Should waist circumference be replaced by index of central obesity (ICO) in definition of metabolic syndrome?

Diabetes/Metabolism Research and Reviews

Volumn 28, Issue 1, 2012, Pages 3-5

  Parikh, R ^a   Mohan, V ^b   Joshi, S ^c  

^a D Clinarch   (India)

^b Dr Mohan's Diabetes Specialities Centre   (India)

^c Lilawati Hospital   (India)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL OBESITY; DIABETES MELLITUS; DISEASE ASSOCIATION; DISEASE SEVERITY; HUMAN; METABOLIC SYNDROME X; NOTE; PRIORITY JOURNAL; SEX DIFFERENCE; VALIDATION PROCESS; WAIST CIRCUMFERENCE;

BODY WEIGHTS AND MEASURES; DIABETES MELLITUS; FEMALE; HUMANS; MALE; METABOLIC SYNDROME X; OBESITY, ABDOMINAL; REFERENCE VALUES; SENSITIVITY AND SPECIFICITY; WAIST CIRCUMFERENCE;

EID: 84855405617     PISSN: 15207552     EISSN: 15207560     Source Type: Journal    
DOI: 10.1002/dmrr.1227     Document Type: Note

References (18)

1. 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 Adults (Adult Treatment Panel III). JAMA 2001; 285: 2486-2497.
2. World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Part1. Diagnosis and Classification of Diabetes Mellitus: Report of a WHO Consultation. Geneva, World Health Org., Department of Noncommunicable Disease Surveillance: 1999; (WHO/NCD/NCS/99.2).
3. International Diabetes Federation consensus worldwide definition of the metabolic syndrome. Available at Accessed 27 June 2010.
4. ACE position statement on the insulin resistance syndrome. Endocr Pract 2003; 9(3): 240-252.
5. Misra A, Wasir JS, Pandey RM. An evaluation of candidate definitions of the metabolic syndrome in Adult Asian Indians. Diabetes Care 2005; 28: 398-403.
6. Deepa M, Farooq S, Datta M, Deepa R, Mohan V. Prevalence of metabolic syndrome using WHO, ATPIII and IDF definitions in Asian Indians: the Chennai Urban Rural Epidemiology Study (CURES-34). Diabetes Metab Res Rev 2007; 23(2): 127-134.
7. Parikh RM, Joshi SR, Menon PS, Shah NS. Index of central obesity-a novel parameter. Med Hypotheses 2007; 68: 1272-1275.
8. Parikh RM, Joshi SR, Menon PS, Shah NS. Metabolic syndrome among Indian type 2 diabetic patients. J General Med 2009; 21(1): 6-9.
9. Parikh RM, Joshi SR, Pandia K. Index of central obesity is better than waist circumference in defining metabolic syndrome. Metab Syndr Relat Disord 2009; 7(6): 525-527.
10. Manios Y, Kourlaba G, Kafatos A, Cook TL, Spyridaki A, Fragiadakis GA. Associations of several anthropometric indices with insulin resistance in children: The Children Study. Acta Paediatr 2008; 97(4): 494-499.
11. Harald J, et al. The predictive value of different measures of obesity for incident cardiovascular events and mortality. J Clin Endocrinol Metab 2010; 95(4): 1777-1785.
12. Joshi PP. Is waist to height ratio a better and more practical measure of obesity to assess cardiovascular or diabetes risk in Indians? J Assoc Phys India 2008; 56: 202-203.
13. Kagawa M, Byrne NM, Hills AP. Comparison of body fat estimation using waist: height ratio using different 'waist' measurements in Australian adults. Br J Nutr 2008; 100: 1135-1141.
14. Shao J, Yu L, Shen X, Li D, Wang K. Waist-to-height ratio, an optimal predictor for obesity and metabolic syndrome in Chinese adults. J Nutr Health Aging 2010; 14(9): 782-785.
15. Abdullah A, Abd El-Baky A, Bakry S, Abd-El Hay E. Adiponectin and liptin levels and their risk in coronary artery diseases in obese Egyptian men. Res J Med Med Sci 2009; 4(2): 526-532.
16. Socha M, Jonak W, Bolanowski M. Assessment of body fat content in young men by using selected somatic indices and skinfolds. Phys Educ Sport 2008; 52: 84-87.
17. Ajay VS, et al. Prevalence and determinants of diabetes mellitus in the Indian industrial population. Diabetic Med 2008; 25(10): 1187-1194.
18. Méthot J, Houle J, Poirier P. Obesity: how to define central adiposity? Exp Rev Cardiovasc Ther 2010; 8(5): 639-644.