Cargando…
Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease
BACKGROUND: Abdominal obesity is a more important risk factor than overall obesity in predicting the development of type 2 diabetes and cardiovascular disease. From a preventive and public health point of view it is crucial that risk factors are identified at an early stage, in order to change and m...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490795/ https://www.ncbi.nlm.nih.gov/pubmed/22877354 http://dx.doi.org/10.1186/1471-2458-12-631 |
_version_ | 1782248874499375104 |
---|---|
author | Siren, Reijo Eriksson, Johan G Vanhanen, Hannu |
author_facet | Siren, Reijo Eriksson, Johan G Vanhanen, Hannu |
author_sort | Siren, Reijo |
collection | PubMed |
description | BACKGROUND: Abdominal obesity is a more important risk factor than overall obesity in predicting the development of type 2 diabetes and cardiovascular disease. From a preventive and public health point of view it is crucial that risk factors are identified at an early stage, in order to change and modify behaviour and lifestyle in high risk individuals. METHODS: Data from a community based study was used to assess the risk for type 2 diabetes, cardiovascular disease and prevalence of metabolic syndrome in middle-aged men. In order to identify those with increased risk for type 2 diabetes and/or cardiovascular disease sensitivity and specificity analysis were performed, including calculation of positive and negative predictive values, and corresponding 95% CI for eleven different cut-off points, with 1 cm intervals (92 to 102 cm), for waist circumference. RESULTS: A waist circumference ≥94 cm in middle-aged men, identified those with increased risk for type 2 diabetes and/or for cardiovascular disease with a sensitivity of 84.4% (95% CI 76.4% to 90.0%), and a specificity of 78.2% (95% CI 68.4% to 85.5%). The positive predictive value was 82.9% (95% CI 74.8% to 88.8%), and negative predictive value 80.0%, respectively (95% CI 70.3% to 87.1%). CONCLUSIONS: Measurement of waist circumference in middle-aged men is a reliable test to identify individuals at increased risk for type 2 diabetes and cardiovascular disease. This measurement should be used more frequently in daily practice in primary care in order to identify individuals at risk and when planning health counselling and interventions. |
format | Online Article Text |
id | pubmed-3490795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34907952012-11-07 Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease Siren, Reijo Eriksson, Johan G Vanhanen, Hannu BMC Public Health Research Article BACKGROUND: Abdominal obesity is a more important risk factor than overall obesity in predicting the development of type 2 diabetes and cardiovascular disease. From a preventive and public health point of view it is crucial that risk factors are identified at an early stage, in order to change and modify behaviour and lifestyle in high risk individuals. METHODS: Data from a community based study was used to assess the risk for type 2 diabetes, cardiovascular disease and prevalence of metabolic syndrome in middle-aged men. In order to identify those with increased risk for type 2 diabetes and/or cardiovascular disease sensitivity and specificity analysis were performed, including calculation of positive and negative predictive values, and corresponding 95% CI for eleven different cut-off points, with 1 cm intervals (92 to 102 cm), for waist circumference. RESULTS: A waist circumference ≥94 cm in middle-aged men, identified those with increased risk for type 2 diabetes and/or for cardiovascular disease with a sensitivity of 84.4% (95% CI 76.4% to 90.0%), and a specificity of 78.2% (95% CI 68.4% to 85.5%). The positive predictive value was 82.9% (95% CI 74.8% to 88.8%), and negative predictive value 80.0%, respectively (95% CI 70.3% to 87.1%). CONCLUSIONS: Measurement of waist circumference in middle-aged men is a reliable test to identify individuals at increased risk for type 2 diabetes and cardiovascular disease. This measurement should be used more frequently in daily practice in primary care in order to identify individuals at risk and when planning health counselling and interventions. BioMed Central 2012-08-09 /pmc/articles/PMC3490795/ /pubmed/22877354 http://dx.doi.org/10.1186/1471-2458-12-631 Text en Copyright ©2012 Siren 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 Siren, Reijo Eriksson, Johan G Vanhanen, Hannu Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title | Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title_full | Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title_fullStr | Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title_full_unstemmed | Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title_short | Waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
title_sort | waist circumference a good indicator of future risk for type 2 diabetes and cardiovascular disease |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490795/ https://www.ncbi.nlm.nih.gov/pubmed/22877354 http://dx.doi.org/10.1186/1471-2458-12-631 |
work_keys_str_mv | AT sirenreijo waistcircumferenceagoodindicatoroffutureriskfortype2diabetesandcardiovasculardisease AT erikssonjohang waistcircumferenceagoodindicatoroffutureriskfortype2diabetesandcardiovasculardisease AT vanhanenhannu waistcircumferenceagoodindicatoroffutureriskfortype2diabetesandcardiovasculardisease |