Cut-points for Waist Circumference in Europids and South Asians

There is little strong evidence that currently recommended higher waist circumference cut‐points for Europids compared with South Asians are associated with similar risk for type 2 diabetes. This study was designed to provide such evidence. Longitudinal studies over 5 years were conducted among 5,51...

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Bibliographic Details
Published in:Obesity (Silver Spring, Md.) Md.), 2010-10, Vol.18 (10), p.2039-2046
Main Authors: Cameron, Adrian J., Sicree, Richard A., Zimmet, Paul Z., Alberti, K. George M.M., Tonkin, Andrew M., Balkau, Beverley, Tuomilehto, Jaakko, Chitson, Pierrot, Shaw, Jonathan E.
Format: Article
Language:English
Subjects:
Adult
Asian Continental Ancestry Group
Diabetes Mellitus, Type 2 - ethnology
Diabetes Mellitus, Type 2 - etiology
European Continental Ancestry Group
Female
Humans
Incidence
Longitudinal Studies
Male
Middle Aged
Obesity, Abdominal - complications
Obesity, Abdominal - ethnology
Reference Values
Risk Factors
Sex Factors
Waist Circumference - ethnology
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Summary:There is little strong evidence that currently recommended higher waist circumference cut‐points for Europids compared with South Asians are associated with similar risk for type 2 diabetes. This study was designed to provide such evidence. Longitudinal studies over 5 years were conducted among 5,515 Europid and 2,214 ethnically South Asian participants. Age‐standardized diabetes incidence at different levels of waist circumference and incidence difference relative to a reference value were calculated. The Youden Index was used to determine waist circumference cut‐points. At currently recommended cut‐points, estimated annual diabetes incidence for a 50‐year‐old Europid was
ISSN:1930-7381
1930-739X
DOI:10.1038/oby.2009.455