Optimal cut-off levels to define obesity: Body mass index and waist circumference, and their relationship to cardiovascular disease, dyslipidaemia, hypertension and diabetes in Malaysia

Asia Pacific Journal of Clinical Nutrition

Volumn 18, Issue 2, 2009, Pages 209-216

  Mohd Zaher, Zaki Morad ^a   Zambari, Robayaah ^b   Pheng, Chan Siew ^c   Muruga, Vadivale ^d   Ng, Bernard ^d   Appannah, Geeta ^e   Onn, Lim Teck ^e  

^a INTERNATIONAL MEDICAL UNIVERSITY   (Malaysia)

^b NATIONAL HEART INSTITUTE   (Malaysia)

^c UNIVERSITY OF MALAYA   (Malaysia)

^d Sanofi aventis Malaysia   (Malaysia)

^e HOSPITAL KUALA LUMPUR   (Malaysia)

Author keywords

Abdominal obesity; Asia; Body mass index; Cardiovascular; Waist circumference

Indexed keywords

ADULT; ARTICLE; BODY MASS; CARDIOVASCULAR DISEASE; CROSS-SECTIONAL STUDY; DIABETES MELLITUS; FEMALE; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; MALAYSIA; MALE; MIDDLE AGED; OBESITY; REFERENCE VALUE; RISK FACTOR; ROC CURVE; WAIST CIRCUMFERENCE;

ADULT; BODY MASS INDEX; CARDIOVASCULAR DISEASES; CROSS-SECTIONAL STUDIES; DIABETES MELLITUS; FEMALE; HUMANS; HYPERLIPIDEMIAS; HYPERTENSION; MALAYSIA; MALE; MIDDLE AGED; OBESITY; REFERENCE VALUES; RISK FACTORS; ROC CURVE; WAIST CIRCUMFERENCE;

EID: 70349574627     PISSN: 09647058     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

1. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva, 3-5 June 1997.
2. Institute for Public Health (IPH). The Third National Health and Morbidity Survey (NHMS III) 2006, Nutritional Status. Ministry of Health, Malaysia 2008
3. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Geneva, 1995.
4. Hsieh SD, Yo Shinaga H, Muto T, Sakurai Y, Kosaka K. Health risks among Japanese men with moderate body mass index. Int J Obes Relat Metab Disord. 2000; 24: 358-362.
5. Wang J, Russell-Aulet M, Mazariegos M. Body fat by dual photon absorptiometry (DPA): comparisons with traditional methods in Asians, Blacks and Caucasians. Am J Hum Biol. 1992;4:501-510.
6. Janssen I, Katzmarzyk PT, Ross R. Waist circumference and not body mass index explains obesity related health risk. Am J Clin Nutr. 2004;79:379-384.
7. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (The INTERHEART study): case control study. Lancet 2004;364: 937-52.
8. Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P et al. Obesity and risk of myocardial infarction in 27000 participants from 52 countries: a case control study. Lancet 2005;366:1640-9.
9. Deurenberg-Yap M. Yian TB. Kai CS. Deurenberg-P. Van Staveren WA. Manifestation of cardiovascular risk factors at low levels of body mass index and waist-to-hip ratio in Singaporean Chinese. Asia Pac J Clin Nutr. 1999;8:177-183.
10. Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert Panel on Detection, Evaluation and treatment of High Blood Cholesterol in Adult (Adult Treatment Panel III). JAMA. 2001;285: 2486-97.
11. Tan CE, Ma S, Wai D, Chew SK, Tai ES. Can we apply the NCEP Adult Treatment Panel definition of metabolic syndrome to Asians? Diabetes Care. 2004;27:1182-1186.
12. Deurenberg-Yap M, Chew SK, Lin FP, van Staveren WA, Deurenberg P. Relationships between indices of obesity and its comorbidities among Chinese, Malays and Indians in Singapore. Int J Obes. 2001;25:1554-62.
13. Lear SA, Chen MM, Frohlich JJ, Birmingham CL. The relationship between waist circumference and metabolic risk factors: cohorts of European and Chinese descent. Metabolism. 2002;51:1427-32.
14. Ko GTC, Chan JCN, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes Relat Metab Disord. 1999;23:1136-42.
15. Ko GTC, Chan JC, Woo J, Lau E, Yeung VTF, Chow CC. Simple anthropometric indexes and cardiovascular risk factors in Chinese. Int J Obes Relat Metab Disord. 1997;21: 995-1001.
16. Lin WY, Lee LT, Chen CY, Lo H, Hsia HH, Liu IL. Optimal cut-off values for obesity: using simple anthropometric indices to predict cardiovascular risk factors in Taiwan. Int J Obes Relat Metab Disord. 2002;26:1232-8.
17. Li G, Chen X, Jang Y, Wang J, Xing X, Yang W et al. Obesity, coronary heart disease risk factors and diabetes in Chinese: an approach to the criteria of obesity in the Chinese population. Obes Rev. 2002;3:167-72.
18. Oh SW, Shin S-A, Yun YH, Yoo T, Huh B-Y. Cut-off point of BMI and obesity-related comorbidities and mortality in middle-aged Koreans. Obes Res. 2004;12:2031-40.
19. Shin CS, Lee HK, Koh CS, Kim YI, Shin YS, Yoo KY et al. Risk factors for the development of NIDDM in Yonchon County, Korea. Diabetes Care. 1997;20:1842-46.
20. WHO/IASO/IOTF. The Asia-Pacific perspective: redefining obesity and its treatment. Health Communications Australia: Melbourne, 2000.
21. Zaki M, Robaayah Z, Chan SP, Vadivale M, Lim TO. Malaysia Shape of the Nation (MySoN): A primary care based study of abdominal obesity in Malaysia. 2007; (unpublished)
22. Balkau B, Deanfield JE, Despres JP, Bassand JP, Fox KAA, Smith SC, et al. International Day for the Evaluation of Abdominal Obesity (IDEA): A Study of Waist Circumference, Cardiovascular Disease, and Diabetes Mellitus in 168 000 Primary Care Patients in 63 Countries. Circulation. 2007; 116:1942-51
23. Huang KC, Lin WY, Lee LT, Chen CY, Lo H, Hsia HH, Liu IL, Shau WY, Lin RS. Four anthropometric indices and cardiovascular risk factors in Taiwan. Int J Obes. 2002;26: 1060-8.
24. Pua YH, Ong PH. Anthropometric indices as screening tools for cardiovascular risk factors in Singaporean women. Asia Pac J Clin Nutr. 2005;14:74-9
25. Gallagher D, Visser M, Sepulveda D, Pierson RN, Harris T, Hemysfield SB. How useful is body mass index for comparison of body fatness across age, sex and ethnic groups? Am J Epidemiol. 1996;143:228-39.
26. Kopelman. Obesity as a medical problem. Nature 2000;404: 635-43.
27. Duerenberg P, Yap M, Van Staveren WA. Body mass index and percent body fat: a meta-analysis among different ethnic groups. International J Obes Relat Metab Disord. 1988;22: 1164-71.
28. Zhu S, Hemysfeild SB, Toyoshima H, Wong ZM, Petrobelli A, Heshka S et al. Race-ethnicity-specific waist circumference cutoffs for identifying cardiovascular disease risk factors. Am J Clin Nutr. 2005;81:409-15.
29. Wang J, Thornton JC, Bari S, Williamson B, Gallagher D, Heymsfield SB et al. Comparison of waist circumferences measured at 4 sites. Am J Clin Nutr. 2003;77:379-84.