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
- 7 May 2001
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Journal of Obesity
- Vol. 25 (5), 652-661
- https://doi.org/10.1038/sj.ijo.0801582
Abstract
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. Population-based, cross-sectional surveys. A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces. Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values. : 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. Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.Keywords
This publication has 21 references indexed in Scilit:
- Selection of anthropometric indicators for classification of abdominal fatness— a critical reviewInternational Journal of Obesity, 1998
- A single threshold value of waist girth identifies normal-weight and overweight subjects with excess visceral adipose tissueThe American Journal of Clinical Nutrition, 1996
- Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sampleBMJ, 1995
- Waist circumference as a measure for indicating need for weight managementBMJ, 1995
- Waist circumference and abdominal sagittal diameter: Best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and womenThe American Journal of Cardiology, 1994
- Stratifying the patient at risk from coronary disease: New insights from the framingham heart studyAmerican Heart Journal, 1990
- Risk factors for ischaemic heart disease: the prospective phase of the British Regional Heart Study.Journal of Epidemiology and Community Health, 1985
- Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden.BMJ, 1984
- Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1913.BMJ, 1984
- Clustering of cardiovascular disease risk factorsPreventive Medicine, 1980