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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/27885


    標題: Measurement of Waist Circumference
    作者: Ma, Wen-Ya
    Yang, Chung-Yi
    Shih, Shyang-Rong
    Hsieh, Hong-Jen
    Hung, Chi Sheng
    Chiu, Fu-Chun
    Lin, Mao-Shin
    Liu, Pi-Hua
    Hua, Cyue-Huei
    Hsein, Yenh-Chen
    Chuang, Lee-Ming
    Un, Jou-Wei
    Wei, Jung-Nan
    Li, Hung-Yuan
    貢獻者: 職業安全衛生系
    關鍵字: Simple Anthropometric Indexes
    Body-Fat Distribution
    Dependent Diabetes-Mellitus
    Cardiovascular Risk-Factors
    Metabolic Syndrome
    Adipose-Tissue
    Abdominal Obesity
    Measurement Site
    Scientific Statement
    Population
    日期: 2013-06
    上傳時間: 2014-05-26 10:47:37 (UTC+8)
    出版者: Amer Diabetes Assoc
    摘要: OBJECTIVE-Waist circumference (WC) is used to define central obesity. This study aimed to compare the performance of two recommended locations of WC measurement.RESEARCH DESIGN AND METHODS-A cohort of 1,898 subjects who were without diabetes from 2006 to 2012 were followed for a median of 31 months (Taiwan Lifestyle Study). The WC-IC, recommended by the National Cholesterol Education Program Third Adult Treatment Panel, was measured at the superior border of the iliac crest, and the WC-mid, recommended by World Health Organization and International Diabetes Federation, was measured midway between the lowest ribs and the iliac crest. The abdominal subcutaneous fat area (SFA) and visceral fat area (VFA) were assessed by computed tomography.RESULTS-There was greater difference between WC-IC and WC-mid measurements in women than in men (P < 0.001). Both WC-IC and WC-mid correlated significantly with BMI, VFA, and SFA (all P < 0.001). WC-mid was better correlated to VFA than WC-IC, particularly in women, and it correlated more strongly to blood pressure, plasma glucose, hemoglobin triglyceride levels, HDL cholesterol, and C-reactive protein (all P < 0.05). The association of WC-mid with hypertension, diabetes, and metabolic syndrome was slightly better than that of WC-IC (area under the receiver operator curve 0.7 vs. 0.69, 0.71 vs. 0.68, and 0.75 vs. 0.7, respectively; all age-adjusted P < 0.05). With 90 cm (male)180 cm (female) as criteria for central obesity, WC-mid, but not WC-IC, predicted the incidence of diabetes development (age-adjusted P = 0.003).CONCLUSIONS-WC-mid is a better measurement to define central obesity than WC-IC, particularly in women.
    關聯: Diabetes Care, v.36 n.6, pp.1660-1666
    Appears in Collections:[職業安全衛生系(含防災所)] 期刊論文

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