Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome

Rie Oka; Junji Kobayashi; Kunimasa Yagi; Hideji Tanii; Susumu Miyamoto; Akimichi Asano; Tomomi Hagishita; Mika Mori; Tadashi Moriuchi; Makoto Kobayashi; Shouji Katsuda; Masa aki Kawashiri; Atsushi Nohara; Yoshiyu Takeda; Hiroshi Mabuchi; Masakazu Yamagishi

doi:10.1016/j.diabres.2007.10.016

Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome

Rie Oka^*, Junji Kobayashi, Kunimasa Yagi, Hideji Tanii, Susumu Miyamoto, Akimichi Asano, Tomomi Hagishita, Mika Mori, Tadashi Moriuchi, Makoto Kobayashi, Shouji Katsuda, Masa aki Kawashiri, Atsushi Nohara, Yoshiyu Takeda, Hiroshi Mabuchi, Masakazu Yamagishi

^*Corresponding author for this work

Internal Medicine （1）

Research output: Contribution to journal › Article › peer-review

129 Scopus citations

Abstract

In the new world-wide criteria for metabolic syndrome (MetS) by the International Diabetes Federation (IDF) in 2006, the Japanese is the only ethnicity in which the recommended waist circumference (WC) cutoff value is higher in women (≧90 cm) than in men (≧85 cm), and its validity appears to be controversial. We investigated the optimal cutoff points for the diagnosis of central obesity in Japanese men and women, using the receiver operating characteristic (ROC) curve analysis for both of WC and visceral fat area (VFA) in 1870 middle-aged Japanese. VFA was superior to WC and Body mass index (BMI) for discriminating the subjects with two or more nonadipose components of MetS. The optimal cutoff points of VFA and WC were 132.6 cm² and 89.8 cm for men and 91.5 cm² and 82.3 cm for women. The stratifications of MetS components more than 1.0 in average occurred more steeply by the accumulation of VFA in women than in men. In conclusion, setting the cutoff points of WC and VFA lower values in women than in men for the definition of central obesity is needed to identify the subjects with MetS in Japanese, as in other Asian populations.

Original language	English
Pages (from-to)	474-481
Number of pages	8
Journal	Diabetes Research and Clinical Practice
Volume	79
Issue number	3
DOIs	https://doi.org/10.1016/j.diabres.2007.10.016
State	Published - 2008/03

Keywords

Abdominal obesity
Diagnostic criteria
Metabolic syndrome
Visceral fat

ASJC Scopus subject areas

Internal Medicine
Endocrinology, Diabetes and Metabolism
Endocrinology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.diabres.2007.10.016

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Oka, R., Kobayashi, J., Yagi, K., Tanii, H., Miyamoto, S., Asano, A., Hagishita, T., Mori, M., Moriuchi, T., Kobayashi, M., Katsuda, S., Kawashiri, M. A., Nohara, A., Takeda, Y., Mabuchi, H., & Yamagishi, M. (2008). Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome. Diabetes Research and Clinical Practice, 79(3), 474-481. https://doi.org/10.1016/j.diabres.2007.10.016

@article{bd00660c9c90493aab33a1a6666e5394,

title = "Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome",

abstract = "In the new world-wide criteria for metabolic syndrome (MetS) by the International Diabetes Federation (IDF) in 2006, the Japanese is the only ethnicity in which the recommended waist circumference (WC) cutoff value is higher in women (≧90 cm) than in men (≧85 cm), and its validity appears to be controversial. We investigated the optimal cutoff points for the diagnosis of central obesity in Japanese men and women, using the receiver operating characteristic (ROC) curve analysis for both of WC and visceral fat area (VFA) in 1870 middle-aged Japanese. VFA was superior to WC and Body mass index (BMI) for discriminating the subjects with two or more nonadipose components of MetS. The optimal cutoff points of VFA and WC were 132.6 cm2 and 89.8 cm for men and 91.5 cm2 and 82.3 cm for women. The stratifications of MetS components more than 1.0 in average occurred more steeply by the accumulation of VFA in women than in men. In conclusion, setting the cutoff points of WC and VFA lower values in women than in men for the definition of central obesity is needed to identify the subjects with MetS in Japanese, as in other Asian populations.",

keywords = "Abdominal obesity, Diagnostic criteria, Metabolic syndrome, Visceral fat",

author = "Rie Oka and Junji Kobayashi and Kunimasa Yagi and Hideji Tanii and Susumu Miyamoto and Akimichi Asano and Tomomi Hagishita and Mika Mori and Tadashi Moriuchi and Makoto Kobayashi and Shouji Katsuda and Kawashiri, {Masa aki} and Atsushi Nohara and Yoshiyu Takeda and Hiroshi Mabuchi and Masakazu Yamagishi",

