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Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference?

Published on Jul 1, 2008in Obesity Reviews 8.19
· DOI :10.1111/j.1467-789X.2007.00411.x
Robert Ross47
Estimated H-index: 47
(Queen's University),
Tina Landsvig Berentzen16
Estimated H-index: 16
(Copenhagen University Hospital)
+ 8 AuthorsJean-Pierre Després110
Estimated H-index: 110
(Laval University)
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Abstract
There is currently no consensus regarding the optimal protocol for measurement of waist circumference (WC), and no scientific rationale is provided for any of the WC protocols recommended by leading health authorities. A panel of experts conducted a systematic review of 120 studies (236 samples) to determine whether measurement protocol influenced the relationship of WC with morbidity of cardiovascular disease (CVD) and diabetes and with mortality from all causes and from CVD. Statistically significant associations with WC were reported for 65% (152) of the samples across all outcomes combined. Common WC protocols performed measurement at the minimal waist (33%), midpoint (26%) and umbilicus (27%). Non-significant associations were reported for 27% (64) of the samples. Most of these protocols measured WC at the midpoint (36%), umbilicus (28%) or minimal waist (25%). Significant associations were observed for 17 of the remaining 20 samples, but these were not significant when adjustment was made for covariates. For these samples, the most common WC protocols were the midpoint (35%) and umbilicus (30%). Similar patterns of association between the outcomes and all WC protocols were observed across sample size, sex, age, race and ethnicity. Our findings suggest that WC measurement protocol has no substantial influence on the association between WC, all-cause and CVD mortality, CVD and diabetes.
  • References (129)
  • Citations (231)
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References129
Newest
Published on Apr 24, 2009in Acta Medica Scandinavica
J.C. Seidell1
Estimated H-index: 1
(University of Naples Federico II),
M. Cigolini1
Estimated H-index: 1
(University of Naples Federico II)
+ 2 AuthorsFranco Contaldo30
Estimated H-index: 30
(University of Naples Federico II)
In five different cities in four European countries, women born in 1948 were randomly selected. Anthropometric measurements (i.e. circumferences and skinfolds) were taken. Serum lipids were determined in one laboratory. Different levels of waist circumferences gave different averages and distribution of waist/hip ratio, which confirms the need of precise standardization of these measurements. Women in southern parts of Europe were more overweight than in Northern Europe (partly due to selection ...
20 Citations Source Cite
Published on Jul 1, 2007in Obesity 3.97
Supriya Krishnan13
Estimated H-index: 13
,
Lynn Rosenberg82
Estimated H-index: 82
+ 2 AuthorsJulie R. Palmer58
Estimated H-index: 58
Objective: Obesity has risen to epidemic proportions in the United States, leading to an emerging epidemic of type 2 diabetes. African-American women are disproportionately affected by both conditions. While an association of overall obesity with increasing risk of diabetes has been documented in black women, the effect of fat distribution, specifically abdominal obesity, has not been studied. We examined the association of BMI, abdominal obesity, and weight gain with risk of type 2 diabetes. Re...
44 Citations Source Cite
Published on May 14, 2007in JAMA Internal Medicine 20.77
Frank B. Hu202
Estimated H-index: 202
46 Citations Source Cite
Published on May 14, 2007in JAMA Internal Medicine 20.77
Xianglan Zhang25
Estimated H-index: 25
,
Xiao-Ou Shu96
Estimated H-index: 96
+ 4 AuthorsWei Zheng110
Estimated H-index: 110
Background Increased abdominal adiposity has been linked to an increase in mortality in populations where many are overweight or obese; it is unclear whether the same is true in relatively lean populations. Methods We examined the association between waist-hip ratio and mortality in the Shanghai Women's Health Study, a population-based, prospective cohort study of Chinese women aged 40 to 70 years enrolled from December 28, 1996, through May 23, 2000, 95% of whom had a body mass index (calculate...
93 Citations Source Cite
Published on Apr 10, 2007in Canadian Medical Association Journal 6.94
David C.W. Lau28
Estimated H-index: 28
,
Expert Panel1
Estimated H-index: 1
The 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children have been prepared as a supplement to this issue of CMAJ (a summary of the guidelines is included in the polywrap of this issue, and the complete set of guidelines is available online at
87 Citations Source Cite
Published on Mar 1, 2007in Obesity 3.97
Andy Menke9
Estimated H-index: 9
(Tulane University),
Paul Muntner40
Estimated H-index: 40
(Tulane University)
+ 2 AuthorsJiang He99
Estimated H-index: 99
(Tulane University)
Objective: To determine which of five measures of adiposity maintains the strongest association with cardiovascular disease risk factors. Research Methods and Procedures: A nationally representative sample of 12,608 adult participants of the third National Health and Nutrition Examination Survey were examined. Waist circumference, total body fat, percent body fat, BMI, and skinfold thickness were measured following a standardized protocol. Results: In multivariable adjusted models including wais...
