TY - JOUR
T1 - Anthropometric cut-points for discriminating diabetes and the metabolic syndrome among Arabs and Asians
T2 - The Kuwait Diabetes Epidemiology Program
AU - Oguoma, Victor M.
AU - Coffee, Neil T.
AU - Alsharrah, Saad
AU - Abu-Farha, Mohamed
AU - Al-Refaei, Faisal H.
AU - Alkandari, Abdullah
AU - Al-Mulla, Fahd
AU - Daniel, Mark
N1 - Funding Information:
We also thank the Kuwait Foundation for the Advancement of Sciences for providing funding to support this study. V. M. O., N. T. C. and M. D. conceived the objective of this study; N. T. C. and M. D. secured funding; S. A. and V. M. O. processed data; V. M. O. analysed data and drafted the manuscript; V. M. O., S. A., M. A., F. H. A., A. A., F. A., N. T. C. and M. D. reviewed manuscript for important intellectual content. All authors read and approved the final manuscript. The authors declare that there are no conflicts of interest.
Publisher Copyright:
©
PY - 2022/1/14
Y1 - 2022/1/14
N2 - This study aimed to determine anthropometric cut-points for screening diabetes and the metabolic syndrome (MetS) in Arab and South Asian ethnic groups in Kuwait and to compare the prevalence of the MetS based on the ethnic-specific waist circumference (WC) cut-point and the International Diabetes Federation (IDF) and American Heart Association/National Heart, Lung, and Blood Institute WC criteria. The national population-based survey data set of diabetes and obesity in Kuwait adults aged 18-60 years was analysed. Age-adjusted logistic regression and receiver operating characteristic (ROC) analyses were conducted to evaluate for 3589 individuals the utility of WC, waist:height ratio (WHtR) and BMI to discriminate both diabetes and ≥3 CVD risk factors. Areas under the ROC curve were similar for WC, WHtR and BMI. In Arab men, WC, WHtR and BMI cut-offs for diabetes were 106 cm, 0·55 and 28 kg/m2 and for ≥3 CVD risk factors, 97 cm, 0·55 and 28 kg/m2, respectively. In Arab women, cut-offs for diabetes were 107 cm, 0·65 and 33 kg/m2 and for ≥3 CVD risk factors, 93 cm, 0·60 and 30 kg/m2, respectively. WC cut-offs were higher for South Asian women than men. IDF-based WC cut-offs corresponded to a higher prevalence of the MetS across sex and ethnic groups, compared with Kuwait-specific cut-offs. Any of the assessed anthropometric indices can be used in screening of diabetes and ≥3 CVD risk factors in Kuwaiti Arab and Asian populations. ROC values were similar. The WC threshold for screening the MetS in Kuwaiti Arabs and South Asians is higher for women.
AB - This study aimed to determine anthropometric cut-points for screening diabetes and the metabolic syndrome (MetS) in Arab and South Asian ethnic groups in Kuwait and to compare the prevalence of the MetS based on the ethnic-specific waist circumference (WC) cut-point and the International Diabetes Federation (IDF) and American Heart Association/National Heart, Lung, and Blood Institute WC criteria. The national population-based survey data set of diabetes and obesity in Kuwait adults aged 18-60 years was analysed. Age-adjusted logistic regression and receiver operating characteristic (ROC) analyses were conducted to evaluate for 3589 individuals the utility of WC, waist:height ratio (WHtR) and BMI to discriminate both diabetes and ≥3 CVD risk factors. Areas under the ROC curve were similar for WC, WHtR and BMI. In Arab men, WC, WHtR and BMI cut-offs for diabetes were 106 cm, 0·55 and 28 kg/m2 and for ≥3 CVD risk factors, 97 cm, 0·55 and 28 kg/m2, respectively. In Arab women, cut-offs for diabetes were 107 cm, 0·65 and 33 kg/m2 and for ≥3 CVD risk factors, 93 cm, 0·60 and 30 kg/m2, respectively. WC cut-offs were higher for South Asian women than men. IDF-based WC cut-offs corresponded to a higher prevalence of the MetS across sex and ethnic groups, compared with Kuwait-specific cut-offs. Any of the assessed anthropometric indices can be used in screening of diabetes and ≥3 CVD risk factors in Kuwaiti Arab and Asian populations. ROC values were similar. The WC threshold for screening the MetS in Kuwaiti Arabs and South Asians is higher for women.
KW - BMI
KW - Kuwait
KW - metabolic syndrome
KW - waist circumference
KW - waist-to-height ratio
KW - Waist circumference
KW - Waist:height ratio
KW - The metabolic syndrome
UR - http://www.scopus.com/inward/record.url?scp=85102066168&partnerID=8YFLogxK
U2 - 10.1017/S0007114521000751
DO - 10.1017/S0007114521000751
M3 - Article
C2 - 33658089
AN - SCOPUS:85102066168
VL - 127
SP - 92
EP - 102
JO - British Journal of Nutrition
JF - British Journal of Nutrition
SN - 0007-1145
IS - 1
ER -