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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study

Authors: Huanhuan Hu, Kayo Kurotani, Naoko Sasaki, Taizo Murakami, Chii Shimizu, Makiko Shimizu, Tohru Nakagawa, Toru Honda, Shuichiro Yamamoto, Hiroko Okazaki, Satsue Nagahama, Akihiko Uehara, Makoto Yamamoto, Kentaro Tomita, Teppei Imai, Akiko Nishihara, Takeshi Kochi, Masafumi Eguchi, Toshiaki Miyamoto, Ai Hori, Keisuke Kuwahara, Shamima Akter, Ikuko Kashino, Isamu Kabe, Weiping Liu, Tetsuya Mizoue, Naoki Kunugita, Seitaro Dohi, the Japan Epidemiology Collaboration on Occupational Health Study Group

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

We sought to establish the optimal waist circumference (WC) cut-off point for predicting diabetes mellitus (DM) and to compare the predictive ability of the metabolic syndrome (MetS) criteria of the Joint Interim Statement (JIS) and the Japanese Committee of the Criteria for MetS (JCCMS) for DM in Japanese.

Methods

Participants of the Japan Epidemiology Collaboration on Occupational Health Study, who were aged 20–69 years and free of DM at baseline (n = 54,980), were followed-up for a maximum of 6 years. Time-dependent receiver operating characteristic analysis was used to determine the optimal cut-off points of WC for predicting DM. Time-dependent sensitivity, specificity, and positive and negative predictive values for the prediction of DM were compared between the JIS and JCCMS MetS criteria.

Results

During 234,926 person-years of follow-up, 3180 individuals developed DM. Receiver operating characteristic analysis suggested that the most suitable cut-off point of WC for predicting incident DM was 85 cm for men and 80 cm for women. MetS was associated with 3–4 times increased hazard for developing DM in men and 7–9 times in women. Of the MetS criteria tested, the JIS criteria using our proposed WC cut-off points (85 cm for men and 80 cm for women) had the highest sensitivity (54.5 % for men and 43.5 % for women) for predicting DM. The sensitivity and specificity of the JCCMS MetS criteria were ~37.7 and 98.9 %, respectively.

Conclusion

Data from the present large cohort of workers suggest that WC cut-offs of 85 cm for men and 80 cm for women may be appropriate for predicting DM for Japanese. The JIS criteria can detect more people who later develop DM than does the JCCMS criteria.
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Metadata
Title
Optimal waist circumference cut-off points and ability of different metabolic syndrome criteria for predicting diabetes in Japanese men and women: Japan Epidemiology Collaboration on Occupational Health Study
Authors
Huanhuan Hu
Kayo Kurotani
Naoko Sasaki
Taizo Murakami
Chii Shimizu
Makiko Shimizu
Tohru Nakagawa
Toru Honda
Shuichiro Yamamoto
Hiroko Okazaki
Satsue Nagahama
Akihiko Uehara
Makoto Yamamoto
Kentaro Tomita
Teppei Imai
Akiko Nishihara
Takeshi Kochi
Masafumi Eguchi
Toshiaki Miyamoto
Ai Hori
Keisuke Kuwahara
Shamima Akter
Ikuko Kashino
Isamu Kabe
Weiping Liu
Tetsuya Mizoue
Naoki Kunugita
Seitaro Dohi
the Japan Epidemiology Collaboration on Occupational Health Study Group
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2856-9

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