Waist Circumference Cutoff Points to Predict Obesity, Metabolic Syndrome, and Cardiovascular Risk in Turkish Adults
Open accessAbstract
Objective. The waist circumference (WC) cutoff levels defined for the Caucasian people may not be representative for different ethnic groups. We determined sex specific WC cutoff points to predict obesity, metabolic syndrome, and cardiovascular risk in Turkish adults.Design and Methods. The demographic characteristics of 1898 adult males and 2308 nonpregnant females from 24 provinces of 7 different regions of Turkey (mean age 47 ± 14 yrs) were evaluated.Results. The WC levels of 90 cm and 100 cm define overweight and obese males while the levels of 80 cm and 90 cm define overweight and obese females. With these cutoff values, 239 additional males (12.6%) are diagnosed as overweight and 148 additional males (7.8%) as obese. Instead, 120 females (5.1%) are free of being labeled as obese.Conclusions. This is the first nationwide study to show the action levels of WC for overweight and obese Turkish adults. The ideal cutoff levels of WC to predict metabolic syndrome are 90 cm and 80 cm for Turkish adult men and women, respectively. These values are easy to implement and suggested to be used by the physicians dealing with cardiometabolic disorders in Turkey.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Waist circumference is closely correlated with body mass index.
“WC is not only closely correlated with BMI [6]”
From Fully automated waist circumference measurement on abdominal CT: Comparison with manual measurements and potential value for identifying overweight and obesity as an adjunct output of CT scan (2021) · cites this paper as [6]
The Methods and Results describe waist-circumference cutoffs used to predict overweight and obesity, supporting a relationship with BMI-based categories. Our copy does not report a correlation between continuous WC and BMI values or establish how close that correlation is, so it does not fully support “closely correlated.” (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Alberti, K. G. M. M., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., Fruchart, J.-C., James, W. P. T., Loria, C. M., & Smith, S. C. (2009) · Circulation · doi:10.1161/circulationaha.109.192644 · Cited by 14,860 · see citing works
(2000) · PubMed · Cited by 13,173 · see citing works
Obesity : Preventing and managing the global epidemic
Akram, D. S., Astrup, A. V., Atinmo, T., Boissin, J.-L., Bray, G. A., Carroll, K. N., Chitson, P., Chen, C., Dietz, W. H., Hill, J. O., et al. (2000) · Research at the University of Copenhagen (University of Copenhagen) · Cited by 12,945 · see citing works
Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., Gordon, D. J., Krauss, R. M., Savage, P. J., Smith, S. C., et al. (2005) · Circulation · doi:10.1161/circulationaha.105.169404 · Cited by 11,961 · see citing works
Adipose Tissue as an Endocrine Organ
Kershaw, E. E., & Flier, J. S. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-0395 · Cited by 5,522 · see citing works
Global Burden of Cardiovascular Diseases
Yusuf, S., Reddy, S., Ôunpuu, S., & Anand, S. S. (2001) · Circulation · doi:10.1161/hc4601.099487 · Cited by 2,979 · see citing works
Pouliot, M.-C., Despres, J., Lemieux, S., Moorjani, S., Bouchard, C., Tremblay, A., Nadeau, A., & Lupien, P. (1994) · American Journal of Cardiology · doi:10.1016/0002-9149(94)90676-9 · Cited by 2,238 · see citing works
Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old
Adams, K. F., Schatzkin, A. G., Harris, T. B., Kipnis, V., Mouw, T., Ballard-Barbash, R. R., Hollenbeck, A. R., & Leitzmann, M. F. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa055643 · Cited by 2,115 · 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
Yusuf, S., Reddy, S., Ôunpuu, S., & Anand, S. (2001) · Circulation · doi:10.1161/hc4701.099488 · Cited by 1,141 · see citing works
Han, T. S., Leer, E. M. V., Seidell, J. C., & Lean, M. E. J. (1995) · BMJ · doi:10.1136/bmj.311.7017.1401 · Cited by 974 · see citing works
Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults
Satman, İ., Ömer, B., Tütüncü, Y., Kalaça, S., Gedik, S., Dınççağ, N., Karşıdağ, K., Genç, S., Telci, A., Canbaz, B., et al. (2013) · European Journal of Epidemiology · doi:10.1007/s10654-013-9771-5 · Cited by 788 · see citing works
Obesity prevalence from a European perspective: a systematic review
Berghöfer, A., Pischon, T., Reinhold, T., Apovian, C. M., Sharma, A. M., & Willich, S. N. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-200 · Cited by 729 · see citing works
