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KMID : 1039620170070020202
Korean Journal of Family Practice
2017 Volume.7 No. 2 p.202 ~ p.206
Difference of Prevalence and Cardiovascular Risk between Waist Circumference and Waist-Height Ratio in Diagnostic Criteria of Metabolic Syndrome
Kwon Seung-Kyu

Kim Eun-Jeong
Kim In-Sung
Park Dong-Hyuk
Wang Der-Lih
Abstract
Background: Waist circumference is widely used as one of the diagnostic criteria for metabolic syndrome. However, this criterion can underdiagnose metabolic syndrome by not considering the height of an individual. This study aimed to compare the prevalence of metabolic syndrome and the cardiovascular risk score using the diagnostic criteria of waist circumference and waist-height ratio.

Methods: This study included 4,744 individuals aged 20-80 years who participated in the Korea National Health and Nutrition Examination Survey in 2013. National Cholesterol Education Program Adult Treatment Panel (NCEP-ATP) III criteria were used. Waist circumference and waist-height ratio were used to compare the prevalence of metabolic syndrome and the Framingham risk score (FRS).

Results: The prevalence of metabolic syndrome was 27.3% using waist circumference as a diagnostic criterion and 33.4% using waist-height ratio in place of waist circumference. The FRS was 12.16% using waist circumference and 11.87% using the waist-height ratio.

Conclusion: Waist-height ratio should be considered in the diagnosis of metabolic syndrome.
KEYWORD
Metabolic Syndrome, Waist Circumference, Waist-Height Ratio, Framingham Risk Score, Prevalence
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