Relationship between waist circumferences measured at the umbilical level and midway between the ribs and iliac crest: A solution to the debate on optimal waist circumference standards in the diagnostic criteria of Metabolic Syndrome in Japan

Hirokazu Yokoyama, Hiroshi Hirose, Takeshi Kanda, Hiroshi Kawabe, Ikuo Saito

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Aim: The waist circumference (WC) cut-off values in the diagnostic criteria of metabolic syndrome (MetS) established in Japan (Japanese criteria) differ from those established by the International Diabetes Federation (IDF) for Asians (IDF criteria). Methods: To settle this contradiction, a cross-sectional study of Japanese aged 20-65 years was performed. After excluding subjects suffering from significant diseases other than those constituting MetS, excessive drinkers, and regular smokers, 835 males and 1,304 females were examined. WC was measured at the umbilical level (UWC) and midway between the ribs and iliac crest (MWC) according to both criteria in each subject. Results: Upper limits of reference intervals of MWC estimated in subjects free from MetS were 84.6 and 84.3 cm in older (40-65 years) and younger (20-39) males, and 78.4 and 70.5 cm in older and younger females, respectively; those of UWC were 86.4, 86.2, 87.9 and 78.9 cm, respectively. Receiver operating characteristic (ROC) curves for MWC to predict UWC reproduced the relationships of the two types of cut-off values in each population. Conclusion: WC cut-off values in the Japanese and IDF criteria have the potential to be valid as cutoff values of UWC and MWC in Japanese, respectively. Their difference can be explained by the variation in the WC definition, and they can stand together without inconsistency. Acceptance of the recently prevailing view that the WC standard in IDF for Asian males should be 85 cm and the introduction of new criteria for younger females in consideration of their generation differences in both criteria could facilitate their higher compatibility.

Original languageEnglish
Pages (from-to)735-743
Number of pages9
JournalJournal of Atherosclerosis and Thrombosis
Volume18
Issue number9
DOIs
Publication statusPublished - 2011

Fingerprint

Umbilicus
Waist Circumference
Ribs
Medical problems
Japan
ROC Curve
Cross-Sectional Studies
Population

Keywords

  • Generation difference
  • Metabolic syndrome
  • Reference interval
  • Umbilical line
  • Waist circumference

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Biochemistry, medical

Cite this

@article{bf4ce151e4b24067836c870aa1af37a5,
title = "Relationship between waist circumferences measured at the umbilical level and midway between the ribs and iliac crest: A solution to the debate on optimal waist circumference standards in the diagnostic criteria of Metabolic Syndrome in Japan",
abstract = "Aim: The waist circumference (WC) cut-off values in the diagnostic criteria of metabolic syndrome (MetS) established in Japan (Japanese criteria) differ from those established by the International Diabetes Federation (IDF) for Asians (IDF criteria). Methods: To settle this contradiction, a cross-sectional study of Japanese aged 20-65 years was performed. After excluding subjects suffering from significant diseases other than those constituting MetS, excessive drinkers, and regular smokers, 835 males and 1,304 females were examined. WC was measured at the umbilical level (UWC) and midway between the ribs and iliac crest (MWC) according to both criteria in each subject. Results: Upper limits of reference intervals of MWC estimated in subjects free from MetS were 84.6 and 84.3 cm in older (40-65 years) and younger (20-39) males, and 78.4 and 70.5 cm in older and younger females, respectively; those of UWC were 86.4, 86.2, 87.9 and 78.9 cm, respectively. Receiver operating characteristic (ROC) curves for MWC to predict UWC reproduced the relationships of the two types of cut-off values in each population. Conclusion: WC cut-off values in the Japanese and IDF criteria have the potential to be valid as cutoff values of UWC and MWC in Japanese, respectively. Their difference can be explained by the variation in the WC definition, and they can stand together without inconsistency. Acceptance of the recently prevailing view that the WC standard in IDF for Asian males should be 85 cm and the introduction of new criteria for younger females in consideration of their generation differences in both criteria could facilitate their higher compatibility.",
keywords = "Generation difference, Metabolic syndrome, Reference interval, Umbilical line, Waist circumference",
author = "Hirokazu Yokoyama and Hiroshi Hirose and Takeshi Kanda and Hiroshi Kawabe and Ikuo Saito",
year = "2011",
doi = "10.5551/jat.7369",
language = "English",
volume = "18",
pages = "735--743",
journal = "Journal of Atherosclerosis and Thrombosis",
issn = "1340-3478",
publisher = "Japan Atherosclerosis Society",
number = "9",