91 Citations Source Cite
Published on Mar 1, 2007in Atherosclerosis 4.25
Altan Onat42
Estimated H-index: 42
(Istanbul University),
Huseyin Uyarel22
Estimated H-index: 22
+ 3 AuthorsGünay Can31
Estimated H-index: 31
(Istanbul University)
Abstract We aimed to investigate determinants of abdominal obesity and its clinical impact on metabolic syndrome (MS), diabetes (DM) and coronary heart disease (CHD) in men. Methods Prospective evaluation of 1638 male participants (aged 48.5 ± 12.3), representative of Turkey's men who have a high prevalence of MS. For components of MS, criteria of NCEP guidelines were adopted, modified for abdominal obesity. Follow-up constituted 9650 person-years. Results Insulin level (relative risk [RR] 1.40 ...
136 Citations Source Cite
Published on Mar 1, 2007in Diabetes Care 15.27
Claudia Langenberg81
Estimated H-index: 81
,
Maria Rosario G. Araneta26
Estimated H-index: 26
+ 2 AuthorsE Barrett-Conor150
Estimated H-index: 150
OBJECTIVE —To investigate associations between adult markers of childhood growth and the prevalence of diabetes and coronary heart disease (CHD) in Filipino-American women and to determine the role of social and educational differences, including the influence of social mobility between childhood and adulthood. RESEARCH DESIGN AND METHODS —Socioeconomic disadvantage and poor infant growth, resulting in short leg length, may contribute to the dramatically increased risk of diabetes and CHD in Fil...
27 Citations Source Cite
Published on Mar 1, 2007in Metabolism-clinical and Experimental 6.51
Altan Onat42
Estimated H-index: 42
(Istanbul University),
Ibrahim Sari21
Estimated H-index: 21
+ 4 AuthorsVedat Sansoy23
Estimated H-index: 23
(Istanbul University)
Abstract To investigate determinants of abdominal obesity and its metabolic and clinical consequences relative to its degree in women, a prospective evaluation of 1682 female participants (aged 28-79 years at baseline), representative of Turkey's women, was performed. For components of metabolic syndrome (MS), criteria of National Cholesterol Education Program guidelines were adopted, modified for cut point of 91 cm or greater for abdominal obesity and less than 45 mg/dL for low high-density lip...
42 Citations Source Cite
Published on Mar 1, 2007in Obesity 3.97
Leslie H. Willis9
Estimated H-index: 9
(Duke University),
Cris A. Slentz35
Estimated H-index: 35
(Duke University)
+ 4 AuthorsWilliam E. Kraus76
Estimated H-index: 76
(Duke University)
WILLIS, LESLIE H., CRIS A. SLENTZ, JOSEPH A. HOUMARD, JOHANNA L. JOHNSON, BRIAN D. DUSCHA, LORI B. AIKEN, AND WILLIAM E. KRAUS. Minimal versus umbilical waist circumference measures as indicators of cardiovascular disease risk. Obesity. 2007;15: 753–759. Objective: Measures of central obesity are strongly correlated with cardiovascular disease (CVD) risk. Although waist circumference (WC) is a commonly used measure of central obesity, there is no standard measurement location. We examined two WC...
53 Citations Source Cite
Cited By231
Newest
Published on Mar 21, 2019in BMC Pediatrics 1.98
Alexandra Kreissl6
Estimated H-index: 6
(Medical University of Vienna),
Anselm Jorda (Medical University of Vienna)+ 2 AuthorsSusanne Greber-Platzer6
Estimated H-index: 6
(Medical University of Vienna)
Background There is no gold standard in body composition measurement in pediatric patients with obesity. Therefore, the aim of this study was to investigate if there are any differences between two bioelectrical impedance analysis techniques performed in children and adolescents with obesity.
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Published on Dec 1, 2019in BMC Public Health 2.57
Yi Yi Lee2
Estimated H-index: 2
,
Khairil Shazmin Kamarudin (UMT: Universiti Malaysia Terengganu), Wan Abdul Manan Wan Muda5
Estimated H-index: 5
Background For the past decades, Malaysia has seen an increased prevalence of overweight and obesity which leads to significant health threats. Physical activity is beneficial in maintaining healthy body weight. The objective of this study was to measure physical activity of adults in Malaysia using objective measurement (accelerometer) and self-reported methods, as well as to determine their associations with (body mass index (BMI) and waist circumference (WC) measurements.
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Published on May 19, 2019
Mohammed S. Ellulu (Al-Azhar University), Ihab A. Naser2
Estimated H-index: 2
(Al-Azhar University)
The purpose of this study is to investigate the effect of inflammatory status on metabolic abnormalities in hypertensive patients. A cross-sectional study involved 106 hypertensive patients. Interview questionnaire was used to collect personal information and lifestyle habits. Participants who suffered from acute or chronic inflammatory diseases or continue using medicines were excluded as it might affect the biomedical results. Patients were categorized into two groups based on the inflammatory...
