YILDIZ İPEK, GÜZİN ZEREN OZTURK, FERDİ KARAGÖZ, DEDE SİT
Southern Clinics of Istanbul Eurasia - 2022;33(3):286-291
INTRODUCTION: Metabolic syndrome is a worldwide health problem. The International Diabetes Federation (IDF) recommends a population- and country specific definition of cutoff points of waist circumference for the diagnosis of abdominal obesity. The purpose of this study was to determine the waist circumference cutoff values of the Turkish population. METHODS: The study was conducted on a total of 1379 subjects (767 females and 612 males) who were admitted to the study hospital’s central laboratory for a routine check-up and blood tests and accepted to participate in this study. The participants were evaluated for the presence of the IDF criteria (other than waist circumference) for the diagnosis of metabolic syndrome. Results: To determine the cutoff values of waist circumference for predicting ≥2 risk factors defined by the IDF, a receiver operating characteristic (ROC) curve was plotted for each sex separately. The area under the ROC curve for men and women was 0.69 and 0.75, respectively. The cutoff values of waist circumference for predicting the presence of multiple risk factors (with at least 80% sensitivity) for men and women were 94 cm and 96 cm, respectively. DISCUSSION AND CONCLUSION: For Turkey, it is more rational to use the waist circumference cutoff points identified in this study (i.e., 94 cm for men and 96 cm for women) than to use the IDF’s cutoff points recommended for the European subjects for the diagnosis of metabolic syndrome.
