Nutrition, Metabolism & Cardiovascular Diseases
Volume 19, Issue 1 , Pages 15-19 , January 2009

Waist circumference cut-off values to predict the incidence of hypertension: An estimation from a Brazilian population-based cohort

  • M. Gus

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • Corresponding Author InformationCorresponding author. Serviço de Cardiologia, Hospital de Clínicas de Porto Alegre, Ramiro Barcelos, 2350, 90.035-903, Porto Alegre, RS, Brazil. Tel./fax: +55 51 2101 8420.
    • ,
  • F. Tremea Cichelero

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • ,
  • C. Medaglia Moreira

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • ,
  • G. Fortes Escobar

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • ,
  • L. Beltrami Moreira

      Affiliations

    • Division of Clinical Pharmacology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • ,
  • M. Wiehe

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil
    • ,
  • S. Costa Fuchs

      Affiliations

    • Department of Social Medicine, Faculdade de Medicina, UFRGS, Brazil
    • ,
  • F. Danni Fuchs

      Affiliations

    • Division of Cardiology, Hospital de Clínicas de Porto Alegre, UFRGS, Brazil

Received 5 September 2007 ,Revised 11 March 2008 ,Accepted 17 March 2008.

References 

  1. Malik S, Wong ND, Franklin SS, Kamath TV, L'Italien GJ, Pio JR, et al. Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and all causes in United States adults. Circulation. 2004;110:1245–1250
  2. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. American Heart Association, National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation. 2005;112:2735–2752
  3. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) . Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation. 2002;106:3143–3421
  4. Balkau B, Charles MA. Comment on the provisional report from the WHO consultation. European Group for the Study of Insulin Resistance (EGIR). Diabet Med. 1999;16:442–443
  5. International Diabetes Federation . Worldwide definitions of the metabolic syndrome. Available from: http://www.idf.org/webdata/docs/MetS_def_update2006.pdf[accessed 02.06.07]
  6. Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ. 1995;311:158–161
  7. Han TS, van Leer EM, Seidell JC, Lean ME. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ. 1995;311:1401–1405
  8. Gus M, Moreira LB, Pimentel M, Gleisener AL, Moraes RS, Fuchs FD. Association of various measurements of obesity and the prevalence of hypertension, Arq Bras Cardiol. 1998;70:111–114
  9. Tan CE, Ma S, Wai D, Chew SK, Tai ES. Can we apply the National Cholesterol Education Program Adult Treatment Panel definition of the metabolic syndrome to Asians?. Diabetes Care. 2004;27:1182–1186
  10. Grievink L, Alberts JF, O'Niel J, Gerstenbluth I. Waist circumference as a measurement of obesity in the Netherlands Antilles; associations with hypertension and diabetes mellitus. Eur J Clin Nutr. 2004;58:1159–1165
  11. Okosun IS, Choi S, Dent MM, Jobin T, Dever GE. Abdominal obesity defined as a larger than expected waist girth is associated with racial/ethnic differences in risk of hypertension. J Hum Hypertens. 2001;15:307–312
  12. Gus M, Fuchs SC, Moreira LB, Moraes RS, Wiehe M, Silva AF, et al. Association between different measurements of obesity and the incidence of hypertension. Am J Hypertens. 2004;17:50–53
  13. Fuchs FD, Gus M, Moreira LB, Moraes RS, Wiehe M, Pereira GM, et al. Anthropometric indices and the incidence of hypertension: a comparative analysis. Obes Res. 2005;13:1515–1517
  14. Moreira LB, Fuchs FD, Moraes RS, Bredemeier M, Duncan BB. Alcohol intake and blood pressure: the importance of time elapsed since last drink. J Hypertens. 1998;16:175–180
  15. Examination Committee of Criteria for ‘Obesity Disease’ in Japan , Japan Society for the Study of Obesity . New criteria for ‘obesity disease’ in Japan. Circ J. 2002;66:987–992
  16. Katzmarzyk PT, Janssen I, Ross R, Church TS, Blair SN. The importance of waist circumference in the definition of metabolic syndrome: prospective analyses of mortality in men. Diabetes Care. 2006;29:404–409
  17. Ford ES, Giles WH. A comparison of the prevalence of the metabolic syndrome using two proposed definitions. Diabetes Care. 2003;26:575–581
  18. Adams RJ, Appleton S, Wilson DH, Taylor AW, Dal Grande E, Chittleborough C, et al. Population comparison of two clinical approaches to the metabolic syndrome: implications of the new International Diabetes Federation consensus definition. Diabetes Care. 2005;28:2777–2779
  19. Cameron AJ, Magliano DJ, Zimmet PZ, Welborn T, Shaw JE. The metabolic syndrome in Australia: prevalence using four definitions. Diabetes Res Clin Pract. 2007;77:471–478
  20. Snehalatha C, Viswanathan V, Ramachandran A. Cut-off values for normal anthropometric variables in Asian Indian adults. Diabetes Care. 2003;26:1380–1384
  21. Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel RL, Nonas C, et al. Association for Weight Management and Obesity Prevention, NAASO, Obesity Society, American Society for Nutrition, American Diabetes Association. Waist circumference and cardiometabolic risk: a consensus statement from shaping America's health: Association for Weight Management and Obesity Prevention; NAASO, the Obesity Society; the American Society for Nutrition; and the American Diabetes Association. Diabetes Care. 2007;30:1647–1652
  22. Alberti KG, Zimmet P, Shaw J. Metabolic syndrome – a new worldwide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006;23:469–480

☆ Supported by grants from: Conselho Nacional de Pesquisa (CNPq) and Fundação de Amparo a Pesquisa do Rio Grande do Sul.

PII: S0939-4753(08)00066-5

doi: 10.1016/j.numecd.2008.03.007

Nutrition, Metabolism & Cardiovascular Diseases
Volume 19, Issue 1 , Pages 15-19 , January 2009

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