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August 16, 2011BMC Cardiovascular DisordersOpen Access

Cut off values of waist circumference & associated cardiovascular risk in egyptians

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Key result

Optimal waist circumference cutoff points for abdominal obesity in Egyptians were identified as 93.5 cm for men and 91.5-92.5 cm for women, revealing a 50% prevalence of abdominal obesity.

Population

2,313 Egyptian adults above the age of 25 years from 21 sampling locations in six governorates.

Design

Cross-sectional

Authors

MIM. Mohsen IbrahimAin Shams UniversityAEAhmed A. ElamragyCairo UniversityHGHanan Girgis

Discussion

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Implication

May inform local obesity screening in Egyptians; leaves open prospective validation against cardiovascular outcomes.

Study Design

Type

Cross-Sectional (n=2,313)

Multicenter

Yes

Structured PICO

P
Population
2,313 Egyptian adults aged 25 to 90 years, including normotensive and hypertensive individuals, evaluated to determine population-specific waist circumference cutoff points for abdominal obesity.
O
Outcome
Waist circumference cutoff points diagnostic of abdominal obesity based on association with cardiometabolic risk factors (low HDL-C, high LDL-C, high TG, diabetes, and LVH)surrogate

Population-specific waist circumference cutoff points for Egyptians (93.5 cm for men, 91.5-92.5 cm for women) differ from European standards and reveal a 50% prevalence of abdominal obesity.

Limitations

  • Cross-sectional nature precludes definite causal inference about the association between waist circumference and risk factors.
  • Data are limited to the Egyptian population and may not represent the cutoff values required for other Middle Eastern countries.
  • Discriminatory power of ROC analysis was relatively weak, with modest sensitivity and specificity.
  • Lack of direct measures of body fatness or fat distribution.
  • Cross-sectional nature precludes definite causal inference about the association between WC and risk factors
  • Data limited to the Egyptian population and may not represent other Middle Eastern countries
  • Discriminatory power (AUC) was relatively weak
  • No direct measures of body fatness or fat distribution

Cite This Study

Ibrahim et al. (2011) conducted a cross-sectional in Abdominal obesity and cardiovascular risk (n=2,313). Waist circumference was evaluated on Waist circumference cutoff points diagnostic of abdominal obesity based on cardiometabolic risk factors. Optimal waist circumference cutoff points for abdominal obesity in Egyptians were identified as 93.5 cm for men and 91.5-92.5 cm for women, revealing a 50% prevalence of abdominal obesity.

synapsesocial.com/papers/6a8967c31fe1bad943eb22f4https://doi.org/10.1186/1471-2261-11-53

Topics

Women and heart disease
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