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International Journal of Endocrinology
Volume 2013, Article ID 767202, 7 pages
http://dx.doi.org/10.1155/2013/767202
Clinical Study

Waist Circumference Cutoff Points to Predict Obesity, Metabolic Syndrome, and Cardiovascular Risk in Turkish Adults

1Department of Endocrinology and Metabolism, School of Medicine, Gulhane Military Medical Academy, 06018 Etlik Ankara, Turkey
2Department of Endocrinology and Metabolism, School of Medicine, Erciyes University, Talas, 38039 Kayseri, Turkey
3Department of Cardiology, School of Medicine, Gulhane Military Medical Academy, 06018 Etlik Ankara, Turkey
4Department of Endocrinology and Metabolism, Nigde State Hospital, 51100 Nigde, Turkey
5Department of Endocrinology and Metabolism, School of Medicine, Necmettin Erbakan University, Meram, 42080 Konya, Turkey
6Department of Endocrinology and Metabolism, School of Medicine, Ankara University, Sıhhıye, 060100 Ankara, Turkey

Received 8 September 2013; Accepted 30 October 2013

Academic Editor: Manfredi Tesauro

Copyright © 2013 Alper Sonmez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. The waist circumference (WC) cutoff levels defined for the Caucasian people may not be representative for different ethnic groups. We determined sex specific WC cutoff points to predict obesity, metabolic syndrome, and cardiovascular risk in Turkish adults. Design and Methods. The demographic characteristics of 1898 adult males and 2308 nonpregnant females from 24 provinces of 7 different regions of Turkey (mean age 47 ± 14 yrs) were evaluated. Results. The WC levels of 90 cm and 100 cm define overweight and obese males while the levels of 80 cm and 90 cm define overweight and obese females. With these cutoff values, 239 additional males (12.6%) are diagnosed as overweight and 148 additional males (7.8%) as obese. Instead, 120 females (5.1%) are free of being labeled as obese. Conclusions. This is the first nationwide study to show the action levels of WC for overweight and obese Turkish adults. The ideal cutoff levels of WC to predict metabolic syndrome are 90 cm and 80 cm for Turkish adult men and women, respectively. These values are easy to implement and suggested to be used by the physicians dealing with cardiometabolic disorders in Turkey.