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Ethnic and sex-specific cut-off values for adult obesity in the Suriname Health Study.
Krishnadath, Ingrid S K; Toelsie, Jerry R; Nahar-van Venrooij, Lenny; Hofman, Albert; Jaddoe, Vincent W V.
Afiliação
  • 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.
Obes Res Clin Pract ; 12(4): 336-345, 2018.
Article em En | MEDLINE | ID: mdl-27720693
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/m2 for Creole men and 26.9kg/m2 for Maroon women to 28.4kg/m2 and 30.2kg/m2 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Circunferência da Cintura / Obesidade Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Caribe ingles / Suriname Idioma: En Revista: Obes Res Clin Pract Ano de publicação: 2018 Tipo de documento: Article País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Circunferência da Cintura / Obesidade Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Caribe ingles / Suriname Idioma: En Revista: Obes Res Clin Pract Ano de publicação: 2018 Tipo de documento: Article País de publicação: Holanda