Open AccessAssociations between metabolic risk factors and body mass index, waist circumference, waist‐to‐height ratio and waist‐to‐hip ratio in a Chinese rural population
Author(s) -
Guan Xin,
Sun Guozhe,
Zheng Liqiang,
Hu Wenyu,
Li Wenna,
Sun Yingxian
Publication year - 2016
Publication title -
journal of diabetes investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.089
H-Index - 50
eISSN - 2040-1124
pISSN - 2040-1116
DOI - 10.1111/jdi.12442
Subject(s) - waist , medicine , body mass index , circumference , receiver operating characteristic , obesity , metabolic syndrome , waist to height ratio , waist–hip ratio , risk factor , body adiposity index , population , classification of obesity , fat mass , mathematics , environmental health , geometry
Aims/Introduction Obesity plays a central role in metabolic syndrome. Obesity indexes are important in clinical work. In the present study, we sought to determine the relationships between obesity indexes and metabolic risk factors. Materials and Methods We studied 11,568 participants over 35 years. Body mass index, waist circumference ( WC ), waist‐to‐height ratio ( WH tR) and waist‐to‐hip ratio were measured and calculated. To compare the predictive ability of the obesity indexes in diagnosing multiple metabolic risk factors, the areas under receiver operating characteristic curves were calculated, and cut‐off values were determined. A partial correlation coefficient was used to assess the intercorrelations between the obesity indexes, and to evaluate the correlations between each index and each metabolic risk factor. Results The partial correlation coefficient for WH tR and WC was 0.947. In diagnosing multiple metabolic risk factors, the WH tR areas under receiver operating characteristic curves was greater than that for the other obesity indexes in both sexes. The cut‐off point for the WH tR was 0.50 in men and 0.52 in women. The cut‐off point for WC was 85 cm in men and 80 cm in women. Conclusions WH tR strongly correlates with WC . The WH tR might show the same predictive ability as the WC in diagnosing multiple metabolic risk factors.