Title: Waist circumference is a potential indicator of metabolic syndrome in Singaporean Chinese
year: 2013
Journal: Ann Acad Med Singapore
Volume: 42
Issue: 5
Pages: 241-5
Epubdate: 19/06/2013
date: May
Alternate Journal: Annals of the Academy of Medicine, Singapore
ISSN: 0304-4602 (Print)
Accession Number: 23771112
Abstract: INTRODUCTION: Metabolic Syndrome (MetS) is associated with cardiovascular morbidity and mortality. Studies proposed that waist circumference (WC) and body mass index (BMI) are good indicators of MetS. In this study, we examined and compared the predictive utility of clinical measures such as WC, blood pressure and BMI and determined the cutoff points in which these measures are most reliable in identifying MetS in Singaporean Chinese. MATERIALS AND METHODS: Two hundred and forty-four subjects aged between 21 and 50 years of Chinese ethnicity were recruited into the study. Sociodemographic, height, weight and blood pressure information were obtained. High-density lipoprotein cholesterol (HDL-C), triglycerides (TG) and glucose levels were evaluated. Presence of MetS was examined according to American Heart Association (AHA)/National Heart, Lung and Blood Institute (NHLBI) guidelines. Predictive utility of BP, WC and BMI was examined using receiver operating curve and discriminant indices were determined accordingly. RESULTS: Forty-one (16.8%) subjects were identified to have MetS. Our analysis revealed that waist circumference was most accurate in identifying MetS (area under the curve (AUC) = 0.88, 95% confidence interval (CI), 0.83 to 0.93, P <0.001) followed by BMI (AUC = 0.84, 95% CI, 0.77 to 0.91, P = 0.035), systolic BP (AUC = 0.83, 95% CI, 0.76 to 0.90, P = 0.036) and diastolic BP (AUC = 0.80, 95% CI, 0.71 to 0.88, P = 0.042). Waist circumference cut-off values of >92.5 cm in males and >86.5 cm in females were found to be most sensitive and specific in discriminating MetS. CONCLUSION: Our finding has immediate and significant clinical implications as WC can be easily obtained. However, as the study included only Singaporean Chinese, findings cannot be generalised for other ethnic groups.
Notes: Nurjono, Milawaty
Lee, Jimmy
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Singapore
Ann Acad Med Singapore. 2013 May
42(5):241-5.
URI: https://open-access.imh.com.sg/handle/123456789/4647
Authors Address: Research Division, Institute of Mental Health, Singapore.
Database Provider: NLM
language: eng
Appears in Collections:2013

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