aut.relation.issue	5	en_NZ
aut.relation.journal	British Journal of Nutrition	en_NZ
aut.relation.volume	102	en_NZ
dc.contributor.author	Rush, EC
dc.contributor.author	Crook, N
dc.contributor.author	Simmons, D
dc.date.accessioned	2021-06-03T22:28:57Z
dc.date.available	2021-06-03T22:28:57Z
dc.date.copyright	2009	en_NZ
dc.date.issued	2009	en_NZ
dc.description.abstract	We sought to identify the sex-specific cut-off in waist circumference which best identifies those with metabolic abnormalities consistent with the metabolic syndrome (MS) among Maori, the indigenous people of New Zealand of Polynesian origin. In 3816 self-identified Maori (2742 women, 1344 men) a 75 g oral glucose tolerance test, fasting lipid, anthropometric and blood pressure measurements were made. MS components were defined by Adult Treatment Panel (ATP) III criteria. Waist cut-off was defined using receiver operating characteristic (ROC) curve analysis to define the presence of at least two of the other MS components ( ≥ 2MS). Prevalence of ≥ 2MS was high (42·1 %). In males and females, waist was as good, or better, a predictor of ≥ 2MS (area under ROC 0·73 women, 0·68 men) as waist:hip ratio (0·66, 0·67), BMI (0·72, 0·68) or percentage body fat (0·70, 0·68). The prediction of dysglycaemia using anthropometric variables followed a similar pattern to ≥ 2MS. Waist circumference to predict ≥ 2MS or dysglycaemia in Maori women and men was 98 cm and 103 cm. Applying this cut-off to the International Diabetes Federation (IDF) criteria would identify 27·8 % (34·0 % males, 25·5 % females) with the MS with an OR for ≥ 2MS (adjusted for sex, smoking and age) of 3·5 (95 % CI 3·1, 4·0). Age >48 years, smoking and being male increased the odds of the MS. These waist cut-offs should be considered in both clinical practice and to optimise the definition of the MS for Maori. The validity of these criteria in other Polynesian groups should be confirmed.
dc.identifier.citation	British Journal of Nutrition, Volume 102, Issue 5, 14 September 2009, pp. 786 - 791, DOI: https://doi.org/10.1017/S0007114509274794
dc.identifier.doi	10.1017/S0007114509274794
dc.identifier.roid	10469	en_NZ
dc.identifier.uri	https://hdl.handle.net/10292/14238
dc.publisher	Cambridge University Press
dc.relation.uri	https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/optimal-waist-cutpoint-for-screening-for-dysglycaemia-and-metabolic-risk-evidence-from-a-maori-cohort/C1304DB3C22807FF2C9455D49CF10AED	en_NZ
dc.rights	Copyright © The Authors 2009
dc.rights.accessrights	OpenAccess	en_NZ
dc.subject	Waist; Metabolic syndrome; Dysglycaemia; Dyslipidaemia; Māori
dc.title	Optimal Waist Cutpoint for Screening for Dysglycaemia and Metabolic Risk: Evidence From a Māori Cohort	en_NZ
dc.type	Journal Article
pubs.elements-id	14736
pubs.organisational-data	/AUT
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Physical Activity, Nutrition & the Outdoors Department
pubs.organisational-data	/AUT/PBRF
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF

Optimal Waist Cutpoint for Screening for Dysglycaemia and Metabolic Risk: Evidence From a Māori Cohort

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