title: Comparison of waist circumference, body mass index, percent body fat and other measure of adiposity in identifying cardiovascular disease risks among Thai adults.
abstract: CONCLUSIONS
  
  
  
  OBJECTIVE
  To compare the abilities of body mass index (BMI), percent body fat (%BF), waist circumference (WC), waist-hip ratio (WHR) and waist-height ratio (WHtR) to identify cardiovascular disease risk factors.
  
  
  METHODS
  This cross-sectional study is comprised of 1391 Thai participants (451 men and 940 women) receiving annual health check-ups. Spearman's rank correlation was used to determine the association of the five anthropometric indices with metabolic parameters including fasting plasma glucose, triglyceride, high-density lipoprotein and blood pressure. The prevalence of cardiovascular disease risk factors was determined according to tertile of each anthropometric measure. Receiver operating characteristic (ROC) curves were plotted to compare anthropometric measure as predictors of the prevalence of cardiovascular risk factors.
  
  
  RESULTS
  Metabolic parameters were more strongly associated with %BF and WHR and least correlated with BMI in men. Among women, BMI was most strongly correlated with metabolic parameters. In both genders, the prevalence of cardiovascular disease risk factors increased across successive tertiles for each anthropometric measure. Review of ROC curves indicated that %BF and WHR performed slightly better than other measures in identifying differences in CVD risk factors among men. BMI performed at least as well or better than other measures of adiposity among women.
  
  
  CONCLUSIONS
  These findings confirm high correlations between anthropometric measures and metabolic parameters. BMI, WC and other measures were not materially different in identifying cardiovascular disease risk factors. Although small differences were observed, the magnitudes of those differences are not likely to be of public health or clinical significance.
authors.affiliation: Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Paniagua
authors.affiliation: Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA. Electronic address:vitool@u.washington.edu.
authors.forename: Vitool
authors.initials: V
authors.lastname: Lohsoonthorn
authors.affiliation: Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA.
authors.forename: Somrat
authors.initials: S
authors.lastname: Lertmaharit
authors.affiliation: Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA.
authors.forename: Wiroj
authors.initials: W
authors.lastname: Jiamjarasrangsi
authors.affiliation: Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA.
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Williams