectively. Using corporal measurements, body composition indicators were constructed, while daily nutrient intakes were evaluated in comparison with internationally accepted guidelines on nutrient requirements and recommended intakes. Associations between Roma ethnicity and nutrient intakes, as well as odds of achieving dietary recommendations were explored using regression models, adjusted for relevant covariates (i.e., age, gender, education, marital status and perceived financial status). Results showed occasional differences for selected nutrient intakes between the groups, with HR’s intake being less favorable. Total fat intake, predominantly animal-sourced, exceeded recommendations among HR (36.1 g, 95% confidence interval (CI): 35.2–37.0) and was not dissimilar to HG group (37.1 g, 95% CI: 36.3–38.0). Sodium intake among HR was significantly lower (5094.4 mg, 95% CI: 4866.0–5322.8) compared to HG (5644.0 mg, 95% CI: 5351.9–5936.0), but significantly greater than recommended intake in both groups. HR had greater estimated body fatness (25.6–35.1%) and higher average body mass index (BMI, 27.7 kg/m2, 95% CI: 26.9–28.4), compared to HG. In addition, HR had lower odds of achieving dietary recommendations (odds ratio (OR) = 0.81, 95% CI: 0.67–0.97, p < 0.05). Findings warrant further research, while highlighting the importance of establishing and integrating Roma nutrition into national surveillance and monitoring systems for key dietary risk factors.

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The abilities of new anthropometric indices in identifying cardiometabolic abnormalities, and influence of residence area and lifestyle on these anthropometric indices in a Chinese community-dwelling population

Cited by 13 publications

References 31 publications

Optimal cut-off points for waist circumference in the definition of metabolic syndrome in Brazilian adults: baseline analyses of the Longitudinal Study of Adult Health (ELSA-Brasil)

Optimal cut-off points for waist circumference in the definition of metabolic syndrome in Brazilian adults: baseline analyses of the Longitudinal Study of Adult Health (ELSA-Brasil)

Comparison of different anthropometric measures in the adult population in Serbia as indicators of obesity: data from the National Health Survey 2013

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

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