Visceral Fat, Waist Circumference, and BMI: Impact of Race/ethnicity
Carroll, J. F., Chiapa, A. L., Rodriquez, M., Phelps, D. R., Cardarelli, K., Vishwanatha, J. K., Bae, S., & Cardarelli, R. (2008) · Obesity · doi:10.1038/oby.2007.92 · Cited by 362 · see citing works
Measures of abdominal obesity assessed for visceral adiposity and relation to coronary risk
Onat, A., Avcı, G. Ş., Barlan, M. M., Uyarel, H., Uzunlar, B. ⁄. L., & Sansoy, V. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802695 · Cited by 339 · see citing works
Nasreddine, L., Naja, F., Chamieh, M. C., Adra, N., Sibai, A. M., & Hwalla, N. C. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-798 · Cited by 178 · see citing works
Race-Dependent Health Risks of Upper Body Obesity
Dowling, H. J., & Pi-Sunyer, F. (1993) · Diabetes · doi:10.2337/diab.42.4.537 · Cited by 167 · see citing works
Pasco, J. A., Nicholson, G. C., Brennan-Olsen, S. L., & Kotowicz, M. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0029580 · Cited by 161 · see citing works
Onat, A., Uyarel, H., Hergenç, G., Karabulut, A., Albayrak, S., & Can, G. (2006) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2006.03.012 · Cited by 143 · see citing works
Gündoğan, K., Bayram, F., Gedik, V. T., Kaya, A., Karaman, A., Demir, Ö., Sabuncu, T., Koçer, D., & Coskun, R. (2013) · Archives of Medical Science · doi:10.5114/aoms.2013.34560 · Cited by 104 · see citing works
Self-citationAll-cause mortality risk of metabolically healthy abdominal obese individuals: The EPIC-MORGEN study
van der A, D. L., Nooyens, A. C. J., van Duijnhoven, F. J. B., Verschuren, W. M. M., & Boer, J. M. A. (2013) · Obesity · doi:10.1002/oby.20480 · Cited by 74 · 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
Onat, A., Sarı, İ., Hergenç, G., Yazıcı, M., Uyarel, H., Can, G., & Sansoy, V. (2007) · Metabolism · doi:10.1016/j.metabol.2006.10.016 · Cited by 54 · see citing works
Uzunlulu, M., Oğuz, A., Aslan, G., & Karadağ, F. (2009) · PubMed · Cited by 8 · see citing works
The alarm and action levels of waist circumference in overweight and obese Turkish women
Tanyolaç, S., Çıkım, A. S., Azezli, A., & Orhan, Y. (2007) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2007.10.001 · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
New non-invasive method for early detection of metabolic syndrome in the working population
Romero‐Saldaña, M., Fuentes, F. J., Abellán, M. V., Álvarez-Fernández, C., Molina‐Recio, G., & López‐Miranda, J. (2016) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515115626622 · Cited by 31 · see citing works
Güçlü, M., Ali, A., Eroglu, D. U., Oral, S., Cander, S., & Ocak, N. (2015) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2015.0078 · Cited by 20 · see citing works
Joo, 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
Aalipanah, E., Askarpour, M., Eskandari, M. H., Zare, M., Famouri, M., Bedeltavana, A., Mohsenpour, M. A., & Sohrabi, Z. (2025) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2025.05.045 · Cited by 19 · see citing works
Işgın‐Atıcı, K., Alsulami, S., Turan-Demirci, B., Surendran, S., Şendur, S. N., Lay, İ., Karabulut, E., Ellahi, B., Lovegrove, J. A., Alikaşifoğlu, M., et al. (2020) · International Journal of Food Sciences and Nutrition · doi:10.1080/09637486.2020.1802580 · Cited by 18 · see citing works
Obesity Does not Compromise Ovarian Reserve Markers in Infertile Women
Görkem, Ü., Küçükler, F. K., Toğrul, C., & Gülen, Ş. (2019) · Geburtshilfe und Frauenheilkunde · doi:10.1055/a-0650-4723 · Cited by 16 · see citing works
Gezer, H. H., Gürsoy, D. E., Kasman, S. A., & Duruöz, M. T. (2022) · Rheumatology International · doi:10.1007/s00296-022-05110-7 · Cited by 11 · see citing works
Dillon, K. N., Shariffi, B., Gillum, T., Boyer, W. R., Sullivan, S., & Kim, J.-K. (2021) · European Journal of Sport Science · doi:10.1080/17461391.2021.1923815 · Cited by 7 · see citing works
Göksoy, B., & Kıyak, M. (2021) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365521.2021.1941238 · Cited by 7 · see citing works
Bayram, F., Demir, Ö., Sabuncu, T., Eren, M. A., GEDİK, A. V., Çorapçıoğlu, D., & Kaya, A. (2021) · Endocrinology research and practice. · doi:10.25179/tjem.2020-78532 · Cited by 5 · see citing works
Self-citationFactors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity
Göksoy, B., Kıyak, M., Karadağ, M., Yılmaz, G., & Azamat, İ. F. (2021) · Cureus · doi:10.7759/cureus.15356 · Cited by 5 · see citing works
