Validity of self-measured waist circumference in adults at risk of type 2 diabetes and cardiovascular disease
BMC Medicine, ISSN: 1741-7015, Vol: 12, Issue: 1, Page: 170
2014
- 19Citations
- 62Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations19
- Citation Indexes19
- 19
- CrossRef7
- Captures62
- Readers62
- 59
Article Description
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.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84907932086&origin=inward; http://dx.doi.org/10.1186/s12916-014-0170-x; http://www.ncbi.nlm.nih.gov/pubmed/25274418; https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-014-0170-x; http://www.biomedcentral.com/1741-7015/12/170; http://dx.doi.org/10.1186/preaccept-6850939411325425; https://dx.doi.org/10.1186/preaccept-6850939411325425; https://dx.doi.org/10.1186/s12916-014-0170-x; https://bmcmedicine.biomedcentral.com/counter/pdf/10.1186/s12916-014-0170-x; http://link.springer.com/article/10.1186/s12916-014-0170-x/fulltext.html; https://link.springer.com/track/pdf/10.1186/s12916-014-0170-x; https://link.springer.com/articles/10.1186/s12916-014-0170-x; https://link.springer.com/article/10.1186/s12916-014-0170-x; http://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-014-0170-x
Springer Science and Business Media LLC
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