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Old March 4th, 2010, 10:40 AM   #1
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Default Optimal definitions for abdominal obesity and the metabolic syndrome in Andean Hispan

AbstractObjectives:We aimed to establish optimal definitions for abdominal obesity and metabolic syndrome (MetS) among Andean adults.
Research Design and Methods:Among 1448 Andean adults, we assessed the relationship between waist circumference (WC) and: (1) Subclinical vascular disease assessed by carotid intima-media thickness (cIMT); (2) Manifest cardiovascular disease (M-CVD).
Optimal WC cutoffs to classify individuals with abnormal cIMT or M-CVD were >97 and >87 cm in men and women, respectively. With these cutoffs, there was substantial disagreement between the original American Heart Association/National Heart, Lung and Blood Institute (AHA/NHLBI) and the recently updated MetS definition, particularly among men (kappa=0.85). Subjects with MetS identified by the updated definition but not meeting original AHA/NHLBI MetS-criteria demonstrated significantly increased cIMT (p
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