}

TY - JOUR

T1 - Relationship between waist circumferences measured at the umbilical level and midway between the ribs and iliac crest

T2 - A solution to the debate on optimal waist circumference standards in the diagnostic criteria of Metabolic Syndrome in Japan

AU - Yokoyama, Hirokazu

AU - Hirose, Hiroshi

AU - Kanda, Takeshi

AU - Kawabe, Hiroshi

AU - Saito, Ikuo

PY - 2011

Y1 - 2011

N2 - Aim: The waist circumference (WC) cut-off values in the diagnostic criteria of metabolic syndrome (MetS) established in Japan (Japanese criteria) differ from those established by the International Diabetes Federation (IDF) for Asians (IDF criteria). Methods: To settle this contradiction, a cross-sectional study of Japanese aged 20-65 years was performed. After excluding subjects suffering from significant diseases other than those constituting MetS, excessive drinkers, and regular smokers, 835 males and 1,304 females were examined. WC was measured at the umbilical level (UWC) and midway between the ribs and iliac crest (MWC) according to both criteria in each subject. Results: Upper limits of reference intervals of MWC estimated in subjects free from MetS were 84.6 and 84.3 cm in older (40-65 years) and younger (20-39) males, and 78.4 and 70.5 cm in older and younger females, respectively; those of UWC were 86.4, 86.2, 87.9 and 78.9 cm, respectively. Receiver operating characteristic (ROC) curves for MWC to predict UWC reproduced the relationships of the two types of cut-off values in each population. Conclusion: WC cut-off values in the Japanese and IDF criteria have the potential to be valid as cutoff values of UWC and MWC in Japanese, respectively. Their difference can be explained by the variation in the WC definition, and they can stand together without inconsistency. Acceptance of the recently prevailing view that the WC standard in IDF for Asian males should be 85 cm and the introduction of new criteria for younger females in consideration of their generation differences in both criteria could facilitate their higher compatibility.

AB - Aim: The waist circumference (WC) cut-off values in the diagnostic criteria of metabolic syndrome (MetS) established in Japan (Japanese criteria) differ from those established by the International Diabetes Federation (IDF) for Asians (IDF criteria). Methods: To settle this contradiction, a cross-sectional study of Japanese aged 20-65 years was performed. After excluding subjects suffering from significant diseases other than those constituting MetS, excessive drinkers, and regular smokers, 835 males and 1,304 females were examined. WC was measured at the umbilical level (UWC) and midway between the ribs and iliac crest (MWC) according to both criteria in each subject. Results: Upper limits of reference intervals of MWC estimated in subjects free from MetS were 84.6 and 84.3 cm in older (40-65 years) and younger (20-39) males, and 78.4 and 70.5 cm in older and younger females, respectively; those of UWC were 86.4, 86.2, 87.9 and 78.9 cm, respectively. Receiver operating characteristic (ROC) curves for MWC to predict UWC reproduced the relationships of the two types of cut-off values in each population. Conclusion: WC cut-off values in the Japanese and IDF criteria have the potential to be valid as cutoff values of UWC and MWC in Japanese, respectively. Their difference can be explained by the variation in the WC definition, and they can stand together without inconsistency. Acceptance of the recently prevailing view that the WC standard in IDF for Asian males should be 85 cm and the introduction of new criteria for younger females in consideration of their generation differences in both criteria could facilitate their higher compatibility.

KW - Generation difference

KW - Metabolic syndrome

KW - Reference interval

KW - Umbilical line

KW - Waist circumference

UR - http://www.scopus.com/inward/record.url?scp=80053212197&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053212197&partnerID=8YFLogxK

U2 - 10.5551/jat.7369

DO - 10.5551/jat.7369

M3 - Article

C2 - 21670557

AN - SCOPUS:80053212197

VL - 18

SP - 735

EP - 743

JO - Journal of Atherosclerosis and Thrombosis

JF - Journal of Atherosclerosis and Thrombosis

SN - 1340-3478

IS - 9

ER -