title: Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity.
abstract: OBJECTIVE
  To test the validity of internationally accepted waist circumference (WC) action levels for adult Asian Indians.
  
  
  METHODS
  Analysis of data from multisite cross-sectional epidemiological studies in north India.
  
  
  METHODS
  In all, 2050 adult subjects >18 years of age (883 male and 1167 female subjects).
  
  
  METHODS
  Body mass index (BMI), WC, waist-to-hip circumference ratio, blood pressure, and fasting samples for blood glucose, total cholesterol, serum triglycerides, and high-density lipoprotein cholesterol.
  
  
  RESULTS
  In male subjects, a WC cutoff point of 78 cm (sensitivity 74.3%, specificity 68.0%), and in female subjects, a cutoff point of 72 cm (sensitivity 68.7%, specificity 71.8%) were appropriate in identifying those with at least one cardiovascular risk factor and for identifying those with a BMI >21 kg/m(2). WC levels of > or =90 and > or =80 cm for men and women, respectively, identified high odds ratio for cardiovascular risk factor(s) and BMI level of > or =25 kg/m(2). The current internationally accepted WC cutoff points (102 cm in men and 88 cm in women) showed lower sensitivity and lower correct classification as compared to the WC cutoff points generated in the present study.
  
  
  CONCLUSIONS
  We propose the following WC action levels for adult Asian Indians: action level 1: men, > or =78 cm, women, >/=72 cm; and action level 2: men, > or =90 cm, women, > or =80 cm.
authors.affiliation: Department of Medicine, All India Institute of Medical Sciences, New Delhi. anoopmisra@metabolicresearchindia.com
authors.forename: A
authors.initials: A
authors.lastname: Misra
authors.forename: N K
authors.initials: NK
authors.lastname: Vikram
authors.forename: R
authors.initials: R
authors.lastname: Gupta
authors.forename: R M
authors.initials: RM
authors.lastname: Pandey
authors.forename: J S
authors.initials: JS
authors.lastname: Wasir
authors.forename: V P
authors.initials: VP
authors.lastname: Gupta
mesh_terms: D000005:Abdomen / Q000473:pathology*; D000328:Adult; D000368:Aged; D000886:Anthropometry / Q000379:methods; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000209:etiology; D002784:Cholesterol / Q000097:blood; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000175:diagnosis* / Q000208:ethnology* / Q000473:pathology; D014280:Triglycerides / Q000097:blood; D049629:Waist-Hip Ratio
chemical_list: D001786:Blood Glucose; D014280:Triglycerides; D002784:Cholesterol