Key result
Updated waist circumference criteria correct a ~5% metabolic syndrome overestimation in US Hispanic women.
Why the study?
Various organizations have highlighted the need to examine whether abdominal obesity cut points are appropriate for identifying cardiovascular risk among Hispanic/Latino adults in Western societies.
What are the optimal waist circumference cut points for defining abdominal obesity and cardiovascular risk in U.S. Hispanic/Latino adults?
Population
16,289 Hispanic/Latino adults ages 18–74 years in the U.S
Comparison
Updated abdominal obesity cut points vs current Joint Interim Statement definition
Design
Cross-sectional analysis using receiver operating characteristic curves
Authors
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May warrant higher waist thresholds in U.S. Hispanic/Latino women; leaves open prospective validation for cardiovascular risk prediction.
Observational (n=16,289)
What are the optimal waist circumference cut points for defining abdominal obesity and cardiovascular risk in U.S. Hispanic/Latino adults?
Current JIS waist circumference cut points may overestimate metabolic syndrome prevalence in U.S. Hispanic/Latino women, suggesting a need for a higher cut point (>97 cm).
Chirinos et al. (2020) conducted an observational in Abdominal obesity and cardiovascular risk (n=16,289). Waist circumference cut points vs. Current Joint Interim Statement (JIS) definition was evaluated on Optimal discrimination for cardiovascular risk (presence of coronary heart disease) and metabolic syndrome prevalence. Optimal waist circumference cut points for U.S. Hispanic/Latino adults were >102 cm in men and >97 cm in women, with current JIS criteria overestimating metabolic syndrome prevalence by ~5% in women.
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