A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys

C. J. Dobbelsteyn; M. R. Joffres; D. R. MacLean; G. Flowerdew; Christopher Balram; Lynne Blair; David Butler-Jones; Roy Cameron; Ruth Collins-Nakai; Philip W. Connelly; Catherine Donovan; Alison C. Edwards; Kevin Hogan; Ron Dyck; Dale Gelskey; Sharon Macdonald; Richard Lessard; Ella MacLeod; Mukund Nargundkar; Brian Ao’connor; Gilles Paradis; Andres Petrasovits; Areeder Petrasovits; Richard Schabas; Sylvie Stachenko; Lamont Sweet; Rosemary White

doi:10.1038/sj.ijo.0801582

A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys

C. J. Dobbelsteyn, M. R. Joffres, D. R. MacLean, G. Flowerdew, Christopher Balram, Lynne Blair, David Butler-Jones, Roy Cameron, Ruth Collins-Nakai, Philip W. Connelly, Catherine Donovan, Alison C. Edwards, Kevin Hogan, Ron Dyck, Dale Gelskey, Sharon Macdonald, Richard Lessard, Ella MacLeod, Mukund Nargundkar, Brian Ao’connorGilles Paradis, Andres Petrasovits, Areeder Petrasovits, Richard Schabas, Sylvie Stachenko, Lamont Sweet, Rosemary White

Medicine

Résultat de recherche: Article › examen par les pairs

406 Citations (Scopus)

Résumé

OBJECTIVE: To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors. DESIGN: Population-based, cross-sectional surveys. SUBJECTS: A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces. MEASUREMENTS: Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values. RESULTS: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of ≥90 cm in men and ≥80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations. CONCLUSION: Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.

Langue d'origine	English
Pages (de-à)	652-661
Nombre de pages	10
Journal	International Journal of Obesity
Volume	25
Numéro de publication	5
DOI	https://doi.org/10.1038/sj.ijo.0801582
Statut de publication	Published - 2001

Note bibliographique

Funding Information:
We wish to acknowledge other members of the Canadian Heart Health Research Group: Dr Christopher Balram from the Department of Health and Community Services, Fredericton NB; Lynne Blair from the BC Ministry of Health, Victoria; Dr David Butler-Jones from Saskatchewan Health, Regina, Saskatchewan; Dr Roy Cameron from the University of Waterloo, Waterloo; Dr Ruth Collins-Nakai from the University of Alberta, Edmonton; Dr Philip W Connelly from St Michael's Hospital and University of Toronto, Toronto; Dr Catherine Donovan, Alison C Edwards and Dr Kevin Hogan, from Memorial University of Newfoundland, St John's; Dr Ron Dyck from Alberta Health, Edmonton; Dale Gelskey and Dr Sharon Macdonald from the University of Manitoba, Winnipeg; Dr Richard Lessard from Public Health Directorate, Montreal; Ella MacLeod from the Prince Edward Island Heart Health Program, Charlottetown; Mukund Nar-gundkar from Satistics Canada, Ottawa; Dr Brian A O'Connor from the University of British Columbia, Vancouver; Dr Gilles Paradis from McGill University, Montreal; Dr Andres Petrasovits from the Cardiovascular Disease Prevention Unit, Health and Welfare Canada, Ottawa; Dr Bruce A Reeder from the University of Saskatchewan, Saskatoon; Dr Richard Schabas from the Ontario Ministry of Health; Dr Sylvie Stachenko from Health Canada, Ottawa; Dr Lamont Sweet from the PEI Department of Health and Social Services, Charlottetown; and Rosemary White from the Heart and Stroke Foundation of PEI, Charlottetown.

ASJC Scopus Subject Areas

Medicine (miscellaneous)
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

ODD de l’ONU

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10.1038/sj.ijo.0801582

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Dobbelsteyn, C. J., Joffres, M. R., MacLean, D. R., Flowerdew, G., Balram, C., Blair, L., Butler-Jones, D., Cameron, R., Collins-Nakai, R., Connelly, P. W., Donovan, C., Edwards, A. C., Hogan, K., Dyck, R., Gelskey, D., Macdonald, S., Lessard, R., MacLeod, E., Nargundkar, M., ... White, R. (2001). A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys. International Journal of Obesity, 25(5), 652-661. https://doi.org/10.1038/sj.ijo.0801582

Dobbelsteyn, CJ, Joffres, MR, MacLean, DR, Flowerdew, G, Balram, C, Blair, L, Butler-Jones, D, Cameron, R, Collins-Nakai, R, Connelly, PW, Donovan, C, Edwards, AC, Hogan, K, Dyck, R, Gelskey, D, Macdonald, S, Lessard, R, MacLeod, E, Nargundkar, M, Ao’connor, B, Paradis, G, Petrasovits, A, Petrasovits, A, Schabas, R, Stachenko, S, Sweet, L & White, R 2001, 'A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys', International Journal of Obesity, vol. 25, n° 5, pp. 652-661. https://doi.org/10.1038/sj.ijo.0801582

