{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:09:20Z","timestamp":1789664960166,"version":"4.0.1"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2022,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to determine anthropometric cut-points for screening diabetes and the metabolic syndrome (MetS) in Arab and South Asian ethnic groups in Kuwait and to compare the prevalence of the MetS based on the ethnic-specific waist circumference (WC) cut-point and the International Diabetes Federation (IDF) and American Heart Association\/National Heart, Lung, and Blood Institute WC criteria. The national population-based survey data set of diabetes and obesity in Kuwait adults aged 18\u201360 years was analysed. Age-adjusted logistic regression and receiver operating characteristic (ROC) analyses were conducted to evaluate for 3589 individuals the utility of WC, waist:height ratio (WHtR) and BMI to discriminate both diabetes and \u22653 CVD risk factors. Areas under the ROC curve were similar for WC, WHtR and BMI. In Arab men, WC, WHtR and BMI cut-offs for diabetes were 106 cm, 0\u00b755 and 28 kg\/m<jats:sup>2<\/jats:sup> and for \u22653 CVD risk factors, 97 cm, 0\u00b755 and 28 kg\/m<jats:sup>2<\/jats:sup>, respectively. In Arab women, cut-offs for diabetes were 107 cm, 0\u00b765 and 33 kg\/m<jats:sup>2<\/jats:sup> and for \u22653 CVD risk factors, 93 cm, 0\u00b760 and 30 kg\/m<jats:sup>2<\/jats:sup>, respectively. WC cut-offs were higher for South Asian women than men. IDF-based WC cut-offs corresponded to a higher prevalence of the MetS across sex and ethnic groups, compared with Kuwait-specific cut-offs. Any of the assessed anthropometric indices can be used in screening of diabetes and \u22653 CVD risk factors in Kuwaiti Arab and Asian populations. ROC values were similar. The WC threshold for screening the MetS in Kuwaiti Arabs and South Asians is higher for women.<\/jats:p>","DOI":"10.1017\/s0007114521000751","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T02:47:39Z","timestamp":1614826059000},"page":"92-102","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":16,"title":["Anthropometric cut-points for discriminating diabetes and the metabolic syndrome among Arabs and Asians: the Kuwait Diabetes Epidemiology Program"],"prefix":"10.1017","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9505-7197","authenticated-orcid":false,"given":"Victor M.","family":"Oguoma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil 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