Appropriate waist circumference cutoff points for central obesity in Korean adults

Sang Yeoup Lee, Hye Soon Park, Dae Jung Kim, Jee Hye Han, Seon Mee Kim, Geum-Joon Cho, Dae Young Kim, Hyuk Sang Kwon, Sung Rae Kim, Chang Beom Lee, Seung Joon Oh, Cheol Young Park, Hyung Joon Yoo

Research output: Contribution to journalArticle

432 Citations (Scopus)

Abstract

Background: The International Diabetes Federation consensus recently proposed a new definition for the diagnosis of metabolic syndrome, incorporating ethnically specific waist circumference (WC) cutoff points. Objective: We investigated the ethnically appropriate WC cutoff values for central obesity in Korean adults to predict increased risk of elevated triacylglycerol, reduced HDL cholesterol, elevated blood pressure, elevated fasting plasma glucose, or two or more of these factors. Design: We used data from 6561 adults, aged 20-80 years, who participated in the Korean Health and Nutritional Examination Survey of 1998, a cross-sectional health survey of a nationally representative sample of Koreans. Results: Based on the receiver operating characteristic curve analysis, the WC value for predicting metabolic risk factors in Koreans was about 85 cm for men and 80 cm for women. The odds ratio for the risk of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and women with WC ≥ 85 cm. The 80th percentile for WC in the Korean population was 90 cm for men and 86.5 cm for women. Thus, the appropriate WC cutoff point for central obesity in Koreans was determined to be 90 cm for men and 85 cm for women. Conclusions: Based on our criteria, the prevalence of central obesity was 19.8% in Korean men and 24.5% in Korean women. These findings suggest the applicability of ethnically specific cutoff points for WC in assessing central obesity.

Original languageEnglish
Pages (from-to)72-80
Number of pages9
JournalDiabetes Research and Clinical Practice
Volume75
Issue number1
DOIs
Publication statusPublished - 2007 Jan 1

Fingerprint

Abdominal Obesity
Waist Circumference
Nutrition Surveys
Health Surveys
ROC Curve
HDL Cholesterol
Fasting
Consensus
Triglycerides
Cross-Sectional Studies
Odds Ratio
Blood Pressure
Glucose
Health

Keywords

  • Central obesity
  • Cutoff points
  • Korean
  • Metabolic syndrome
  • Obesity
  • Waist circumference

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Appropriate waist circumference cutoff points for central obesity in Korean adults. / Lee, Sang Yeoup; Park, Hye Soon; Kim, Dae Jung; Han, Jee Hye; Kim, Seon Mee; Cho, Geum-Joon; Kim, Dae Young; Kwon, Hyuk Sang; Kim, Sung Rae; Lee, Chang Beom; Oh, Seung Joon; Park, Cheol Young; Yoo, Hyung Joon.

In: Diabetes Research and Clinical Practice, Vol. 75, No. 1, 01.01.2007, p. 72-80.

Research output: Contribution to journalArticle

Lee, SY, Park, HS, Kim, DJ, Han, JH, Kim, SM, Cho, G-J, Kim, DY, Kwon, HS, Kim, SR, Lee, CB, Oh, SJ, Park, CY & Yoo, HJ 2007, 'Appropriate waist circumference cutoff points for central obesity in Korean adults', Diabetes Research and Clinical Practice, vol. 75, no. 1, pp. 72-80. https://doi.org/10.1016/j.diabres.2006.04.013
Lee, Sang Yeoup ; Park, Hye Soon ; Kim, Dae Jung ; Han, Jee Hye ; Kim, Seon Mee ; Cho, Geum-Joon ; Kim, Dae Young ; Kwon, Hyuk Sang ; Kim, Sung Rae ; Lee, Chang Beom ; Oh, Seung Joon ; Park, Cheol Young ; Yoo, Hyung Joon. / Appropriate waist circumference cutoff points for central obesity in Korean adults. In: Diabetes Research and Clinical Practice. 2007 ; Vol. 75, No. 1. pp. 72-80.
@article{04841998a0fe4bf1b95974308ef7e688,
title = "Appropriate waist circumference cutoff points for central obesity in Korean adults",
abstract = "Background: The International Diabetes Federation consensus recently proposed a new definition for the diagnosis of metabolic syndrome, incorporating ethnically specific waist circumference (WC) cutoff points. Objective: We investigated the ethnically appropriate WC cutoff values for central obesity in Korean adults to predict increased risk of elevated triacylglycerol, reduced HDL cholesterol, elevated blood pressure, elevated fasting plasma glucose, or two or more of these factors. Design: We used data from 6561 adults, aged 20-80 years, who participated in the Korean Health and Nutritional Examination Survey of 1998, a cross-sectional health survey of a nationally representative sample of Koreans. Results: Based on the receiver operating characteristic curve analysis, the WC value for predicting metabolic risk factors in Koreans was about 85 cm for men and 80 cm for women. The odds ratio for the risk of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and women with WC ≥ 85 cm. The 80th percentile for WC in the Korean population was 90 cm for men and 86.5 cm for women. Thus, the appropriate WC cutoff point for central obesity in Koreans was determined to be 90 cm for men and 85 cm for women. Conclusions: Based on our criteria, the prevalence of central obesity was 19.8{\%} in Korean men and 24.5{\%} in Korean women. These findings suggest the applicability of ethnically specific cutoff points for WC in assessing central obesity.",
keywords = "Central obesity, Cutoff points, Korean, Metabolic syndrome, Obesity, Waist circumference",
author = "Lee, {Sang Yeoup} and Park, {Hye Soon} and Kim, {Dae Jung} and Han, {Jee Hye} and Kim, {Seon Mee} and Geum-Joon Cho and Kim, {Dae Young} and Kwon, {Hyuk Sang} and Kim, {Sung Rae} and Lee, {Chang Beom} and Oh, {Seung Joon} and Park, {Cheol Young} and Yoo, {Hyung Joon}",
year = "2007",
month = "1",
day = "1",
doi = "10.1016/j.diabres.2006.04.013",
language = "English",
volume = "75",
pages = "72--80",
journal = "Diabetes Research and Clinical Practice",
issn = "0168-8227",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Appropriate waist circumference cutoff points for central obesity in Korean adults

