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KMID : 0191120100250050734
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Journal of Korean Medical Science
2010 Volume.25 No. 5 p.734 ~ p.737
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Optimal Waist Circumference Cutoff Values for Metabolic Syndrome Diagnostic Criteria in a Korean Rural Population
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Koh Jang-Hyun
Koh Sang-Baek
Lee Mi-Young
Jung Pil-Moon
Kim Bo-Hwan
Shin Jang-Yel
Shin Young-Goo
Ryu So-Yeon
Lee Tae-Yong
Park Jong-Ku
Chung Choon-Hee
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Abstract
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The Korean Society for the Study of Obesity (KSSO) has defined the waist circumference cutoff value of central obesity as 90 cm for men and 85 cm for women. The purpose of this investigation was to determine the corresponding waist circumference values. A total of 3,508 persons in the Korean Rural Genomic Cohort Study were enrolled in this survey. Receiver operating characteristic (ROC) curve analysis was used to find appropriate waist circumference cutoff values in relation to insulin resistance determined by homeostasis model assessment for insulin resistance (HOMA-IR), body mass index (BMI), and components of metabolic syndrome. The optimal waist circumference cutoff values were 87 cm for men and 83 cm for women by ROC analysis to HOMA-IR and 86 cm for men and 83 cm for women by ROC analysis to value with more than two components of metaobolic syndrome. By using a BMI ≥25 kg/m2, 86 cm for men and 82 cm for women were optimal waist circumference cutoff values. In this study, we suggest that the most reasonable waist circumference cutoff values are 86-87 cm for men and 82-83 cm for women.
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KEYWORD
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Waist Circumference, Cutoff Value, Metabolic Syndrome
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