Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio

Aim. The aim was to compare body mass index (BMI), waist circumference (WC), waist hip ratio (WHR), and waist height ratio (WHtR) to identify the best predictor of metabolic syndrome (MetS) among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was co...

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Main Authors: Abdulbari Bener, Mohammad T. Yousafzai, Sarah Darwish, Abdulla O. A. A. Al-Hamaq, Eman A. Nasralla, Mohammad Abdul-Ghani
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2013/269038
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author Abdulbari Bener
Mohammad T. Yousafzai
Sarah Darwish
Abdulla O. A. A. Al-Hamaq
Eman A. Nasralla
Mohammad Abdul-Ghani
author_facet Abdulbari Bener
Mohammad T. Yousafzai
Sarah Darwish
Abdulla O. A. A. Al-Hamaq
Eman A. Nasralla
Mohammad Abdul-Ghani
author_sort Abdulbari Bener
collection DOAJ
description Aim. The aim was to compare body mass index (BMI), waist circumference (WC), waist hip ratio (WHR), and waist height ratio (WHtR) to identify the best predictor of metabolic syndrome (MetS) among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was collected from 1552 participants followed by blood sampling. MetS was defined according to Third Adult Treatment Panel (ATPIII) and International Diabetes Federation (IDF). Receiver operating characteristics (ROC) curve analysis was performed. Results. Among men, WC followed by WHR and WHtR yielded the highest area under the curve (AUC) (0.78; 95% CI 0.74–0.82 and 0.75; 95% CI 0.71–0.79, resp.). Among women, WC followed by WHtR yielded the highest AUC (0.81; 95% CI 0.78–0.85 & 0.79; 95% CI 0.76–0.83, resp.). Among men, WC at a cut-off 99.5 cm resulted in the highest Youden index with sensitivity 81.6% and 63.9% specificity. Among women, WC at a cut-off 91 cm resulted in the highest Youden index with the corresponding sensitivity and specificity of 86.5% and 64.7%, respectively. BMI had the lowest sensitivity and specificity in both genders. Conclusion. WC at cut-off 99.5 cm in men and 91 cm in women was the best predictor of MetS in Qatar.
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series Journal of Obesity
spelling doaj-art-0d2b9e3aaf54464d80c5d43473b8fb612025-02-03T01:22:44ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/269038269038Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height RatioAbdulbari Bener0Mohammad T. Yousafzai1Sarah Darwish2Abdulla O. A. A. Al-Hamaq3Eman A. Nasralla4Mohammad Abdul-Ghani5Department of Medical Statistics & Epidemiology, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDepartment of Medical Statistics & Epidemiology, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDepartment of Endocrinology, Hamad General Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarQatar Diabetic Association and Qatar Foundation, P.O. Box 752, Doha, QatarDepartment of Medical Statistics & Epidemiology, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDivision of Diabetes, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USAAim. The aim was to compare body mass index (BMI), waist circumference (WC), waist hip ratio (WHR), and waist height ratio (WHtR) to identify the best predictor of metabolic syndrome (MetS) among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was collected from 1552 participants followed by blood sampling. MetS was defined according to Third Adult Treatment Panel (ATPIII) and International Diabetes Federation (IDF). Receiver operating characteristics (ROC) curve analysis was performed. Results. Among men, WC followed by WHR and WHtR yielded the highest area under the curve (AUC) (0.78; 95% CI 0.74–0.82 and 0.75; 95% CI 0.71–0.79, resp.). Among women, WC followed by WHtR yielded the highest AUC (0.81; 95% CI 0.78–0.85 & 0.79; 95% CI 0.76–0.83, resp.). Among men, WC at a cut-off 99.5 cm resulted in the highest Youden index with sensitivity 81.6% and 63.9% specificity. Among women, WC at a cut-off 91 cm resulted in the highest Youden index with the corresponding sensitivity and specificity of 86.5% and 64.7%, respectively. BMI had the lowest sensitivity and specificity in both genders. Conclusion. WC at cut-off 99.5 cm in men and 91 cm in women was the best predictor of MetS in Qatar.http://dx.doi.org/10.1155/2013/269038
spellingShingle Abdulbari Bener
Mohammad T. Yousafzai
Sarah Darwish
Abdulla O. A. A. Al-Hamaq
Eman A. Nasralla
Mohammad Abdul-Ghani
Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
Journal of Obesity
title Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
title_full Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
title_fullStr Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
title_full_unstemmed Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
title_short Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio
title_sort obesity index that better predict metabolic syndrome body mass index waist circumference waist hip ratio or waist height ratio
url http://dx.doi.org/10.1155/2013/269038
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