The cutoffvalue of waist circumference for predicting metabolic risks in pre- and post-Menopausal Korean women: Analysis of 2010 Korean national health and nutrition examination survey data

Ok Gyu Lee, Yang Im Hur, Jae Heon Kang, Hyun Ah Park, Kyoung Woo Kim, Young Gyu Cho, Won Young Choi, Hyesook Park, Hye Ah Lee

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Background: With metabolic syndrome (MS) being a major risk factor for cardiovascular disease, and central obesity being a major predisposing factor for MS, intensive research is currently being performed on cutoffvalues according to race and sex. Menopause is an especially significant factor in designating cutoffvalues for female central obesity, as menopause brings sudden bodily changes that induce central obesity and increased prevalence of MS. Therefore this study aimed to investigate the cutoffvalues for the obesity index and its validity in predicting the criteria for MS in Korean women according to menstrual status. Methods: The study focused on 3,103 women 20 years of age or older participating in the 2007 Korea National Health and Nutrition Examination Survey. Definitions of non-adipose components of MS were defined by the International Diabetes Federation, and menstrual status was judged on the basis of survey results. The sensitivity, specificity, and positive and negative predictive values of the central obesity index (body mass index [BMI], waist circumference [WC], waist-to-height ratio [WHtR]) according to menstrual status for two or more non-adipose components of MS were calculated based on the Youden index. Results: Area under the curve (AUC) values predicting the presence of two or more metabolic risk factors were higher in premenopausal women, with AUC values for BMI, WC, and WHtR being, in pre- and post-menopausal women, 23.1 kg/m2 vs. 23.9 kg/m2, 76.1 cm vs. 82.5 cm, and 0.49 vs. 0.53, respectively. The WC cut off(76 cm) for pre-menopausal women was found to be more sensitive and more effective at screening for MS risks than the cutoffvalue given by the Korea Society for the Study of Obesity. Conclusion: The central obesity index showed better predictability for MS risk in pre-menopausal women. Because the central obesity index cutoffvalues are lower in pre-menopausal women, the possibility of metabolic risk can be considered for premenopausal women with WC lower than 85 cm. Assessment and control of other risks are needed accordingly for preventing the development of MS. Copyright.

Original languageEnglish
Pages (from-to)307-318
Number of pages12
JournalKorean Journal of Family Medicine
Volume34
Issue number5
DOIs
StatePublished - 2013

Keywords

  • Abdominal obesity
  • Body mass index
  • Cutoffvalue
  • Menopause
  • Metabolic syndrome
  • Waist circumference
  • Waist-to-height ratio
  • Women

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