Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population

Introduction: Previous studies have proposed the lower waist circumference (WC) cutoffs be used for defining abdominal obesity in Asian populations. Objective: To determine the optimal cut-offs of waist circumference (WC) in predicting cardiovascular (CV) risk factors in the multi-ethnic Malaysian p...

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Main Authors:	Cheong, Kee C., Ghazali, Sumarni M., Hock, Lim K., Yusoff, Ahmad F., Selvarajah, Sharmini, Haniff, Jamaiyah, Zainuddin, Ahmad Ali, Ying, Chan Y., Lin, Khor G., Ab Rahman, Jamalludin, Shahar, Suzana, Mustafa, Amal N.
Format:	Article
Language:	English
Published:	Asian Oceanian Association for the Study of Obesity 2013
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://irep.iium.edu.my/35702/ http://irep.iium.edu.my/35702/ http://irep.iium.edu.my/35702/1/Kee_2013.pdf

id	iium-35702
recordtype	eprints
spelling	iium-357022016-03-10T02:07:07Z http://irep.iium.edu.my/35702/ Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population Cheong, Kee C. Ghazali, Sumarni M. Hock, Lim K. Yusoff, Ahmad F. Selvarajah, Sharmini Haniff, Jamaiyah Zainuddin, Ahmad Ali Ying, Chan Y. Lin, Khor G. Ab Rahman, Jamalludin Shahar, Suzana Mustafa, Amal N. R Medicine (General) RC Internal medicine Introduction: Previous studies have proposed the lower waist circumference (WC) cutoffs be used for defining abdominal obesity in Asian populations. Objective: To determine the optimal cut-offs of waist circumference (WC) in predicting cardiovascular (CV) risk factors in the multi-ethnic Malaysian population. Methods: We analysed data from 32,703 respondents (14,980 men and 17,723 women) aged 18 years and above who participated in the Third National Health and Morbidity Survey in 2006. Gender-specific logistic regression analyses were used to examine associations between WC and three CV risk factors (diabetes mellitus, hypertension, and hypercholesterolemia). The Receiver Operating Characteristic (ROC) curves were used to determine the cut-off values of WC with optimum sensitivity and specificity for detecting these CV risk factors. Results: The odds ratio for having diabetes mellitus, hypertension, and hypercholesterolemia, or at least one of these risks, increased significantly as the WC cut-off point increased. Optimal WC cut-off values for predicting the presence of diabetes mellitus, hypertension, hypercholesterolemia and at least one of the three CV risk factors varied from 81.4 to 85.5 cm for men and 79.8 to 80.7 cm for women. Conclusions: Our findings indicate that WC cut-offs of 81 cm for men and 80 cm for women are appropriate for defining abdominal obesity and for recommendation to undergo cardiovascular risk screening and weight management in the Malaysian adult population. Asian Oceanian Association for the Study of Obesity 2013 Article PeerReviewed application/pdf en http://irep.iium.edu.my/35702/1/Kee_2013.pdf Cheong, Kee C. and Ghazali, Sumarni M. and Hock, Lim K. and Yusoff, Ahmad F. and Selvarajah, Sharmini and Haniff, Jamaiyah and Zainuddin, Ahmad Ali and Ying, Chan Y. and Lin, Khor G. and Ab Rahman, Jamalludin and Shahar, Suzana and Mustafa, Amal N. (2013) Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population. Obesity Research & Clinical Practice . - . ISSN 1871403X (In Press) http://www.sciencedirect.com/science/article/pii/S1871403X1300029X
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Cheong, Kee C. Ghazali, Sumarni M. Hock, Lim K. Yusoff, Ahmad F. Selvarajah, Sharmini Haniff, Jamaiyah Zainuddin, Ahmad Ali Ying, Chan Y. Lin, Khor G. Ab Rahman, Jamalludin Shahar, Suzana Mustafa, Amal N. Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
description	Introduction: Previous studies have proposed the lower waist circumference (WC) cutoffs be used for defining abdominal obesity in Asian populations. Objective: To determine the optimal cut-offs of waist circumference (WC) in predicting cardiovascular (CV) risk factors in the multi-ethnic Malaysian population. Methods: We analysed data from 32,703 respondents (14,980 men and 17,723 women) aged 18 years and above who participated in the Third National Health and Morbidity Survey in 2006. Gender-specific logistic regression analyses were used to examine associations between WC and three CV risk factors (diabetes mellitus, hypertension, and hypercholesterolemia). The Receiver Operating Characteristic (ROC) curves were used to determine the cut-off values of WC with optimum sensitivity and specificity for detecting these CV risk factors. Results: The odds ratio for having diabetes mellitus, hypertension, and hypercholesterolemia, or at least one of these risks, increased significantly as the WC cut-off point increased. Optimal WC cut-off values for predicting the presence of diabetes mellitus, hypertension, hypercholesterolemia and at least one of the three CV risk factors varied from 81.4 to 85.5 cm for men and 79.8 to 80.7 cm for women. Conclusions: Our findings indicate that WC cut-offs of 81 cm for men and 80 cm for women are appropriate for defining abdominal obesity and for recommendation to undergo cardiovascular risk screening and weight management in the Malaysian adult population.
format	Article
author	Cheong, Kee C. Ghazali, Sumarni M. Hock, Lim K. Yusoff, Ahmad F. Selvarajah, Sharmini Haniff, Jamaiyah Zainuddin, Ahmad Ali Ying, Chan Y. Lin, Khor G. Ab Rahman, Jamalludin Shahar, Suzana Mustafa, Amal N.
author_facet	Cheong, Kee C. Ghazali, Sumarni M. Hock, Lim K. Yusoff, Ahmad F. Selvarajah, Sharmini Haniff, Jamaiyah Zainuddin, Ahmad Ali Ying, Chan Y. Lin, Khor G. Ab Rahman, Jamalludin Shahar, Suzana Mustafa, Amal N.
author_sort	Cheong, Kee C.
title	Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
title_short	Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
title_full	Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
title_fullStr	Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
title_full_unstemmed	Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population
title_sort	optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic malaysian population
publisher	Asian Oceanian Association for the Study of Obesity
publishDate	2013
url	http://irep.iium.edu.my/35702/ http://irep.iium.edu.my/35702/ http://irep.iium.edu.my/35702/1/Kee_2013.pdf
first_indexed	2023-09-18T20:51:10Z
last_indexed	2023-09-18T20:51:10Z
_version_	1777410004075151360

Optimal waist circumference cut-off values for predicting cardiovascular risk factors in a multi-ethnic Malaysian population

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