Waist circumference is useless to assess the prevalence of metabolic abnormalities in severely obese women

Authors: Drapeau, VickyLemieux, IsabelleRichard, DenisBergeron, JeanTremblay, AngeloBiron, SimonMarceau, PicardMauriege, Pascale
Abstract: Background : The present retrospective study aims to provide additional evidence supporting the fact that waist circumference, in severe obesity, is not a good clinical marker to identify individuals with the metabolic syndrome or an altered metabolic profile. Methods : Relationships between waist circumference and metabolic profile of pre- (n = 165) and postmenopausal (n = 43) severely obese women were compared to associations observed in pre- (n = 52) and postmenopausal (n = 35) moderately obese women. Results : Results showed that abdominal obesity assessed by waist circumference was more highly correlated with fasting glycemia, HDL-cholesterol and the cholesterol/HDL-cholesterol ratio in moderately than in severely obese women, before menopause. After menopause, waist circumference was not a valuable predictor of metabolic abnormalities in both groups. Moreover, when waist circumference was included as a criterion of the metabolic syndrome (as defined by the NCEP ATP III guidelines) in severely obese women, the prevalence of this metabolic condition was over-estimated by 72%. Conclusion : These results emphasize the uselessness of waist circumference to assess the prevalence of the metabolic syndrome or an altered metabolic profile in severely obese women.
Document Type: Article de recherche
Issue Date: 14 July 2007
Open Access Date: Restricted access
Document version: VoR
Permalink: http://hdl.handle.net/20.500.11794/15403
This document was published in: Obesity Surgery, Vol. 17 (7), 905–909 (2007)
Alternative version: 10.1007/s11695-007-9168-1
Collection:Articles publiés dans des revues avec comité de lecture

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