Appropriate Waist Circumference Cutoff Values for Persons with Multiple Cardiovascular Risk Factors in Japan : a Large Cross-sectional Study
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概要
- 論文の詳細を見る
Background: In Japan, the current standard waist circumference cutoff value for persons with multiple cardiovascular risk factors remains controversial. In this study we aimed to analyze the health-check examination data from a large Japanese population and propose a revised waist circumference cutoff value.Methods: Subjects of this study were 12,725 adults who underwent a health-check by thorough medical examination between April 2006 and March 2007. Medical examinations included measurement of waist circumference, fasting blood triglycerides, HDL cholesterol, glucose concentrations, blood pressure and collection of demographic characteristics. Receiver operating characteristic (ROC) curve analysis was utilized to find appropriate waist circumference cutoff values in relation to multiple cardiovascular risk factors with two or more of the following: dyslipidemia (hypertriglyceridemia or low HDL cholesterol), hypertension, and hyperglycemia defined by the Japanese criteria of metabolic syndrome.Results: The average age of the subjects was 50.7 years (standard deviation [SD]: 8.8) for men and 49.7 years (SD: 8.6) for women. ROC curve analysis showed maximum sensitivity plus specificity at a waist circumference of 87 cm in men (0.66 and 0.62, respectively) and 83 cm in women (0.73 and 0.70). When analyzed by ten-year age groups, the ROC curves for younger age groups were shifted up and to the left compared to older age groups, but associations between cutoff values and age were not clear.Conclusion: In Japan, the appropriate cutoff value of waist circumference for persons with multiple cardiovascular risk factors is 87cm for men and 83 cm for women.
- 日本疫学会の論文
- 2008-01-01
著者
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Kato Kiminori
Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences
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NAKAMURA Kazutoshi
Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Denta
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Kato Kiminori
Health Care Center Niigata Medical Association For Labor Health
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Narisawa Sachiko
Department of Nursing, School of Health Sciences, Niigata University
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YAMADA Kazumi
Plaka Health Care Center, Niigata Medical Association for Labor Health
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SASAKI Juei
Plaka Health Care Center, Niigata Medical Association for Labor Health
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YAMAMOTO Masaharu
Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Denta
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Yamada Kazumi
Plaka Health Care Center Niigata Medical Association For Labor Health
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Yamamoto Masaharu
Department Of Community Preventive Medicine Niigata University Graduate School Of Medical And Dental
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Nakamura Kazutoshi
Division Of Social And Environmental Medicine Department Of Community Preventive Medicine Niigata Un
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Nakamura Kazutoshi
The Reserch Institute Of Electrical Communication Tohoku University
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Nakamura Kazutoshi
Division Of Social And Environmental Medicine Department Of Community Preventive Medicine Graduate S
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Nakamura Kazutoshi
Department Of Community Preventive Medicine Graduate School Of Medical And Dental Sciences Niigata U
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Sasaki Juei
Plaka Health Care Center Niigata Medical Association For Labor Health
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Narisawa Sachiko
Department Of Nursing School Of Health Sciences Niigata University
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Yamamoto Masaharu
Department Of Community Preventive Medicine Niigata University Graduate School Of Medical And Dental
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Yamamoto Masaharu
Department Of Community Preventive Medicine Graduate School Of Medical And Dental Sciences Niigata U
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Yamamoto Masaharu
Department Community Preventive Medicine Niigata University Graduate School Of Medical And Dental Sc
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Kato Kiminori
Division of Cardiology, Niigata Graduate School of Medical and Dental Sciences
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