Appropriate waist circumference cutoff points for central obesity in Korean adults
Abstract
Background The International Diabetes Federation consensus recently proposed a new definition for the diagnosis of metabolic syndrome, incorporating ethnically specific waist circumference (WC) cutoff points. Objective We investigated the ethnically appropriate WC cutoff values for central obesity in Korean adults to predict increased risk of elevated triacylglycerol, reduced HDL cholesterol, elevated blood pressure, elevated fasting plasma glucose, or two or more of these factors. Design We used data from 6561 adults, aged 20-80 years, who participated in the Korean Health and Nutritional Examination Survey of 1998, a cross-sectional health survey of a nationally representative sample of Koreans. Results Based on the receiver operating characteristic curve analysis, the WC value for predicting metabolic risk factors in Koreans was about 85 cm for men and 80 cm for women. The odds ratio for the risk of two or more metabolic risk factors increased abruptly in men with WC >or= 90 cm and women with WC >or= 85 cm. The 80th percentile for WC in the Korean population was 90 cm for men and 86.5 cm for women. Thus, the appropriate WC cutoff point for central obesity in Koreans was determined to be 90 cm for men and 85 cm for women. Conclusions Based on our criteria, the prevalence of central obesity was 19.8% in Korean men and 24.5% in Korean women. These findings suggest the applicability of ethnically specific cutoff points for WC in assessing central obesity.
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The optimal cut-offs for CT-measured waist circumference were 91.7 cm in women and 96.7 cm in men, which were 6.7 cm higher than the KSSO criteria for manually-measured waist circumference in both women and men.
“the optimal cut-offs for CT-measured WC extracted from our study sample were 91.7 cm in women and 96.7 cm in men, which were substantially higher (by 6.7 cm in both women and men) than the KSSO criteria of WC-manual for Koreans (85 cm in women and 90 cm in men) [18].”
Cites
(2004) · The Lancet · doi:10.1016/s0140-6736(03)15268-3 · Cited by 12,717 · see citing works
Waist circumference as a measure for indicating need for weight management
Lean, M. E. J., Han, T. S., & Morrison, C. E. (1995) · BMJ · doi:10.1136/bmj.311.6998.158 · Cited by 1,869 · see citing works
Comment on the provisional report from the WHO consultation
(1999) · Diabetic Medicine · doi:10.1046/j.1464-5491.1999.00059.x · Cited by 1,820 · see citing works
New Criteria for `Obesity Disease' in Japan
The Examination Committee of Criter (2002) · Circulation Journal · doi:10.1253/circj.66.987 · Cited by 1,650 · see citing works
Wildman, R. P., Gu, D., Reynolds, K., Duan, X., & He, J. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.5.1129 · Cited by 265 · see citing works
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Kim, Y.-S., Lee, Y., Chung, Y.-S., Lee, D.-J., Joo, N.-S., Hong, D., Song, G. E., Kim, H.-J., Choi, Y. J., & Kim, K.-M. (2012) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/gls071 · Cited by 327 · see citing works
Health Consequences of Sarcopenic Obesity: A Narrative Review
Roh, E., & Choi, K. M. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.00332 · Cited by 304 · see citing works
Chung, J.-Y., Kang, H.-T., Lee, D.-C., Lee, H.-R., & Lee, Y.-J. (2013) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2012.09.007 · Cited by 283 · see citing works
Moon, S.-S. (2014) · Endocrine Journal · doi:10.1507/endocrj.ej13-0244 · Cited by 268 · see citing works
Baek, S. J., Nam, G. E., Han, K. D., Choi, S. W., Jung, S. W., Bok, A. R., Kim, Y. H., Lee, K. S., Han, B. D., & Kim, D. H. (2014) · Journal of Endocrinological Investigation · doi:10.1007/s40618-013-0011-3 · Cited by 182 · see citing works
Self-citationRyu, M., Jo, J., Lee, Y., Chung, Y.-S., Kim, K.-M., & Baek, W.-C. (2013) · Age and Ageing · doi:10.1093/ageing/aft063 · Cited by 168 · see citing works
Dietary Intake, Eating Habits, and Metabolic Syndrome in Korean Men
Shin, A., Lim, S.-Y., Sung, J., Shin, H.-R., & Kim, J. (2009) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.12.015 · Cited by 135 · see citing works
Sarcopenic obesity as an independent risk factor of hypertension
Park, S. H., Park, J. H., Song, P. S., Kim, D. K., Kim, K. H., Seol, S. H., Kim, H. K., Jang, H. J., Lee, J. G., Park, H. Y., et al. (2013) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2013.06.002 · Cited by 118 · see citing works
Self-citationChun, S.-W., Kim, W., & Choi, K. H. (2019) · PLoS ONE · doi:10.1371/journal.pone.0222040 · Cited by 92 · see citing works
Yi, D., Khang, A. R., Lee, H. W., Son, S. M., & Kang, Y. H. (2018) · Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy · doi:10.2147/dmso.s166875 · Cited by 86 · see citing works
Kim, H.-Y., Lee, J., & Kim, J. (2018) · Nutrients · doi:10.3390/nu10050648 · Cited by 84 · see citing works
Han, D., Lim, S., Sun, B., Paek, D., & Kim, H. (2010) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2010.01580.x · Cited by 70 · see citing works
Optimal cut-off values and population means of waist circumference in different populations
Wang, Z., Ma, J., & Si, D. (2010) · Nutrition Research Reviews · doi:10.1017/s0954422410000120 · Cited by 62 · see citing works
Park, J. E., Lee, S., & Kim, K. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-03748-x · Cited by 39 · see citing works
Self-citationJoo, I., Kwak, M.-S., Park, D. H., & Yoon, S. H. (2021) · PLOS ONE · doi:10.1371/journal.pone.0254704 · Cited by 18 · see citing works
Sarcopenic obesity, pathogenesis, and treatment with a focus on exercise and protein intake
Karaağaç, Y. (2023) · Journal of Mind and Medical Sciences · doi:10.22543/2392-7674.1419 · Cited by 5 · see citing works
- Authors
- Lee, S. Y., Park, H. S., Kim, D. J., Han, J. H., Kim, S. M., Cho, G. J., Kim, D. Y., Kwon, H. S., Kim, S. R., Lee, C. B., Oh, S. J., Park, C. Y., & Yoo, H. J.
- Affiliations
- Asan Medical Center (KR)
- Ajou University (KR)
- Eulji Medical Center (KR)
- Korea University (KR)
- Catholic University of Korea (KR)
- Hanyang University (KR)
- Kyung Hee University (KR)
- Hallym University (KR)
- ORCID
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 75
- Issue
- 1
- Pages
- 72-80
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W2068151605
- Cited by
- 904
- References
- 5
- Citations by year
- 2026: 32 · 2025: 29 · 2024: 48 · 2023: 53 · 2022: 40 · 2021: 63 · 2020: 66 · 2019: 65 · 2018: 62 · 2017: 44 · 2016: 57 · 2015: 56 · 2014: 52 · 2013: 56 · 2012: 43
- FWCI
- 9.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- AJOU Open Repository (Ajou University) (submittedVersion)
- Funders
- Korea Institute for Health and Social Affairs
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- waist circumference, abdominal obesity, metabolic syndrome, cut-off values, ethnic specificity, Korean adults, metabolic risk factors, sex differences
- MeSH terms
- Adult, Aged, Aged, 80 and over, Humans, Korea, Lipids, Middle Aged, Obesity, Probability, Risk Factors, Metabolic Syndrome, Body Size
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