title: Optimal cut-points for body mass index, waist circumference and waist-to-hip ratio using the Framingham coronary heart disease risk score in an Arab population of the Middle East.
abstract: We aimed to determine the gender-specific optimal cut-points for body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) associated with risk of cardiovascular disease, using Framingham risk score and receiver-operating characteristic (ROC) analysis, among Omani Arabs. Nine percent of men, compared to 3% of women, had a 10-year total coronary heart disease (CHD) risk > or = 20%. In both genders, WHR was a better predictor of CHD (area under the ROC curve 0.771 for men and 0.802 for women), followed by WC (0.710 and 0.727) and BMI (0.601 and 0.639), respectively. For a 10-year CHD risk of > or = 20%, the optimal cut-points to assess adiposity in Omani men and women were > 22.6 and 22.9 kg/m2 for BMI, > 78.5 and 84.5 cm for WC, and > 0.96 and > 0.98 for WHR, respectively. To identify obesity among Omani Arabs, different cut-points for BMI, WC and WHR than the currently recommended ones are needed.
authors.affiliation: Department of Non-communicable Diseases Surveillance & Control, Muscat 113, Ministry of Health, Oman. jallawat@gmail.com
authors.forename: Jawad A
authors.initials: JA
authors.lastname: Al-Lawati
authors.forename: Nabil M
authors.initials: NM
authors.lastname: Barakat
authors.forename: Alya M
authors.initials: AM
authors.lastname: Al-Lawati
authors.forename: Ali J
authors.initials: AJ
authors.lastname: Mohammed
mesh_terms: D000328:Adult; D000368:Aged; D018912:Arabs / Q000706:statistics & numerical data; D015992:Body Mass Index; D003327:Coronary Disease / Q000208:ethnology* / Q000209:etiology* / Q000503:physiopathology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications* / Q000175:diagnosis / Q000208:ethnology*; D009850:Oman / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D012372:ROC Curve; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D055105:Waist Circumference / Q000208:ethnology*; D049629:Waist-Hip Ratio / Q000706:statistics & numerical data; D055815:Young Adult