Detection of cardiovascular risk factors by indices of obesity obtained from anthropometry and dual-energy X-ray absorptiometry in Japanese individuals

H. Ito, K. Nakasuga, A. Ohshima, Toru Maruyama, Y. Kaji, M. Harada, M. Fukunaga, S. Jingu, M. Sakamoto

Research output: Contribution to journalArticle

130 Citations (Scopus)

Abstract

OBJECTIVE: To determine the cut-off points of indices of obesity for detecting hypertension, dyslipidemia and diabetes mellitus in Japanese individuals. DESIGN: Cross-sectional study. SUBJECTS: A total of 2728 Japanese individuals (768 males and 1960 females, aged 20-79 y) who attended the Fukuoka Health Promotion Center, Japan for health check-up. MEASUREMENTS: Body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) were measured. Percentage fat mass (%FM), trunk fat mass (FM trunk ) and trunk fat mass-leg fat mass ratio (FM trunk /FM legs ) were obtained by dual-energy X-ray absorptiometry (DXA). Cardiovascular risk factors were determined by blood pressure, serum lipids, fasting blood glucose and hemoglobin A 1C . RESULTS: The cut-off points of BMI, WC and WHR were around 23.5 kg/m 2 , 84 cm and 0.9 for males, and 22.5 kg/m 2 , 72 cm and 0.8 for females. The cut-off points of %FM, FM trunk and FM trunk /FM legs were around 24%, 8 kg and 1.6 for males, and 35%, 9 kg and 1.4 for females. WHR and FM trunk /FM legs most accurately detected the risk factors. CONCLUSIONS: For Japanese individuals, the cut-off points for detecting cardiovascular risk factors are lower than the criteria by the World Health Organization. Indices of fat distribution detected the cardiovascular risk factors more accurately than those of overall adiposity. The accuracy of detecting the risk factors was comparable between the anthropometric indices and indices obtained by DXA.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalInternational Journal of Obesity
Volume27
Issue number2
DOIs
Publication statusPublished - Feb 1 2003

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Anthropometry
Photon Absorptiometry
Obesity
Fats
Waist-Hip Ratio
Leg
Waist Circumference
Body Mass Index
Hemoglobin A
Adiposity
Dyslipidemias
Health Promotion
Blood Glucose
Fasting
Diabetes Mellitus
Japan
Cross-Sectional Studies
Blood Pressure
Hypertension
Lipids

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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Detection of cardiovascular risk factors by indices of obesity obtained from anthropometry and dual-energy X-ray absorptiometry in Japanese individuals. / Ito, H.; Nakasuga, K.; Ohshima, A.; Maruyama, Toru; Kaji, Y.; Harada, M.; Fukunaga, M.; Jingu, S.; Sakamoto, M.

In: International Journal of Obesity, Vol. 27, No. 2, 01.02.2003, p. 232-237.

Research output: Contribution to journalArticle

Ito, H. ; Nakasuga, K. ; Ohshima, A. ; Maruyama, Toru ; Kaji, Y. ; Harada, M. ; Fukunaga, M. ; Jingu, S. ; Sakamoto, M. / Detection of cardiovascular risk factors by indices of obesity obtained from anthropometry and dual-energy X-ray absorptiometry in Japanese individuals. In: International Journal of Obesity. 2003 ; Vol. 27, No. 2. pp. 232-237.
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T1 - Detection of cardiovascular risk factors by indices of obesity obtained from anthropometry and dual-energy X-ray absorptiometry in Japanese individuals

AU - Ito, H.

AU - Nakasuga, K.

AU - Ohshima, A.

AU - Maruyama, Toru

AU - Kaji, Y.

AU - Harada, M.

AU - Fukunaga, M.

AU - Jingu, S.

AU - Sakamoto, M.

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N2 - OBJECTIVE: To determine the cut-off points of indices of obesity for detecting hypertension, dyslipidemia and diabetes mellitus in Japanese individuals. DESIGN: Cross-sectional study. SUBJECTS: A total of 2728 Japanese individuals (768 males and 1960 females, aged 20-79 y) who attended the Fukuoka Health Promotion Center, Japan for health check-up. MEASUREMENTS: Body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) were measured. Percentage fat mass (%FM), trunk fat mass (FM trunk ) and trunk fat mass-leg fat mass ratio (FM trunk /FM legs ) were obtained by dual-energy X-ray absorptiometry (DXA). Cardiovascular risk factors were determined by blood pressure, serum lipids, fasting blood glucose and hemoglobin A 1C . RESULTS: The cut-off points of BMI, WC and WHR were around 23.5 kg/m 2 , 84 cm and 0.9 for males, and 22.5 kg/m 2 , 72 cm and 0.8 for females. The cut-off points of %FM, FM trunk and FM trunk /FM legs were around 24%, 8 kg and 1.6 for males, and 35%, 9 kg and 1.4 for females. WHR and FM trunk /FM legs most accurately detected the risk factors. CONCLUSIONS: For Japanese individuals, the cut-off points for detecting cardiovascular risk factors are lower than the criteria by the World Health Organization. Indices of fat distribution detected the cardiovascular risk factors more accurately than those of overall adiposity. The accuracy of detecting the risk factors was comparable between the anthropometric indices and indices obtained by DXA.

AB - OBJECTIVE: To determine the cut-off points of indices of obesity for detecting hypertension, dyslipidemia and diabetes mellitus in Japanese individuals. DESIGN: Cross-sectional study. SUBJECTS: A total of 2728 Japanese individuals (768 males and 1960 females, aged 20-79 y) who attended the Fukuoka Health Promotion Center, Japan for health check-up. MEASUREMENTS: Body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) were measured. Percentage fat mass (%FM), trunk fat mass (FM trunk ) and trunk fat mass-leg fat mass ratio (FM trunk /FM legs ) were obtained by dual-energy X-ray absorptiometry (DXA). Cardiovascular risk factors were determined by blood pressure, serum lipids, fasting blood glucose and hemoglobin A 1C . RESULTS: The cut-off points of BMI, WC and WHR were around 23.5 kg/m 2 , 84 cm and 0.9 for males, and 22.5 kg/m 2 , 72 cm and 0.8 for females. The cut-off points of %FM, FM trunk and FM trunk /FM legs were around 24%, 8 kg and 1.6 for males, and 35%, 9 kg and 1.4 for females. WHR and FM trunk /FM legs most accurately detected the risk factors. CONCLUSIONS: For Japanese individuals, the cut-off points for detecting cardiovascular risk factors are lower than the criteria by the World Health Organization. Indices of fat distribution detected the cardiovascular risk factors more accurately than those of overall adiposity. The accuracy of detecting the risk factors was comparable between the anthropometric indices and indices obtained by DXA.

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