AU - Lee, Sang Yeoup

AU - Park, Hye Soon

AU - Kim, Dae Jung

AU - Han, Jee Hye

AU - Kim, Seon Mee

AU - Cho, Geum-Joon

AU - Kim, Dae Young

AU - Kwon, Hyuk Sang

AU - Kim, Sung Rae

AU - Lee, Chang Beom

AU - Oh, Seung Joon

AU - Park, Cheol Young

AU - Yoo, Hyung Joon

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Background: The International Diabetes Federation consensus recently proposed a new definition for the diagnosis of metabolic syndrome, incorporating ethnically specific waist circumference (WC) cutoff points. Objective: We investigated the ethnically appropriate WC cutoff values for central obesity in Korean adults to predict increased risk of elevated triacylglycerol, reduced HDL cholesterol, elevated blood pressure, elevated fasting plasma glucose, or two or more of these factors. Design: We used data from 6561 adults, aged 20-80 years, who participated in the Korean Health and Nutritional Examination Survey of 1998, a cross-sectional health survey of a nationally representative sample of Koreans. Results: Based on the receiver operating characteristic curve analysis, the WC value for predicting metabolic risk factors in Koreans was about 85 cm for men and 80 cm for women. The odds ratio for the risk of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and women with WC ≥ 85 cm. The 80th percentile for WC in the Korean population was 90 cm for men and 86.5 cm for women. Thus, the appropriate WC cutoff point for central obesity in Koreans was determined to be 90 cm for men and 85 cm for women. Conclusions: Based on our criteria, the prevalence of central obesity was 19.8% in Korean men and 24.5% in Korean women. These findings suggest the applicability of ethnically specific cutoff points for WC in assessing central obesity.

AB - Background: The International Diabetes Federation consensus recently proposed a new definition for the diagnosis of metabolic syndrome, incorporating ethnically specific waist circumference (WC) cutoff points. Objective: We investigated the ethnically appropriate WC cutoff values for central obesity in Korean adults to predict increased risk of elevated triacylglycerol, reduced HDL cholesterol, elevated blood pressure, elevated fasting plasma glucose, or two or more of these factors. Design: We used data from 6561 adults, aged 20-80 years, who participated in the Korean Health and Nutritional Examination Survey of 1998, a cross-sectional health survey of a nationally representative sample of Koreans. Results: Based on the receiver operating characteristic curve analysis, the WC value for predicting metabolic risk factors in Koreans was about 85 cm for men and 80 cm for women. The odds ratio for the risk of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and women with WC ≥ 85 cm. The 80th percentile for WC in the Korean population was 90 cm for men and 86.5 cm for women. Thus, the appropriate WC cutoff point for central obesity in Koreans was determined to be 90 cm for men and 85 cm for women. Conclusions: Based on our criteria, the prevalence of central obesity was 19.8% in Korean men and 24.5% in Korean women. These findings suggest the applicability of ethnically specific cutoff points for WC in assessing central obesity.

KW - Central obesity

KW - Cutoff points

KW - Korean

KW - Metabolic syndrome

KW - Obesity

KW - Waist circumference

UR - http://www.scopus.com/inward/record.url?scp=33845201396&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33845201396&partnerID=8YFLogxK

U2 - 10.1016/j.diabres.2006.04.013

DO - 10.1016/j.diabres.2006.04.013

M3 - Article

VL - 75

SP - 72

EP - 80

JO - Diabetes Research and Clinical Practice

JF - Diabetes Research and Clinical Practice

SN - 0168-8227

IS - 1

ER -