Waist circumference cut-off values to predict the incidence of hypertension: An estimation from a Brazilian population-based cohort

Gus, Miguel; Cichelero, Fábio Tremea; Moreira, Carolina Medaglia; Escobar, Gabriela Fortes; Moreira, Leila Beltrami; Wiehe, Mário; Fuchs, Flávio Danni

doi:10.1016/j.numecd.2008.03.007

Cited by 22 publications

(23 citation statements)

References 21 publications

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“…In our study on subjects of Caucasian origin, we used the three values of waist circumference proposed by International agencies and observed a progressive increase in the prevalence of metabolic alterations, with increasing abdominal adiposity, in patients without visceral adiposity having milder metabolic derangements, similar to previous results [12], [16], [24] and [25].…”

Section: Discussionsupporting

confidence: 88%

Risk of nonalcoholic steatohepatitis and fibrosis in patients with nonalcoholic fatty liver disease and low visceral adiposity

Fracanzani

Valenti

Bugianesi

et al. 2011

Journal of Hepatology

111

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Section: Discussionsupporting

confidence: 88%

Risk of nonalcoholic steatohepatitis and fibrosis in patients with nonalcoholic fatty liver disease and low visceral adiposity

Fracanzani

Valenti

Bugianesi

et al. 2011

Journal of Hepatology

111

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“…In Brazil, the values found suitable for the prediction of cardiovascular risk from WC ranged from 85 to 88 cm in males (10)(11)(12)(13)15) and from 80 to 86 cm in females (10)(11)(12)(13)(14)(15) . These cut-off points were similar to those found in the present study when considering the Youden index (89 cm for men and 81 cm for women), i.e.…”

Section: Discussionmentioning

confidence: 99%

Accuracy and adequacy of waist circumference cut-off points currently recommended in Brazilian adults

Vianna

Linhares

Bielemann

et al. 2013

Public Health Nutr.

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Objective: To evaluate the adequacy and accuracy of cut-off values currently recommended by the WHO for assessment of cardiovascular risk in southern Brazil. Design: Population-based study aimed at determining the predictive ability of waist circumference for cardiovascular risk based on the use of previous medical diagnosis for hypertension, diabetes mellitus and/or dyslipidaemia. Descriptive analysis was used for the adequacy of current cut-off values of waist circumference, receiver operating characteristic curves were constructed and the most accurate criteria according to the Youden index and points of optimal sensitivity and specificity were identified. Setting: Pelotas, southern Brazil. Subjects: Individuals (n 2112) aged $20 years living in the city were selected by multistage sampling, since these individuals did not report the presence of previous myocardial infarction, angina pectoris or stroke. Results: The cut-off values currently recommended by WHO were more appropriate in men than women, with overestimation of cardiovascular risk in women. The area under the receiver operating characteristic curve showed moderate predictive ability of waist circumference in men (0?74, 95 % CI 0?71, 0?76) and women (0?75, 95 % CI 0?73, 0?77). The method of optimal sensitivity and specificity showed better performance in assessing the accuracy, identifying the values of 95 cm in men and 87 cm in women as the best cut-off values of waist circumference to assess cardiovascular risk. Conclusions: The cut-off values currently recommended for waist circumference are not suitable for women. Longitudinal studies should be conducted to evaluate the consistency of the findings.

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“…30 There is also an important relation between WC and the probability of emerging cardiovascular events due to movable fat deposition in abdominal region, 31 and regardless of the BMI value, the WC is recognized as a predictive factor of cardiovascular disease. 32,33 Information obtained in Firminópolis indicates that there was also, similarly to what was observed in various other population-based studies, a positive association between hypertension, age, BMI 7 , and WC.…”

Section: Discussionmentioning

confidence: 99%

“…Other epidemiologic studies have observed similar results to those of Firminópolis. 30,36 It is important to take into consideration that the WC's measure is a very simple, low cost procedure; once it is incorporated as routine in the patients' evaluation, it can bring great advantages in terms of investigation and possibilities of measures for controlling the nutritional state and cardiovascular risk, given that only a tape measure is necessary to perform it.…”

Section: Discussionmentioning

confidence: 99%

Hipertensão arterial e sua associação com índices antropométricos em adultos de uma cidade de pequeno porte do interior do Brasil

Nascente¹,

Jardim²,

Peixoto³

et al. 2009

Rev. Assoc. Med. Bras.

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Objective. Estimate the prevalence of Hypertension in adults and its association with the Body Mass Index (BMI) and Waist Circumference (WC). MethOds. It is a descriptive, observational, and cross-sectional study, population-based, with simple random sample (≥18 years old). 1,168 individuals were investigated. Standardized questionnaires. Arterial pressure measures (criterion: HA ≥ 140x90mmHg), weight, height and waist circumference were taken. Data were stored (Microsoft Access software) and analyzed with the Epi-info, 3.3.2. Results. Dominance of the female sex (63.2%), medium age of 43.2 ± 14.9 years. Prevalence of arterial hypertension of 32.7%, tending to be higher among men (35.8%) than women (30.9%) (p=0.084). Positive association (p<0.001) of hypertension with age, BMI, and WC. Overweight prevalence of 33.7% and obesity of 16.0%. Overweight was higher in men, and obesity in women. Prevalence of enlarged and very enlarged WC in 51.9% of the population studied, 28.6% among men, and 65.5% among women. cOnclusiOn. A high prevalence of hypertension and a big number of individuals with BMI and WC over ideal values were found. Keywords

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Waist circumference cut-off values to predict the incidence of hypertension: An estimation from a Brazilian population-based cohort

Cited by 22 publications

References 21 publications

Risk of nonalcoholic steatohepatitis and fibrosis in patients with nonalcoholic fatty liver disease and low visceral adiposity

Risk of nonalcoholic steatohepatitis and fibrosis in patients with nonalcoholic fatty liver disease and low visceral adiposity

Accuracy and adequacy of waist circumference cut-off points currently recommended in Brazilian adults

Hipertensão arterial e sua associação com índices antropométricos em adultos de uma cidade de pequeno porte do interior do Brasil

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