TITLE

Appropriate Body Mass Index and Waist Circumference Cutoff for Overweight and Central Obesity among Adults in Cambodia

AUTHOR(S)
An, Yom; Yi, Siyan; Fitzpatrick, Annette; Gupta, Vinay; Prak, Piseth Raingsey; Oum, Sophal; LoGerfo, James P.
PUB. DATE
October 2013
SOURCE
PLoS ONE;Oct2013, Vol. 8 Issue 10, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Body mass index (BMI) and waist circumference (WC) are used in risk assessment for the development of non-communicable diseases (NCDs) worldwide. Within a Cambodian population, this study aimed to identify an appropriate BMI and WC cutoff to capture those individuals that are overweight and have an elevated risk of vascular disease. Methodology/Principal Findings: We used nationally representative cross-sectional data from the STEP survey conducted by the Department of Preventive Medicine, Ministry of Health, Cambodia in 2010. In total, 5,015 subjects between age 25 and 64 years were included in the analyses. Chi-square, Fisher’s Exact test and Student t-test, and multiple logistic regression were performed. Of total, 35.6% (n = 1,786) were men, and 64.4% (n = 3,229) were women. Mean age was 43.0 years (SD = 11.2 years) and 43.6 years (SD = 10.9 years) for men and women, respectively. Significant association of subjects with hypertension and hypercholesterolemia was found in those with BMI ≥23.0 kg/m2 and with WC >80.0 cm in both sexes. The Area Under the Curve (AUC) from Receiver Operating Characteristic curves was significantly greater in both sexes (all p-values <0.001) when BMI of 23.0 kg/m2 was used as the cutoff point for overweight compared to that using WHO BMI classification for overweight (BMI ≥25.0 kg/m2) for detecting the three cardiovascular risk factors. Similarly, AUC was also significantly higher in men (p-value <0.001) when using WC of 80.0 cm as the cutoff point for central obesity compared to that recommended by WHO (WC ≥94.0 cm in men). Conclusion: Lower cutoffs for BMI and WC should be used to identify of risks of hypertension, diabetes, and hypercholesterolemia for Cambodian aged between 25 and 64 years.
ACCESSION #
94479680

 

Related Articles

  • Prevalence of obesity and associated cardiovascular risk: the DARIOS study. Javier Félix-Redondo, Francisco; Grau, María; Baena-Díez, José Miguel; Dégano, Irene R.; de León, Antonio Cabrera; Guembe, Maria Jesús; Alzamora, María Teresa; Vega-Alonso, Tomás; Robles, Nicolás R.; Ortiz, Honorato; Rigo, Fernando; Mayoral-Sanchez, Eduardo; Tormo, Maria José; Segura-Fragoso, Antonio; Fernández-Bergés, Daniel // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: To estimate the prevalence of overweight and obesity in the Spanish population as measured with body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR) and to determine the associated cardiovascular risk factors. Methods: Pooled analysis with individual data...

  • Changes in Individual Weight Status Based on Body Mass Index and Waist Circumference in Hong Kong Chinese. Ho, Lai Ming; Wang, Man Ping; Ho, Sai Yin; Lam, Tai Hing // PLoS ONE;Mar2015, Vol. 10 Issue 3, p1 

    Background: Weight change predicted diseases and mortality. We investigate 3-year changes in individual body mass index (BMI) and waist circumference in Hong Kong Chinese adults. Methods: In the Population Health Survey, 7084 adults in 2003 (baseline) were followed up in 2006. Longitudinal...

  • Secular Changes in the Age-Specific Prevalence of Diabetes Among U.S. Adults: 1988-2010. YILING J. CHENG; IMPERATORE, GIUSEPPINA; GEISS, LINDA S.; JING WANG; SAYDAH, SHARON H.; COWIE, CATHERINE C.; GREGG, EDWARD W. // Diabetes Care;Sep2013, Vol. 36 Issue 9, p2690 

    OBJECTIVE--To examine the age-specific changes of prevalence of diabetes among U.S. adults during the past 2 decades. RESEARCH DESIGN AND METHODS This study included 22,586 adults sampled d in three periods of the National Health and Nutrition Examination Survey (1988-1994, 1999-2004, and...

  • Body Fat Indices for Identifying Risk of Hypertension in Indian Children. KAJALE, N. A.; KHADILKAR, A. Y.; CHIPLONKAR, S. A.; KHADILKAR, V. V. // Indian Pediatrics;Jul2014, Vol. 51 Issue 7, p555 

    Background: High adiposity is major riskfactorfor hypertension. Various anthropometric indices are used to assess excess fatness. Objectives: (1) To examine relationship of body mass index (BMI) waist circumference (WC), waist to height ratio (WHtR), triceps skin fold thickness (TSFT) and wrist...

  • Overweight and obesity in UK firefighters. Munir, F.; Clemes, S.; Houdmont, J.; Randall, R. // Occupational Medicine;May2012, Vol. 62 Issue 5, p362 

    Background Obesity among firefighters can present a hindrance to operational effectiveness. In North American studies, 80% of US firefighters are overweight or obese. No studies have explored obesity among firefighters in the UK, and it is unclear whether obesity is a problem among UK...

  • Prevalence of Pre-hypertension and Hypertension in a sample of Egyptian Adults and its Relation to Obesity. Sarry El-Din, Azza Mohamed; Erfan, Moushira; Kandeel, Wafaa A.; Kamal, Sanaa; El-Shafy El Banna, Rokia Abd; Fouad, Walaa A. // Australian Journal of Basic & Applied Sciences;Dec2012, Vol. 6 Issue 13, p481 

    Objective: to study the prevalence of prehypertension and hypertension in Egyptian adults and its relation to obesity. Subjects and Methods: The blood pressure of 5534 Egyptian subjects was measured (2663 females - 2871 males) aged 20 to 75 years old. They represented different geographic...

  • Are rural South African children abdominally obese? Toriola, A. L.; Moselakgomo, V. K.; Shaw, B. S.; Goon, D. T.; Anyanwu, F. C. // Pakistan Journal of Medical Sciences;Jun2013, Vol. 29 Issue 3, p740 

    Objectives: While available data exist on total body fat of rural South African children, as measured by body mass index, little is known concerning the abdominal obesity of rural South African children. The aim of this study was to determine the prevalence of abdominal obesity among rural South...

  • Overweight and obesity among adolescents - A comparative study between government and private schools. Patnaik, Lipilekha; Pattanaik, Sumitra; Sahu, Trilochan; Venkata Rao, E. // Indian Pediatrics;Sep2015, Vol. 52 Issue 9, p779 

    Objective: To compare prevalence of overweight/obesity among adolescent school children of government and private schools. Methods: A school-based cross-sectional study was conducted in 1800 children aged 10-16 years. Body mass index (BMI), Waist circumference (WC), Hip circumference (HC), and...

  • Prevalence, Risk Factors, and Genetic Traits in Metabolically Healthy and Unhealthy Obese Individuals. Berezina, A.; Belyaeva, O.; Berkovich, O.; Baranova, E.; Karonova, T.; Bazhenova, E.; Brovin, D.; Grineva, E.; Shlyakhto, E. // BioMed Research International;10/4/2015, Vol. 2015, p1 

    Objective. To assess prevalence of metabolically healthy individuals among patients with abdominal obesity (AO) and to determine phenotype and potential genetic traits associated with a benign metabolic status. Methods. 503 AO patients without cardiovascular diseases were examined. Waist...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics