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Hayashi et al. (1) reported from cross-sectional data that the optimal cut points of intra-abdominal fat area, waist circumference, and BMI were 96 cm2, 90 cm, and 25 kg/m2, respectively, for Japanese men and 75 cm2, 84 cm, and 23 kg/m2, respectively, for Japanese women, identifying subjects with two or more nonadipose components of the metabolic syndrome (1). They criticized the arbitrary and inconsistent methodology used by the Examination Committee of Criteria for Obesity Disease in Japan to derive the peculiar cut points of waist circumference (85 cm for men and 90 cm for women) …

Minimum Waist and Visceral Fat Values for Identifying Japanese Americans at Risk for the Metabolic Syndrome