Evaluation of Body Composition and Biochemical Parameters in Adult Phenylketonuria
Balcı, M. C., Karaca, M., Güneş, D., Korbeyli, H. K., Selamioğlu, A., & Gökçay, G. (2024) · Nutrients · doi:10.3390/nu16193355 · Cited by 4 · see citing works
Kilavuz, A., Çelikhisar, H., & İlkhan, G. D. (2021) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2021.0066 · Cited by 4 · see citing works
Relationship between Weight Pre-Pregnancy and Weight Gain during Pregnancy with Preterm Birth
Dönmez, S., & Güner, Ö. (2017) · Journal of Nutrition and Health Sciences · doi:10.15744/2393-9060.4.207 · Cited by 3 · see citing works
Waist circumference cutoff points for predicting metabolic abnormalities in Lebanese adults
Yamout, R., Ammar, W., Tabbara, J., Fares, S. A., Assi, M., & Sibai, A. M. (2019) · Archives of Medical Science - Civilization Diseases · doi:10.5114/amscd.2019.86814 · Cited by 3 · see citing works
Duran, S., Durmuşçelebi, E., YALÇIN, M., Karmil, G., & Radonciq, A. (2019) · Eurasian Journal of Family Medicine · doi:10.33880/ejfm.2019080204 · Cited by 2 · see citing works
Gezer, C., & Bakırezen, M. M. (2021) · Cyprus Journal of Medical Sciences · doi:10.5152/cjms.2021.3231 · Cited by 2 · see citing works
Balcı, M. C., Karaca, M., Yesil, A., Selamioğlu, A., Korbeyli, H. K., Durmuş, A., Ak, B., Kozanoğlu, T., Hacıoğlu, İ., & Gökçay, G. (2023) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem-2023-0325 · Cited by 2 · see citing works
Metabolik Sendromla Mücadelede Biyoaktif Gıda Bileşenlerinin Etkileri
Şatır, G. (2018) · Akademik Gıda · doi:10.24323/akademik-gida.449624 · Cited by 1 · see citing works
A Simple Scale That Can Be Used to Screen Visceral Obesity
Bahşi, R., Üstüner, E., Atmış, V., Coşarderelioğlu, Ç., Sürmeli, D. M., Turgut, T., Öztorun, H. S., Yalçın, A., Varlı, M., & Aras, S. (2023) · Topics in Clinical Nutrition · doi:10.1097/tin.0000000000000339 · Cited by 1 · see citing works
Aydın, G., Kendal, K., & Sürenkök, Ö. (2026) · Sport Sciences for Health · doi:10.1007/s11332-025-01591-8 · Cited by 1 · see citing works
Malnutrición e inadecuados hábitos de alimentación en bomberos de Panamá
Burgos, A., Ortega, I., Fontes, F., Valdés, V., Camaño-Cacó, E., & Ríos-Castillo, I. (2023) · Revista chilena de nutrición · doi:10.4067/s0717-75182023000400413 · Cited by 1 · see citing works
Management of Resistant Hyperthyroidism Following Obesity Surgery
Çelik, M., & Sezer, A. (2018) · Springer eBooks · doi:10.1007/978-3-319-78476-2_3
Obezite ve Tipinin Endometrial Kalınlık ve Endometrial Patolojiler ile İlişkisinin Değerlendirilmesi
ÇAKIR, A. T., & Sucu, S. (2020) · Turkish Journal of Diabetes and Obesity · doi:10.25048/tudod.771481
Ajeen, R., Voloshchuk, R. S., Borja, J. B., & Adair, L. S. (2025) · medRxiv · doi:10.1101/2025.08.01.25332625
Yu, Q., Huang, S., Chen, Z., Zhu, J., Tan, Y., & Chen, X. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07083-9
Karataş, H., Değer, Ü., Sogutlugil, S., Gündoğdu, A., Tazegül, G., & Fak, A. S. (2026) · Medicine · doi:10.1097/md.0000000000049866
Ekşi, O., Atay, K., Eşkazan, T., Abishov, E., Canbakan, M., & Canbakan, B. (2026) · Medicina · doi:10.3390/medicina62081527
Johnson, E. C. (2014) · OpenCommons at University of Connecticut (University of Connecticut)
- Authors
- Sonmez, A., Bayram, F., Barcin, C., Ozsan, M., Kaya, A., & Gedik, V.
- Affiliations
- Department of Endocrinology and Metabolism, School of Medicine, Gulhane Military Medical Academy, 06018 Etlik Ankara, Turkey
- Department of Endocrinology and Metabolism, School of Medicine, Erciyes University, Talas, 38039 Kayseri, Turkey
- Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, 06018 Etlik Ankara, Turkey
- Department of Endocrinology and Metabolism, Nigde State Hospital, 51100 Nigde, Turkey
- Necmettin Erbakan University (TR)
- Ankara University (TR)
- Venue
- International Journal of Endocrinology
- Publisher
- Wiley
- Published
- 2013
- Volume
- 2013
- Pages
- 1-7
- ISSN
- 1687-8337 (ISSN-L)
- 1687-8345
- PMC
- PMC3863488
- OpenAlex
- W2113166913
- Cited by
- 30
- References
- 25
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Niğde Üniversitesi Açık Erişim Sistemi (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Society of Endocrinology and Metabolism of Turkey
- 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, cut-off values, obesity, metabolic syndrome, cardiovascular risk, sex differences, ethnic differences, Turkish adults, overweight, cardiometabolic disease
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review