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The IDF consensus worldwide definition of metabolic syndrome. World Health Organization. Geneva: World Health Organization. Assessed on January 26, We would like to thank The Atlantic Philanthropies Inc. We thank the Ministry of Health of the Socialist Republic of Vietnam and the provincial data collection teams for their contributions.
We also thank Catrina Boon and Kate Butorac for their assistance with training and supervision of data collection teams. National Center for Biotechnology Information , U. PLoS One. Published online May Xianwu Cheng, Editor. Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist. Received Sep 20; Accepted May This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This article has been cited by other articles in PMC. Associated Data Data Availability Statement The data underlying this study cannot be made publicly available as they are the property of the Government of the Socialist Republic of Vietnam.
Abstract Background Waist circumference WC is an indicator of intra-abdominal adipose tissue, high levels of which confer an increased risk of cardiometabolic disease. Background Overweight and obesity is a predictor of the morbidity and mortality from cardiovascular diseases CVD , diabetes, musculoskeletal disorders and some cancers [ 1 , 2 ].
Methods Study participants and sampling The survey participants, 25 to year-old persons from eight provinces representative of the eight geographical regions of Vietnam, were selected by multi-stage stratified cluster sampling. Results The characteristics of survey participants are summarised in Table 1. Table 1 Characteristics of survey participants.
Open in a separate window. Fig 1. Table 4 AUC for discrimination of hypertension, elevated glucose and raised total cholesterol by anthropometric indices. Discussion The key finding of this study was that WC or an index based on WC was more strongly associated with BP, glucose and TC for Vietnamese men, and with glucose for Vietnamese women, and provided better discrimination of hypertension, of elevated glucose in particular, and of raised TC for men, than BMI.
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Hammond, B. Lukaski, H. Secondly, they argue for the inclusion of waist circumference guidelines in the global obesity surveillance schemes, seeing that more and more people have abdominal obesity. Not having waist circumference guidelines alongside BMI may provide an inaccurate picture of the global prevalence of obesity and recent trends, they say.
Furthermore, the researchers explain, waist circumference is a strong predictor of death risk, unlike BMI. This may be partly because waist circumference helps identify people with large amounts of visceral fat.
In conclusion, write Prof. Ross and colleagues:. As a result, they recommend that doctors and health practitioners routinely monitor waist circumference to help determine whether lifestyle changes are working. Ross and colleagues conclude:.
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