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Int J Obes Relat Metab Disord. 2001 May;25(5):652-61.

A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian Heart Health Surveys.

Author information

1
Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Abstract

OBJECTIVE:

To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors.

DESIGN:

Population-based, cross-sectional surveys.

SUBJECTS:

A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces.

MEASUREMENTS:

Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values.

RESULTS:

: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of > or =90 cm in men and > or =80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations.

CONCLUSION:

Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.

PMID:
11360147
DOI:
10.1038/sj.ijo.0801582
[Indexed for MEDLINE]

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