Validity of self-measured waist circumference in adults at risk of type 2 diabetes and cardiovascular disease

BMC Medicine

Jeroen Lakerveld¹  Giel Nijpels¹  Ana María Contardo Ayala¹ 

[1] Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, van der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands

关键词: Prevention;    Population studies;    Cardiovascular disease;    Type 2 diabetes mellitus;    Obesity;    Screening;    Waist circumference;    Anthropometric measurements;   

Others  :  1121418
DOI  :  10.1186/s12916-014-0170-x

 received in 2014-06-12, accepted in 2014-09-02,  发布年份 2014

【 摘 要 】

Background

Waist circumference (WC) is used to indirectly measure abdominal adipose tissue and the associated risk of type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). Because of its easy implementation and low cost, self-measured WC is commonly used as a screening tool. However, discrepancies between self-measured and objectively measured WC may result in misclassification of individuals when using established cut-off values. The aim of this study was to determine the accuracy of self-measured WC in adults at risk of T2DM and/or CVD, and to determine the anthropometric, demographic and behavioural characteristics associated with bias in self-measured WC.

Methods

Self-measured and objectively measured WC was obtained from 622 participants (58.4% female; mean age 43.4 ± 5.3 years) in the Hoorn Prevention Study. The associations of gender, age, educational level, body mass index, smoking status, dietary habits, physical activity and sedentary behaviour with the discrepancies between self-measured and objectively measured WC were analysed using independents t-test and one-way ANOVA. Bland-Altman plots were used to plot the agreement between the two measures.

Results

On average, self-measured WC was overestimated by 5.98 ± 4.82 cm (P < 0.001). Overestimation was consistent across all subgroups, but was more pronounced in those who were younger and those with lower educational attainment.

Conclusions

The results support self-measured WC as a useful tool for large-scale populations and epidemiological studies when objective measurement is not feasible, but overestimation should be taken into account when screening adults at risk of T2DM and/or CVD.

【 授权许可】

   
2014 Contardo Ayala et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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