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Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study

BACKGROUND: We sought to establish the optimal waist circumference (WC) cut-off point for predicting diabetes mellitus (DM) and to compare the predictive ability of the metabolic syndrome (MetS) criteria of the Joint Interim Statement (JIS) and the Japanese Committee of the Criteria for MetS (JCCMS)...

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Autores principales: Hu, Huanhuan, Kurotani, Kayo, Sasaki, Naoko, Murakami, Taizo, Shimizu, Chii, Shimizu, Makiko, Nakagawa, Tohru, Honda, Toru, Yamamoto, Shuichiro, Okazaki, Hiroko, Nagahama, Satsue, Uehara, Akihiko, Yamamoto, Makoto, Tomita, Kentaro, Imai, Teppei, Nishihara, Akiko, Kochi, Takeshi, Eguchi, Masafumi, Miyamoto, Toshiaki, Hori, Ai, Kuwahara, Keisuke, Akter, Shamima, Kashino, Ikuko, Kabe, Isamu, Liu, Weiping, Mizoue, Tetsuya, Kunugita, Naoki, Dohi, Seitaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778284/
https://www.ncbi.nlm.nih.gov/pubmed/26939609
http://dx.doi.org/10.1186/s12889-016-2856-9
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author Hu, Huanhuan
Kurotani, Kayo
Sasaki, Naoko
Murakami, Taizo
Shimizu, Chii
Shimizu, Makiko
Nakagawa, Tohru
Honda, Toru
Yamamoto, Shuichiro
Okazaki, Hiroko
Nagahama, Satsue
Uehara, Akihiko
Yamamoto, Makoto
Tomita, Kentaro
Imai, Teppei
Nishihara, Akiko
Kochi, Takeshi
Eguchi, Masafumi
Miyamoto, Toshiaki
Hori, Ai
Kuwahara, Keisuke
Akter, Shamima
Kashino, Ikuko
Kabe, Isamu
Liu, Weiping
Mizoue, Tetsuya
Kunugita, Naoki
Dohi, Seitaro
author_facet Hu, Huanhuan
Kurotani, Kayo
Sasaki, Naoko
Murakami, Taizo
Shimizu, Chii
Shimizu, Makiko
Nakagawa, Tohru
Honda, Toru
Yamamoto, Shuichiro
Okazaki, Hiroko
Nagahama, Satsue
Uehara, Akihiko
Yamamoto, Makoto
Tomita, Kentaro
Imai, Teppei
Nishihara, Akiko
Kochi, Takeshi
Eguchi, Masafumi
Miyamoto, Toshiaki
Hori, Ai
Kuwahara, Keisuke
Akter, Shamima
Kashino, Ikuko
Kabe, Isamu
Liu, Weiping
Mizoue, Tetsuya
Kunugita, Naoki
Dohi, Seitaro
author_sort Hu, Huanhuan
collection PubMed
description BACKGROUND: We sought to establish the optimal waist circumference (WC) cut-off point for predicting diabetes mellitus (DM) and to compare the predictive ability of the metabolic syndrome (MetS) criteria of the Joint Interim Statement (JIS) and the Japanese Committee of the Criteria for MetS (JCCMS) for DM in Japanese. METHODS: Participants of the Japan Epidemiology Collaboration on Occupational Health Study, who were aged 20–69 years and free of DM at baseline (n = 54,980), were followed-up for a maximum of 6 years. Time-dependent receiver operating characteristic analysis was used to determine the optimal cut-off points of WC for predicting DM. Time-dependent sensitivity, specificity, and positive and negative predictive values for the prediction of DM were compared between the JIS and JCCMS MetS criteria. RESULTS: During 234,926 person-years of follow-up, 3180 individuals developed DM. Receiver operating characteristic analysis suggested that the most suitable cut-off point of WC for predicting incident DM was 85 cm for men and 80 cm for women. MetS was associated with 3–4 times increased hazard for developing DM in men and 7–9 times in women. Of the MetS criteria tested, the JIS criteria using our proposed WC cut-off points (85 cm for men and 80 cm for women) had the highest sensitivity (54.5 % for men and 43.5 % for women) for predicting DM. The sensitivity and specificity of the JCCMS MetS criteria were ~37.7 and 98.9 %, respectively. CONCLUSION: Data from the present large cohort of workers suggest that WC cut-offs of 85 cm for men and 80 cm for women may be appropriate for predicting DM for Japanese. The JIS criteria can detect more people who later develop DM than does the JCCMS criteria. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-2856-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-47782842016-03-05 Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study Hu, Huanhuan Kurotani, Kayo Sasaki, Naoko Murakami, Taizo Shimizu, Chii Shimizu, Makiko Nakagawa, Tohru Honda, Toru Yamamoto, Shuichiro Okazaki, Hiroko Nagahama, Satsue Uehara, Akihiko Yamamoto, Makoto Tomita, Kentaro Imai, Teppei Nishihara, Akiko Kochi, Takeshi Eguchi, Masafumi Miyamoto, Toshiaki Hori, Ai Kuwahara, Keisuke Akter, Shamima Kashino, Ikuko Kabe, Isamu Liu, Weiping Mizoue, Tetsuya Kunugita, Naoki Dohi, Seitaro BMC Public Health Research Article BACKGROUND: We sought to establish the optimal waist circumference (WC) cut-off point for predicting diabetes mellitus (DM) and to compare the predictive ability of the metabolic syndrome (MetS) criteria of the Joint Interim Statement (JIS) and the Japanese Committee of the Criteria for MetS (JCCMS) for DM in Japanese. METHODS: Participants of the Japan Epidemiology Collaboration on Occupational Health Study, who were aged 20–69 years and free of DM at baseline (n = 54,980), were followed-up for a maximum of 6 years. Time-dependent receiver operating characteristic analysis was used to determine the optimal cut-off points of WC for predicting DM. Time-dependent sensitivity, specificity, and positive and negative predictive values for the prediction of DM were compared between the JIS and JCCMS MetS criteria. RESULTS: During 234,926 person-years of follow-up, 3180 individuals developed DM. Receiver operating characteristic analysis suggested that the most suitable cut-off point of WC for predicting incident DM was 85 cm for men and 80 cm for women. MetS was associated with 3–4 times increased hazard for developing DM in men and 7–9 times in women. Of the MetS criteria tested, the JIS criteria using our proposed WC cut-off points (85 cm for men and 80 cm for women) had the highest sensitivity (54.5 % for men and 43.5 % for women) for predicting DM. The sensitivity and specificity of the JCCMS MetS criteria were ~37.7 and 98.9 %, respectively. CONCLUSION: Data from the present large cohort of workers suggest that WC cut-offs of 85 cm for men and 80 cm for women may be appropriate for predicting DM for Japanese. The JIS criteria can detect more people who later develop DM than does the JCCMS criteria. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-016-2856-9) contains supplementary material, which is available to authorized users. BioMed Central 2016-03-03 /pmc/articles/PMC4778284/ /pubmed/26939609 http://dx.doi.org/10.1186/s12889-016-2856-9 Text en © Hu et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hu, Huanhuan
Kurotani, Kayo
Sasaki, Naoko
Murakami, Taizo
Shimizu, Chii
Shimizu, Makiko
Nakagawa, Tohru
Honda, Toru
Yamamoto, Shuichiro
Okazaki, Hiroko
Nagahama, Satsue
Uehara, Akihiko
Yamamoto, Makoto
Tomita, Kentaro
Imai, Teppei
Nishihara, Akiko
Kochi, Takeshi
Eguchi, Masafumi
Miyamoto, Toshiaki
Hori, Ai
Kuwahara, Keisuke
Akter, Shamima
Kashino, Ikuko
Kabe, Isamu
Liu, Weiping
Mizoue, Tetsuya
Kunugita, Naoki
Dohi, Seitaro
Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title_full Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title_fullStr Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title_full_unstemmed Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title_short Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
title_sort optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in japanese men and women: japan epidemiology collaboration on occupational health study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778284/
https://www.ncbi.nlm.nih.gov/pubmed/26939609
http://dx.doi.org/10.1186/s12889-016-2856-9
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