Ethnic and sex-specific cut-off values for adult obesity in the Suriname Health Study.

Autor: Krishnadath ISK; Department of Public Health, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname. Electronic address: Ingrid.Krishnadath@uvs.edu., Toelsie JR; Department of Physiology, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname. Electronic address: j.toelsie@uvs.edu., Nahar-van Venrooij L; Department of Public Health, Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname. Electronic address: Lenny.Nahar@uvs.edu., Hofman A; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. Electronic address: a.hofman@erasmusmc.nl., Jaddoe VWV; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands; Department of Pediatrics, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. Electronic address: v.jaddoe@erasmusmc.nl.
Jazyk: angličtina
Zdroj: Obesity research & clinical practice [Obes Res Clin Pract] 2018 Jul - Aug; Vol. 12 (4), pp. 336-345. Date of Electronic Publication: 2016 Oct 06.
DOI: 10.1016/j.orcp.2016.09.011
Abstrakt: Background: Sex-specific body mass index (BMI) and waist circumference (WC) cut-off values have been validated for a limited number of ethnic groups. We aimed to derive these cut-off values for Amerindians, Creoles, Hindustani, Javanese, Maroons and Mixed living in Suriname.
Methods: Data from individuals aged 20-65, in the Suriname Health Study was used to derive optimal cut-off values for BMI and WC for the prediction of hypertension (n=4910) and cardio-metabolic risk (n=2924). Results from the analysis with Receiver Operating Curves were calculated and compared these with recommended values.
Results: The area under the ROC curve was consistently higher for WC compared to BMI among Creoles, Hindustani, Maroons and Mixed. The BMI cut-off values ranged from 24.8kg/m 2 for Creole men and 26.9kg/m 2 for Maroon women to 28.4kg/m 2 and 30.2kg/m 2 for Amerindian men and women, respectively. The WC cut-off values ranged from 80.7cm for Maroon men, 86.7cm for Javanese women to 90.8cm for Hindustani men and 95.7cm for Amerindian women. Optimal BMI cut-off values approximated Asian cut-off values from the World Health Organization whilst those of WC for men approximated and for women exceeded cut-off values from the International Diabetes Federation.
Conclusion: In most ethnic groups, we found better discriminatory power for WC compared to BMI in the relation with cardiovascular risk factors. The estimated BMI and WC cut-off values differed between ethnic groups. Further studies are needed to identify cut-off values related to the future risk of cardiovascular disease and mortality.
(Copyright © 2016 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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