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Published on Jul 1, 2019in The Lancet Diabetes & Endocrinology 24.54
Ian J. Neeland22
Estimated H-index: 22
(UTSW: University of Texas Southwestern Medical Center),
Robert Ross47
Estimated H-index: 47
(Queen's University)
+ 14 AuthorsBenoit J. Arsenault34
Estimated H-index: 34
(Laval University)
Summary Findings from epidemiological studies over the past 30 years have shown that visceral adipose tissue, accurately measured by CT or MRI, is an independent risk marker of cardiovascular and metabolic morbidity and mortality. Emerging evidence also suggests that ectopic fat deposition, including hepatic and epicardial fat, might contribute to increased atherosclerosis and cardiometabolic risk. This joint position statement from the International Atherosclerosis Society and the International...
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Published on Jun 1, 2019in Molecular Aspects of Medicine 8.31
Joseph D. White1
Estimated H-index: 1
(The Ohio State University Wexner Medical Center),
Revati S. Dewal2
Estimated H-index: 2
(The Ohio State University Wexner Medical Center),
Kristin I. Stanford16
Estimated H-index: 16
(The Ohio State University Wexner Medical Center)
Abstract Obesity is a disease that results from an imbalance between energy intake and energy expenditure. Brown adipose tissue (BAT) is a potential therapeutic target to improve the comorbidities associated with obesity due to its inherent thermogenic capacity and its ability to improve glucose metabolism. Multiple studies have shown that activation of BAT using either pharmacological treatments or cold exposure had an acute effect to increase metabolic function and reduce adiposity. Recent pre...
1 Citations Source Cite
Published on Mar 29, 2019in International Journal of Obesity 4.51
Henry S. Kahn41
Estimated H-index: 41
(CDC: Centers for Disease Control and Prevention),
Jasmin Divers34
Estimated H-index: 34
(Wake Forest University)
+ 5 AuthorsSharon Saydah37
Estimated H-index: 37
(CDC: Centers for Disease Control and Prevention)
The waist-to-height ratio (WHtR) estimates cardiometabolic risk in youth without need for growth charts by sex and age. Questions remain about whether waist circumference measured per protocol of the National Health and Nutrition Examination Survey (WNHAHtR) or World Health Organization (WWHOHtR) can better predict blood pressures and lipid parameters in youth. WHtR was measured under both anthropometric protocols among participants in the SEARCH Study, who were recently diagnosed with diabetes ...
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Published on Jan 1, 2019in Nutrition Research and Practice 1.71
Yi Yi Lee2
Estimated H-index: 2
,
Wan Abdul Manan Wan Muda5
Estimated H-index: 5
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Published on Jan 1, 2019
Nuno M. Pimenta1
Estimated H-index: 1
,
Mireille N. M. van Poppel37
Estimated H-index: 37
(University of Graz)
The study of body composition is a fascinating branch of the biological sciences where research and clinical practice go hand in hand. A strong theoretical background is needed to support the assessment and interpretation of body composition measurements, in order to have an impact and usefulness in the clinical setting. Body composition is a key component of health-related fitness with physical, morphological, and particularly important health-related implications during pregnancy. Pregnancy po...
1 Citations Source Cite
Published on Dec 12, 2018in BioMed Research International 2.20
Yiyang Chen (SUS: Shanghai University of Sport), Yu Zhang (SUS: Shanghai University of Sport), Lin Wang7
Estimated H-index: 7
(SUS: Shanghai University of Sport)
This study aimed to investigate the diagnostic accuracy of body mass index- (BMI-) based and waist circumference- (WC-) based references for childhood overweight and obesity in screening overfat individuals among 2134 Chinese children and adolescents. In this study, overfat status was defined as over 25% body fat for boys and over 30% for girls. Childhood obesity or overweight was defined by four BMI-based references and two WC-based references. All BMI-based references for obesity showed low se...
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Published on Dec 1, 2018in Scientific Reports 4.01
Orison O. Woolcott9
Estimated H-index: 9
(Cedars-Sinai Medical Center),
Richard N. Bergman103
Estimated H-index: 103
(Cedars-Sinai Medical Center)
High whole-body fat percentage is independently associated with increased mortality. We aimed to identify a simple anthropometric linear equation that is more accurate than the body mass index (BMI) to estimate whole-body fat percentage among adult individuals. National Health and Nutrition Examination Survey (NHANES) 1999–2004 data (n = 12,581) were used for model development and NHANES 2005–2006 data (n = 3,456) were used for model validation. From the 365 anthropometric indices generated, the...
1 Citations Source Cite