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The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study

BACKGROUND: In Korea, the cutoff values of waist circumference (WC) for the identification of metabolic syndrome (MetS) were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral...

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Autores principales: Seo, Ji A, Kim, Byoung Gwon, Cho, Hyunjoo, Kim, Hye Sook, Park, Juri, Baik, Sei Hyun, Choi, Dong Seop, Park, Moon Ho, Jo, Sangmee Ahn, Koh, Young Ho, Han, Changsu, Kim, Nan Hee
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797519/
https://www.ncbi.nlm.nih.gov/pubmed/19951442
http://dx.doi.org/10.1186/1471-2458-9-443
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author Seo, Ji A
Kim, Byoung Gwon
Cho, Hyunjoo
Kim, Hye Sook
Park, Juri
Baik, Sei Hyun
Choi, Dong Seop
Park, Moon Ho
Jo, Sangmee Ahn
Koh, Young Ho
Han, Changsu
Kim, Nan Hee
author_facet Seo, Ji A
Kim, Byoung Gwon
Cho, Hyunjoo
Kim, Hye Sook
Park, Juri
Baik, Sei Hyun
Choi, Dong Seop
Park, Moon Ho
Jo, Sangmee Ahn
Koh, Young Ho
Han, Changsu
Kim, Nan Hee
author_sort Seo, Ji A
collection PubMed
description BACKGROUND: In Korea, the cutoff values of waist circumference (WC) for the identification of metabolic syndrome (MetS) were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral fat, the cutoff value of WC may differ according to age. In addition, the usefulness of visceral abdominal fat area (VFA) to predict MetS in the elderly has not been studied yet. We aimed to suggest WC and VFA criteria and to compare the predictability of WC and VFA to identify people at risk for MetS. METHODS: A total of 689 elderly subjects aged ≥63 years (308 men, 381 women) were chosen in this cross-sectional study from an ongoing, prospective, population-based study, the Ansan Geriatric (AGE) cohort study. VFA was measured by single slice abdominal computed tomography scanning. The metabolic risk factors except WC (plasma glucose, blood pressure, serum triglycerides and HDL cholesterol levels) were defined using modified NCEP-ATP III criteria. We estimated the accuracy of VFA and WC for identifying at least two of these factors by receiver operating characteristic (ROC) curve analysis. RESULTS: Two hundred three of 308 men and 280 of 381 women had ≥2 metabolic risk factors. The area under the ROC curve (AUC) value for VFA to predict the presence of ≥2 metabolic risk factors was not significantly different from that for WC (men, 0.735 and 0.750; women, 0.715 and 0.682; AUC values for VFA and WC, respectively). The optimal cutoff points for VFA and WC for predicting the presence of ≥2 metabolic risk factors were 92.6 cm(2 )and 86.5 cm for men and 88.9 cm(2 )and 86.5 cm for women. CONCLUSION: WC had comparable power with VFA to identify elderly people who are at risk for MetS. Elderly Korean men and women had very similar cutoff points for both VFA and WC measurements for estimating the risk of MetS. Age-specific cutoff point for WC might be considered to identify subjects at risk for MetS.
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spelling pubmed-27975192009-12-24 The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study Seo, Ji A Kim, Byoung Gwon Cho, Hyunjoo Kim, Hye Sook Park, Juri Baik, Sei Hyun Choi, Dong Seop Park, Moon Ho Jo, Sangmee Ahn Koh, Young Ho Han, Changsu Kim, Nan Hee BMC Public Health Research Article BACKGROUND: In Korea, the cutoff values of waist circumference (WC) for the identification of metabolic syndrome (MetS) were suggested to be 90 cm for men and 85 cm for women based on the analysis mainly in middle-aged adults. As aging is associated with increased fat, especially abdominal visceral fat, the cutoff value of WC may differ according to age. In addition, the usefulness of visceral abdominal fat area (VFA) to predict MetS in the elderly has not been studied yet. We aimed to suggest WC and VFA criteria and to compare the predictability of WC and VFA to identify people at risk for MetS. METHODS: A total of 689 elderly subjects aged ≥63 years (308 men, 381 women) were chosen in this cross-sectional study from an ongoing, prospective, population-based study, the Ansan Geriatric (AGE) cohort study. VFA was measured by single slice abdominal computed tomography scanning. The metabolic risk factors except WC (plasma glucose, blood pressure, serum triglycerides and HDL cholesterol levels) were defined using modified NCEP-ATP III criteria. We estimated the accuracy of VFA and WC for identifying at least two of these factors by receiver operating characteristic (ROC) curve analysis. RESULTS: Two hundred three of 308 men and 280 of 381 women had ≥2 metabolic risk factors. The area under the ROC curve (AUC) value for VFA to predict the presence of ≥2 metabolic risk factors was not significantly different from that for WC (men, 0.735 and 0.750; women, 0.715 and 0.682; AUC values for VFA and WC, respectively). The optimal cutoff points for VFA and WC for predicting the presence of ≥2 metabolic risk factors were 92.6 cm(2 )and 86.5 cm for men and 88.9 cm(2 )and 86.5 cm for women. CONCLUSION: WC had comparable power with VFA to identify elderly people who are at risk for MetS. Elderly Korean men and women had very similar cutoff points for both VFA and WC measurements for estimating the risk of MetS. Age-specific cutoff point for WC might be considered to identify subjects at risk for MetS. BioMed Central 2009-12-02 /pmc/articles/PMC2797519/ /pubmed/19951442 http://dx.doi.org/10.1186/1471-2458-9-443 Text en Copyright © 2009 Seo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Seo, Ji A
Kim, Byoung Gwon
Cho, Hyunjoo
Kim, Hye Sook
Park, Juri
Baik, Sei Hyun
Choi, Dong Seop
Park, Moon Ho
Jo, Sangmee Ahn
Koh, Young Ho
Han, Changsu
Kim, Nan Hee
The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title_full The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title_fullStr The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title_full_unstemmed The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title_short The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) cohort study
title_sort cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly korean: ansan geriatric (age) cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797519/
https://www.ncbi.nlm.nih.gov/pubmed/19951442
http://dx.doi.org/10.1186/1471-2458-9-443
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