Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

COMPARISON OF WAIST CIRCUMFERENCE, WAIST HIP RATIO AND BODY MASS INDEX IN PREDICTING METABOLIC SYNDROME IN A MULTI- ETHNIC POPULATION

Author

Kee CC 1 , Sumarni MG 1 , Lim KH 2 , Feisul Idzwan M 3 , Ahmad Faudzi Y 1 , Amal NM 1

Institution

1 Institute for Medical Research, Kuala Lumpur
2 Institute for Public Health, Kuala Lumpur
3 Disease Control Division, Ministry of Health, Putrajaya

Abstract

Objectives: To compare the predictive abilities of body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) to identify two or more non-adipose components of the metabolic syndrome (MetS) among the adult Malaysian population by gender, age group and ethnicity.

Methods: We used receiver operating characteristic (ROC) curve analysis to evaluate the predictive power of each anthropometric index to predict two or more components of MetS using data from 2572 respondents (1044 men and 1528 women) aged 25-64 years who participated in the Non Communicable Disease (NCD) Surveillance 2005/2006.

Results: Overall, WC had significantly better predictive capability than WHR, but no better than BMI in both sexes, whereas BMI was better than WHR in women only. Waist circumference was a better predictor of MetS compared to WHR for Malay men, Malay women and Chinese women. Body mass index had better predictive capability than WHR in Chinese women only. Waist circumference and BMI had better predictive capability than WHR in men aged 25-34 years and women aged 35-44 years.

Conclusion: Overall, BMI and WC were better predictors of two or more non-adipose components of the MetS than WHR. Either BMI or WC measurement can be used as a screening tool for identifying components of metabolic syndrome in routine clinical practice.