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A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults

Overview of attention for article published in BMC Public Health, April 2016
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Title
A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults
Published in
BMC Public Health, April 2016
DOI 10.1186/s12889-016-2964-6
Pubmed ID
Authors

Adam D. Bohr, Kelly Laurson, Matthew B. McQueen

Abstract

Recent studies have shown the enhanced diagnostic capability of the waist-to-height ratio (WHtR) over BMI. However, while a structured cutoff hierarchy has been established for BMI, a rigorous analysis to define individuals as obese using the WHtR has not been performed on a sample of American adults. This study attempts to establish a cutoff for the WHtR using metabolic syndrome as the outcome. The study sample consisted of individuals that were part of the National Longitudinal Study of Adolescent Health (Add Health). The final sample for analysis consisted of 7 935 participants (3 469 males, 4 466 females) that were complete respondents for the variables of interest at Wave IV. The participants ranged from 24.55-33.60 years. Weighted and unweighted receiver operator characteristics (ROC) analyses were performed predicting metabolic syndrome from the WHtR. Cutoffs were chosen using the Youden index. The derived cutoffs were validated by logistic regression analysis on the Add Health participants and an external sample of 1 236 participants from the National Health and Nutrition Examination Survey (NHANES). The ROC analysis resulted in a WHtR cutoff of 0.578 (Youden Index = 0.50) for the full sample of complete respondents, 0.578 (Youden Index = 0.55) for males only, and 0.580 (Youden Index = 0.50) for females only. The area under the curve was 0.798 (95 % CI (0.788, 0.809)) for the full sample of complete respondents, 0.833 (95 % CI (0.818, 0.848)) for males only, and 0.804 (95 % CI (0.791, 0.818)) for females only. Participants in the validation sample with a WHtR greater than the derived cutoff were more likely (Odds Ratio = 9.8, 95 % CI (6.2, 15.3)) to have metabolic syndrome than those that were not. A WHtR cutoff of 0.580 is optimal for discriminating individuals with metabolic syndrome in two nationally representative samples of young adults. This cutoff is an improvement over a previously recommended cutoff of 0.5 as well as other cutoffs derived from international samples.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 62 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Taiwan 1 2%
Unknown 61 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 15%
Student > Bachelor 9 15%
Student > Ph. D. Student 5 8%
Student > Master 5 8%
Student > Doctoral Student 5 8%
Other 15 24%
Unknown 14 23%
Readers by discipline Count As %
Medicine and Dentistry 19 31%
Nursing and Health Professions 9 15%
Biochemistry, Genetics and Molecular Biology 4 6%
Sports and Recreations 3 5%
Social Sciences 3 5%
Other 7 11%
Unknown 17 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 April 2016.
All research outputs
#21,264,673
of 23,881,329 outputs
Outputs from BMC Public Health
#14,502
of 15,466 outputs
Outputs of similar age
#260,756
of 302,674 outputs
Outputs of similar age from BMC Public Health
#188
of 197 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 15,466 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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