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Validity of self-reported abdominal obesity in Thai adults: A comparison of waist circumference, waist-to-hip ratio and waist-to-stature ratio

Lim, Lynette; Bain, Christopher; Seubsman, Sam-ang; Sleigh, Adrian

Description

Background and aims: Waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-stature ratio (WSR), being common proxy measures of abdominal obesity, are useful tools in epidemiologic studies, but little is known about their validity when the indices are derived from self-reported measurements. We determine and compare the validity of self-reported WC, WHR and WSR in order to identify the optimal index for use in epidemiologic surveys. Methods and Results: Technician- and self-reported...[Show more]

dc.contributor.authorLim, Lynette
dc.contributor.authorBain, Christopher
dc.contributor.authorSeubsman, Sam-ang
dc.contributor.authorSleigh, Adrian
dc.date.accessioned2015-12-08T22:37:20Z
dc.identifier.issn0939-4753
dc.identifier.urihttp://hdl.handle.net/1885/35478
dc.description.abstractBackground and aims: Waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-stature ratio (WSR), being common proxy measures of abdominal obesity, are useful tools in epidemiologic studies, but little is known about their validity when the indices are derived from self-reported measurements. We determine and compare the validity of self-reported WC, WHR and WSR in order to identify the optimal index for use in epidemiologic surveys. Methods and Results: Technician- and self-reported measurements of height, waist and hip circumference were obtained from 613 Thai adults (mean age 35 years). Regarding technician-reported measurements as reference, diagnostic test properties were derived and performances of the indices compared using receiver-operator-characteristic curves and the area-under-the-curve (AUC) analyses. There was good agreement between technician- and self-reported measurements for WC and WSR (concordance correlation coefficients ranged from 0.84 to 0.90) but not for WHR (0.50 in men, 0.45 in women). The sensitivity and specificity of self-reported WC and self-reported WSR as measures of abdominal obesity were superior to those of self-reported WHR in both sexes. AUCs for WC and WSR were comparable (0.93 and 0.92, respectively, in men; 0.88 and 0.87 in women) and significantly higher than for WHR (0.80 in men; 0.76 in women; p<0.0001). Conclusion: WC and WSR derived from self-reported waist and height measurements are valid methods for determining abdominal obesity. Self-reported measurements should not be used to derive the WHR. In Asian populations, WSR may be the optimal index of abdominal obesity when measurements are derived from self-reports in epidemiologic surveys.
dc.publisherMedikal Press s.r.l
dc.sourceNutrition Metabolim and Cardiovascular Diseases
dc.subjectKeywords: abdominal obesity; adult; article; Asian; body composition; body height; body mass; comparative study; epidemiology; female; human; male; middle aged; questionnaire; receiver operating characteristic; reproducibility; self report; sensitivity and specific Abdominal adiposity index; Epidemiologic survey; Obesity; Self-report; Sensitivity and specificity
dc.titleValidity of self-reported abdominal obesity in Thai adults: A comparison of waist circumference, waist-to-hip ratio and waist-to-stature ratio
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume22
dc.date.issued2012
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationf2965xPUB125
local.type.statusPublished Version
local.contributor.affiliationLim, Lynette, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSeubsman, Sam-ang, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationSleigh, Adrian, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationBain, Christopher, University of Queensland
local.description.embargo2037-12-31
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage42-491-8
local.identifier.doi10.1016/j.numecd.2010.04.003
dc.date.updated2016-02-24T08:11:04Z
local.identifier.scopusID2-s2.0-83855160950
local.identifier.thomsonID000298325000007
CollectionsANU Research Publications

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