Comparison of Body Mass Index, Waist Circumference, and Waist-to-Height Ratio for Predicting the Clustering of Cardiometabolic Risk Factors by Age in Japanese Workers – Japan Epidemiology Collaboration on Occupational Health Study –

Ai Hori; Akiko Nanri; Nobuaki Sakamoto; Keisuke Kuwahara; Satsue Nagahama; Noritada Kato; Kenji Fukasawa; Kengo Nakamoto; Mayumi Ohtsu; Aki Matsui; Takeshi Kochi; Masafumi Eguchi; Teppei Imai; Akiko Nishihara; Kentaro Tomita; Taizo Murakami; Chii Shimizu; Makiko Shimizu; Toshiaki Miyamoto; Akihiko Uehara; Makoto Yamamoto; Tohru Nakagawa; Shuichiro Yamamoto; Toru Honda; Hiroko Okazaki; Naoko Sasaki; Kayo Kurotani; Ngoc Minh Pham; Isamu Kabe; Tetsuya Mizoue; Tomofumi Sone; Seitaro Dohi; for the Japan Epidemiology Collaboration on Occupational Health Study Group

doi:10.1253/circj.CJ-13-1067

Epidemiology

Comparison of Body Mass Index, Waist Circumference, and Waist-to-Height Ratio for Predicting the Clustering of Cardiometabolic Risk Factors by Age in Japanese Workers

– Japan Epidemiology Collaboration on Occupational Health Study –

Ai Hori, Akiko Nanri, Nobuaki Sakamoto, Keisuke Kuwahara, Satsue Nagahama, Noritada Kato, Kenji Fukasawa, Kengo Nakamoto, Mayumi Ohtsu, Aki Matsui, Takeshi Kochi, Masafumi Eguchi, Teppei Imai, Akiko Nishihara, Kentaro Tomita, Taizo Murakami, Chii Shimizu, Makiko Shimizu, Toshiaki Miyamoto, Akihiko Uehara, Makoto Yamamoto, Tohru Nakagawa, Shuichiro Yamamoto, Toru Honda, Hiroko Okazaki, Naoko Sasaki, Kayo Kurotani, Ngoc Minh Pham, Isamu Kabe, Tetsuya Mizoue, Tomofumi Sone, Seitaro Dohi, for the Japan Epidemiology Collaboration on Occupational Health Study Group

Author information

Ai Hori
Department of Safety and Health, Tokyo Gas Co, Ltd
Akiko Nanri
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Nobuaki Sakamoto
Genkiplaza Medical Center for Health Care
Keisuke Kuwahara
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Satsue Nagahama
All Japan Labour Welfare Foundation
Noritada Kato
Fuji Electric Co, Ltd
Kenji Fukasawa
Ricoh Co, Ltd
Kengo Nakamoto
NGK Insurators, Ltd
Mayumi Ohtsu
Department of Environmental and Preventive Medicine, Jichi Medical University
Aki Matsui
Panasonic Health Insurance Organization
Takeshi Kochi
Furukawa Electric Co, Ltd
Masafumi Eguchi
Furukawa Electric Co, Ltd
Teppei Imai
Azbil Corporation
Akiko Nishihara
Azbil Corporation
Kentaro Tomita
Mitsubishi Plastics, Inc
Taizo Murakami
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Chii Shimizu
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Makiko Shimizu
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Toshiaki Miyamoto
Nippon Steel & Sumitomo Metal Corporation Kimitsu Works
Akihiko Uehara
YAMAHA CORPORATION
Makoto Yamamoto
YAMAHA CORPORATION
Tohru Nakagawa
Hitachi, Ltd
Shuichiro Yamamoto
Hitachi, Ltd
Toru Honda
Hitachi, Ltd
Hiroko Okazaki
Mitsui Chemicals, Inc
Naoko Sasaki
Mitsubishi Fuso Truck and Bus Corporation
Kayo Kurotani
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Ngoc Minh Pham
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Isamu Kabe
Furukawa Electric Co, Ltd
Tetsuya Mizoue
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine
Tomofumi Sone
National Institute of Public Health
Seitaro Dohi
Mitsui Chemicals, Inc
for the Japan Epidemiology Collaboration on Occupational Health Study Group

Keywords: Body mass index, Japanese, Metabolic syndrome, Waist circumference, Waist-to-height ratio

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Supplementary material

2014 Volume 78 Issue 5 Pages 1160-1168

DOI https://doi.org/10.1253/circj.CJ-13-1067

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Abstract

Background: Waist-to-height ratio (WHtR) has been suggested as a better screening tool than body mass index (BMI) and waist circumference (WC) for assessing cardiometabolic risk. However, most previous studies did not consider age. Methods and Results: Participants were 45,618 men and 8,092 women aged 15–84 years who received periodic health checkups in 9 companies in Japan. Clustering of cardiometabolic risk factors was defined by the existence of 2 or more of high blood pressure, hyperglycemia, and dyslipidemia. In both men and women, unadjusted area under the curve (AUC) of the receiver-operating characteristic curve for WHtR in detecting the clustering of cardiometabolic risk factors was significantly higher than that for either BMI or WC; the AUCs for WHtR, BMI, and WC, respectively, were 0.734, 0.705, and 0.717 in men and 0.782, 0.762, and 0.755 in women. After adjustment for age, however, such differences were not observed; the corresponding values were 0.702, 0.701, and 0.696 in men. In women, the age-adjusted AUC for BMI was slightly higher than for other indices (WHtR, 0.721; BMI, 0.726; WC, 0.707). Conclusions: The screening performance of WHtR for detecting the clustering cardiometabolic risk factors was not superior to that of BMI. (Circ J 2014; 78: 1160–1168)

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