This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Al-Lawati, J. A Articles by Mohammed, A. J Search for Related Content PubMed PubMed Citation Articles by Al-Lawati, J. A Articles by Mohammed, A. J Pubmed/NCBI databases Medline Plus Health Information Obesity Social Bookmarking                         What's this?

Optimal cut-points for body mass index, waist circumference and waist-to-hip ratio using the Framingham coronary heart disease risk score in an Arab population of the Middle East

Department of Non-communicable Diseases Surveillance & Control, PO Box 393, Muscat 113, Ministry of Health, Oman.

Nabil M Barakat

Department of Non-communicable Diseases Surveillance & Control, PO Box 393, Muscat 113, Ministry of Health, Oman.

Alya M Al-Lawati

Laboratory Department, PO Box 937 Ruwi 112, Al-Nahda Hospital, Muscat, Oman

Ali J Mohammed

Directorate General of Health Affairs, PO Box 393, Muscat 113, Ministry of Health, Oman.

We aimed to determine the gender-specific optimal cut-points for body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) associated with risk of cardiovascular disease, using Framingham risk score and receiver-operating characteristic (ROC) analysis, among Omani Arabs. Nine percent of men, compared to 3% of women, had a 10-year total coronary heart disease (CHD) risk 20%. In both genders, WHR was a better predictor of CHD (area under the ROC curve 0.771 for men and 0.802 for women), followed by WC (0.710 and 0.727) and BMI (0.601 and 0.639), respectively. For a 10-year CHD risk of 20%, the optimal cut-points to assess adiposity in Omani men and women were > 22.6 and 22.9 kg/m² for BMI, > 78.5 and 84.5 cm for WC, and > 0.96 and > 0.98 for WHR, respectively. To identify obesity among Omani Arabs, different cut-points for BMI, WC and WHR than the currently recommended ones are needed.

Key Words: cardiovascular risk • cut-points • Framingham score • obesity • Oman.

Diabetes and Vascular Disease Research, Vol. 5, No. 4, 304-309 (2008)
DOI: 10.3132/dvdr.2008.044


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?