Optimal waist circumference cutoff values for metabolic syndrome diagnostic criteria in a Korean rural population

Jang Hyun Koh, Sang Baek Koh, Mi Young Lee, Pil Moon Jung, Bo Hwan Kim, Jang Yel Shin, Young Goo Shin, So Yeon Ryu, Tae Yong Lee, Jong Ku Park, Choon Hee Chung

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The Korean Society for the Study of Obesity (KSSO) has defined the waist circumference cutoff value of central obesity as 90 cm for men and 85 cm for women. The purpose of this investigation was to determine the corresponding waist circumference values. A total of 3,508 persons in the Korean Rural Genomic Cohort Study were enrolled in this survey. Receiver operating characteristic (ROC) curve analysis was used to find appropriate waist circumference cutoff values in relation to insulin resistance determined by homeostasis model assessment for insulin resistance (HOMA-IR), body mass index (BMI), and components of metabolic syndrome. The optimal waist circumference cutoff values were 87 cm for men and 83 cm for women by ROC analysis to HOMA-IR and 86 cm for men and 83 cm for women by ROC analysis to value with more than two components of metaobolic syndrome. By using a BMI ≥25 kg/m2, 86 cm for men and 82 cm for women were optimal waist circumference cutoff values. In this study, we suggest that the most reasonable waist circumference cutoff values are 86-87 cm for men and 82-83 cm for women.

Original languageEnglish
Pages (from-to)734-737
Number of pages4
JournalJournal of Korean medical science
Issue number5
Publication statusPublished - 2010 May 1


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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