note = "Funding Information: This work was supported by Grants-in-Aid from Toyama Medical Association. We thank Reiko Ikeda and all the staff of Hokuriku Central Hospital for their assistance with performing the study. ",

year = "2008",

month = mar,

doi = "10.1016/j.diabres.2007.10.016",

language = "英語",

volume = "79",

pages = "474--481",

journal = "Diabetes Research and Clinical Practice",

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Oka, R, Kobayashi, J, Yagi, K, Tanii, H, Miyamoto, S, Asano, A, Hagishita, T, Mori, M, Moriuchi, T, Kobayashi, M, Katsuda, S, Kawashiri, MA, Nohara, A, Takeda, Y, Mabuchi, H & Yamagishi, M 2008, 'Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome', Diabetes Research and Clinical Practice, vol. 79, no. 3, pp. 474-481. https://doi.org/10.1016/j.diabres.2007.10.016

TY - JOUR

T1 - Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome

AU - Oka, Rie

AU - Kobayashi, Junji

AU - Yagi, Kunimasa

AU - Tanii, Hideji

AU - Miyamoto, Susumu

AU - Asano, Akimichi

AU - Hagishita, Tomomi

AU - Mori, Mika

AU - Moriuchi, Tadashi

AU - Kobayashi, Makoto

AU - Katsuda, Shouji

AU - Kawashiri, Masa aki

AU - Nohara, Atsushi

AU - Takeda, Yoshiyu

AU - Mabuchi, Hiroshi

AU - Yamagishi, Masakazu

N1 - Funding Information: This work was supported by Grants-in-Aid from Toyama Medical Association. We thank Reiko Ikeda and all the staff of Hokuriku Central Hospital for their assistance with performing the study.

PY - 2008/3

Y1 - 2008/3

N2 - In the new world-wide criteria for metabolic syndrome (MetS) by the International Diabetes Federation (IDF) in 2006, the Japanese is the only ethnicity in which the recommended waist circumference (WC) cutoff value is higher in women (≧90 cm) than in men (≧85 cm), and its validity appears to be controversial. We investigated the optimal cutoff points for the diagnosis of central obesity in Japanese men and women, using the receiver operating characteristic (ROC) curve analysis for both of WC and visceral fat area (VFA) in 1870 middle-aged Japanese. VFA was superior to WC and Body mass index (BMI) for discriminating the subjects with two or more nonadipose components of MetS. The optimal cutoff points of VFA and WC were 132.6 cm2 and 89.8 cm for men and 91.5 cm2 and 82.3 cm for women. The stratifications of MetS components more than 1.0 in average occurred more steeply by the accumulation of VFA in women than in men. In conclusion, setting the cutoff points of WC and VFA lower values in women than in men for the definition of central obesity is needed to identify the subjects with MetS in Japanese, as in other Asian populations.

AB - In the new world-wide criteria for metabolic syndrome (MetS) by the International Diabetes Federation (IDF) in 2006, the Japanese is the only ethnicity in which the recommended waist circumference (WC) cutoff value is higher in women (≧90 cm) than in men (≧85 cm), and its validity appears to be controversial. We investigated the optimal cutoff points for the diagnosis of central obesity in Japanese men and women, using the receiver operating characteristic (ROC) curve analysis for both of WC and visceral fat area (VFA) in 1870 middle-aged Japanese. VFA was superior to WC and Body mass index (BMI) for discriminating the subjects with two or more nonadipose components of MetS. The optimal cutoff points of VFA and WC were 132.6 cm2 and 89.8 cm for men and 91.5 cm2 and 82.3 cm for women. The stratifications of MetS components more than 1.0 in average occurred more steeply by the accumulation of VFA in women than in men. In conclusion, setting the cutoff points of WC and VFA lower values in women than in men for the definition of central obesity is needed to identify the subjects with MetS in Japanese, as in other Asian populations.

KW - Abdominal obesity

KW - Diagnostic criteria

KW - Metabolic syndrome

KW - Visceral fat

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U2 - 10.1016/j.diabres.2007.10.016

DO - 10.1016/j.diabres.2007.10.016

M3 - 学術論文

C2 - 18031862

AN - SCOPUS:39449136477

SN - 0168-8227

VL - 79

SP - 474

EP - 481

JO - Diabetes Research and Clinical Practice

JF - Diabetes Research and Clinical Practice

IS - 3

ER -

Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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