The 9019 study participants were provided from the National Health and Nutrition Examination, which assessed the non-institutionalized US population from 1988 to 1994. They included 4388 men with an average age of 44 years and 4631 women with an average age 47 years. Their average BMI was 26, within the overweight category. The average WC was 96.4 cm for the men and 88.2 cm for the women. Each subject was assessed for the presence of 4 CVD risk factors: low HDL (high-density lipoprotein) cholesterol; high LDL (low-density lipoprotein) cholesterol; high blood pressure, and high glucose. Overall, 48.5% of the men and 50.2% of the women had 1 or more of the CVD risk factors.
WC was found to correlate better than BMI with the majority of the risk factors examined. The authors identified WC "cutoffs" of 90 cm (35 inches) for men and 83 cm (33 inches) for women as the point at which patients should be advised to avoid future weight gain to minimize CVD risk.
An associated editorial by Lean and Han considers certain practical problems involved in the measurement of WC in a clinical setting. In the future, similar studies should be directed at developing the same type of WC-disease risk correlations for other races and for chronic diseases other than CVD.
Zhu, ShanKuan et al. Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr 2002;76:743-9.
Lean, Michael J and Thang S Han. Waist worries. Am J Clin Nutr 2002;76:699-700.
This media release is provided by The American Society for Clinical Nutrition to provide current information on nutrition-related research. This information should not be construed as medical advice. If you have a medical concern, consult your doctor. To see the complete text of this article, please go to:
http://www.faseb.org/ajcn/October2002/13709.Heymsfield.pdf
For more information, please contact:
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American Journal of Clinical Nutrition