Optimal waist

Height ratio cut-off point for cardiometabolic risk factors in Turkish adults

Bibliographic Data

ID15095841
AuthorsAhmet Selcuk Can (0000-0002-4074-7999, Istanbul Florence Nightingale Hospital, corresponding author), Emine Akal Yıldız, Emine Yıldız (0000-0002-1144-5641, Hacettepe University), Gülhan Samur (0000-0003-0456-4623, Hacettepe University), Neslişah Rakıcıoğlu (0000-0001-8763-7407, Hacettepe University), Gülden Pekcan, Ayla Gülden Pekcan (0000-0002-2037-3037, Hacettepe University), Sinan Özbayrakçı (Amerikan Hastanesi), K Erhan Palaoğlu (0000-0001-9706-9378, Amerikan Hastanesi), Mithat Gönen (0000-0001-8683-8477, Memorial Sloan Kettering Cancer Center), Thomas P Bersot (University of California, San Francisco)
Year2010
Volume13
Issue4
Pages488-495
Publication date2010-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980009991637
PMID19781128
OpenAlexW2155164685
LanguageEN
Citations received2
References cited35

Objective To identify the optimal waist:height ratio (WHtR) cut-off point that discriminates cardiometabolic risk factors in Turkish adults. Design Cross-sectional study. Hypertension, dyslipidaemia, diabetes, metabolic syndrome score ≥2 (presence of two or more metabolic syndrome components except for waist circumference) and at least one risk factor (diabetes, hypertension or dyslipidaemia) were categorical outcome variables. Receiver-operating characteristic (ROC) curves were prepared by plotting 1 − specificity on the x -axis and sensitivity on the y -axis. The WHtR value that had the highest Youden index was selected as the optimal cut-off point for each cardiometabolic risk factor (Youden index = sensitivity + specificity − 1). Setting Turkey, 2003. Subjects Adults (1121 women and 571 men) aged 18 years and over were examined. Results Analysis of ROC coordinate tables showed that the optimal cut-off value ranged between 0·55 and 0·60 and was almost equal between men and women. The sensitivities of the identified cut-offs were between 0·63 and 0·81, the specificities were between 0·42 and 0·71 and the accuracies were between 0·65 and 0·73, for men and women. The cut-off point of 0·59 was the most frequently identified value for discrimination of the studied cardiometabolic risk factors. Subjects classified as having WHtR ≥ 0·59 had significantly higher age and sociodemographic multivariable-adjusted odds ratios for cardiometabolic risk factors than subjects with WHtR Conclusions We show that the optimal WHtR cut-off point to discriminate cardiometabolic risk factors is 0·59 in Turkish adults

Circumference · Obesity · Point (geometry · Turkish · Waist · Waist-to-height ratio · Diabetes, Cardiovascular Risks, and Lipoproteins · Health Promotion and Cardiovascular Prevention · Mathematics · Medicine · Obesity, Physical Activity, Diet · Internal Medicine

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