Korean J Obes.  2015 Mar;24(1):36-43. 10.7570/kjo.2015.24.1.36.

Validation of Waist-to-Height Ratio for Predicting Metabolic Syndrome in Patients with Prediabetes

• Kim JM
• Back MK
• Ju SH
• Shin MY
• Kim MJ
• Park YH
• Park KI
• Joung KH
• Kim HJ
• Ku BJ

• KMID: 2271151
• DOI: http://doi.org/10.7570/kjo.2015.24.1.36

Abstract

BACKGROUND
Metabolic syndrome is associated with type 2 diabetes and cardiovascular disease in patients with prediabetes. The aim of this study was to investigate and compare WHtR (Waist-to-Height Ratio) as a predictor of metabolic syndrome with other anthropometric indices as in Body Mass Index (BMI), Waist Circumference (WC) and Waist to Hip Ratio (WHR) in prediabetes.
METHODS
A total of 816 subjects with prediabetes were recruited from a community based Cohort Study. Receiver operating characteristic (ROC) curve was performed to find the optimal cutoff value of WHtR. Area under the curve (AUC) was calculated for each anthropometric index and correlation coefficient between WHtR and various dermographic and clinical factors was calculated.
RESULTS
WHtR had a significant correlation with metabolic parameters except for fasting glucose and increased with increasing number of risk factors for metabolic syndrome. AUC of WHtR was significantly higher than that of other anthropometric indices. The optimal cutoff value of WHtR was 0.53 for metabolic syndrome in prediabetes.
CONCLUSION
WHtR may be the simple and effective anthropometric index for predicting metabolic syndrome in prediabetic patients.

Keyword

Prediabetic state; Metabolic syndrome; Waist-to-height ratio

MeSH Terms

Area Under Curve
Body Mass Index
Cardiovascular Diseases
Cohort Studies
Fasting
Glucose
Humans
Prediabetic State*
Risk Factors
ROC Curve
Waist Circumference
Waist-Hip Ratio
Glucose