The optimal cutoff value of waist-to-height ratio in Chinese: based on cardiovascular risk and metabolic disease

• Published in: Chung-hua nei kʿo tsa chih Vol. 56; no. 11; p. 822
• Main Authors: Jia, A H, Xu, S Y, Ming, J, Zhou, J, Zhang, W C, Hao, P R, Ji, Q H
• Format: Journal Article
• Language: Chinese
• Published: China 01-11-2017
• Subjects: Adult; Aged; Asian Continental Ancestry Group; Body Mass Index; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - ethnology; China; Diabetes Mellitus - ethnology; Female; Humans; Male; Metabolic Diseases; Metabolic Syndrome - diagnosis; Metabolic Syndrome - ethnology; Middle Aged; Obesity - diagnosis; Obesity - ethnology; Risk Factors; ROC Curve; Waist Circumference; Waist-Height Ratio; Metabolic syndrome; Framingham risk score; Waist-to-height ratio
• ISSN: 0578-1426
• DOI: 10.3760/cma.j.issn.0578-1426.2017.11.009

Waist-to-height ratio (WHtR), a measurement of the distribution of body fat, correlated with abdominal obesity indicating that it might be a better predictor of cardiovascular risk and metabolic disease. We, therefore, evaluated optimal WHtR cutoff points according to the risk of framingham risk score (FRS) and metabolic syndrome (MS) in Chinese.
The subjects were from China National Diabetes and Metabolic Disorders Survey during 2007-2008. Receiver operating characteristic analysis was used to examine the optimal cutoff values of WHtR according to the risk of FRS and MS.
A total of 27 820 women and 18 419 men were included in the evaluation. The average age was (45.0±13.7) years. The proportions of FRS ≥10% and MS increased with WHtR both in men and women. The cutoff points of WHtR for the risk of FRS ≥10% and MS were 0.51, 0.52 in men, and 0.52, 0.53 in women, respectively. When FRS ≥10% and MS were taken into consideration with a certain weights, the pooled cutoffs of WHtR were 0.51 in men, and 0.53 in wom