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title = "A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys",

abstract = "OBJECTIVE: To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors. DESIGN: Population-based, cross-sectional surveys. SUBJECTS: A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces. MEASUREMENTS: Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values. RESULTS: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of ≥90 cm in men and ≥80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations. CONCLUSION: Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.",

author = "Dobbelsteyn, {C. J.} and Joffres, {M. R.} and MacLean, {D. R.} and G. Flowerdew and Christopher Balram and Lynne Blair and David Butler-Jones and Roy Cameron and Ruth Collins-Nakai and Connelly, {Philip W.} and Catherine Donovan and Edwards, {Alison C.} and Kevin Hogan and Ron Dyck and Dale Gelskey and Sharon Macdonald and Richard Lessard and Ella MacLeod and Mukund Nargundkar and Brian Ao{\textquoteright}connor and Gilles Paradis and Andres Petrasovits and Areeder Petrasovits and Richard Schabas and Sylvie Stachenko and Lamont Sweet and Rosemary White",

note = "Funding Information: We wish to acknowledge other members of the Canadian Heart Health Research Group: Dr Christopher Balram from the Department of Health and Community Services, Fredericton NB; Lynne Blair from the BC Ministry of Health, Victoria; Dr David Butler-Jones from Saskatchewan Health, Regina, Saskatchewan; Dr Roy Cameron from the University of Waterloo, Waterloo; Dr Ruth Collins-Nakai from the University of Alberta, Edmonton; Dr Philip W Connelly from St Michael's Hospital and University of Toronto, Toronto; Dr Catherine Donovan, Alison C Edwards and Dr Kevin Hogan, from Memorial University of Newfoundland, St John's; Dr Ron Dyck from Alberta Health, Edmonton; Dale Gelskey and Dr Sharon Macdonald from the University of Manitoba, Winnipeg; Dr Richard Lessard from Public Health Directorate, Montreal; Ella MacLeod from the Prince Edward Island Heart Health Program, Charlottetown; Mukund Nar-gundkar from Satistics Canada, Ottawa; Dr Brian A O'Connor from the University of British Columbia, Vancouver; Dr Gilles Paradis from McGill University, Montreal; Dr Andres Petrasovits from the Cardiovascular Disease Prevention Unit, Health and Welfare Canada, Ottawa; Dr Bruce A Reeder from the University of Saskatchewan, Saskatoon; Dr Richard Schabas from the Ontario Ministry of Health; Dr Sylvie Stachenko from Health Canada, Ottawa; Dr Lamont Sweet from the PEI Department of Health and Social Services, Charlottetown; and Rosemary White from the Heart and Stroke Foundation of PEI, Charlottetown.",

year = "2001",

doi = "10.1038/sj.ijo.0801582",

language = "English",

volume = "25",

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T1 - A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys

AU - Dobbelsteyn, C. J.

AU - Joffres, M. R.

AU - MacLean, D. R.

AU - Flowerdew, G.

AU - Balram, Christopher

AU - Blair, Lynne

AU - Butler-Jones, David

AU - Cameron, Roy

AU - Collins-Nakai, Ruth

AU - Connelly, Philip W.

AU - Donovan, Catherine

AU - Edwards, Alison C.

AU - Hogan, Kevin

AU - Dyck, Ron

AU - Gelskey, Dale

AU - Macdonald, Sharon

AU - Lessard, Richard

AU - MacLeod, Ella

AU - Nargundkar, Mukund

AU - Ao’connor, Brian

AU - Paradis, Gilles

AU - Petrasovits, Andres

AU - Petrasovits, Areeder

AU - Schabas, Richard

AU - Stachenko, Sylvie

AU - Sweet, Lamont

AU - White, Rosemary

N1 - Funding Information: We wish to acknowledge other members of the Canadian Heart Health Research Group: Dr Christopher Balram from the Department of Health and Community Services, Fredericton NB; Lynne Blair from the BC Ministry of Health, Victoria; Dr David Butler-Jones from Saskatchewan Health, Regina, Saskatchewan; Dr Roy Cameron from the University of Waterloo, Waterloo; Dr Ruth Collins-Nakai from the University of Alberta, Edmonton; Dr Philip W Connelly from St Michael's Hospital and University of Toronto, Toronto; Dr Catherine Donovan, Alison C Edwards and Dr Kevin Hogan, from Memorial University of Newfoundland, St John's; Dr Ron Dyck from Alberta Health, Edmonton; Dale Gelskey and Dr Sharon Macdonald from the University of Manitoba, Winnipeg; Dr Richard Lessard from Public Health Directorate, Montreal; Ella MacLeod from the Prince Edward Island Heart Health Program, Charlottetown; Mukund Nar-gundkar from Satistics Canada, Ottawa; Dr Brian A O'Connor from the University of British Columbia, Vancouver; Dr Gilles Paradis from McGill University, Montreal; Dr Andres Petrasovits from the Cardiovascular Disease Prevention Unit, Health and Welfare Canada, Ottawa; Dr Bruce A Reeder from the University of Saskatchewan, Saskatoon; Dr Richard Schabas from the Ontario Ministry of Health; Dr Sylvie Stachenko from Health Canada, Ottawa; Dr Lamont Sweet from the PEI Department of Health and Social Services, Charlottetown; and Rosemary White from the Heart and Stroke Foundation of PEI, Charlottetown.

PY - 2001

Y1 - 2001

N2 - OBJECTIVE: To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors. DESIGN: Population-based, cross-sectional surveys. SUBJECTS: A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces. MEASUREMENTS: Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values. RESULTS: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of ≥90 cm in men and ≥80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations. CONCLUSION: Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.

AB - OBJECTIVE: To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors. DESIGN: Population-based, cross-sectional surveys. SUBJECTS: A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces. MEASUREMENTS: Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values. RESULTS: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of ≥90 cm in men and ≥80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations. CONCLUSION: Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.

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A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys

Résumé

Note bibliographique

ASJC Scopus Subject Areas

ODD de l’ONU

Accès au document

Autres fichiers et liens

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