{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:47:57Z","timestamp":1759178877671},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,3,12]],"date-time":"2013-03-12T00:00:00Z","timestamp":1363046400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980013000529_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To evaluate the adequacy and accuracy of cut-off values currently recommended by the WHO for assessment of cardiovascular risk in southern Brazil.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000529_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Population-based study aimed at determining the predictive ability of waist circumference for cardiovascular risk based on the use of previous medical diagnosis for hypertension, diabetes mellitus and\/or dyslipidaemia. Descriptive analysis was used for the adequacy of current cut-off values of waist circumference, receiver operating characteristic curves were constructed and the most accurate criteria according to the Youden index and points of optimal sensitivity and specificity were identified.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000529_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Pelotas, southern Brazil.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000529_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Individuals (<jats:italic>n<\/jats:italic>2112) aged \u226520 years living in the city were selected by multistage sampling, since these individuals did not report the presence of previous myocardial infarction, angina pectoris or stroke.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000529_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The cut-off values currently recommended by WHO were more appropriate in men than women, with overestimation of cardiovascular risk in women. The area under the receiver operating characteristic curve showed moderate predictive ability of waist circumference in men (0\u00b774, 95 % CI 0\u00b771, 0\u00b776) and women (0\u00b775, 95 % CI 0\u00b773, 0\u00b777). The method of optimal sensitivity and specificity showed better performance in assessing the accuracy, identifying the values of 95 cm in men and 87 cm in women as the best cut-off values of waist circumference to assess cardiovascular risk.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000529_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>The cut-off values currently recommended for waist circumference are not suitable for women. Longitudinal studies should be conducted to evaluate the consistency of the findings.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980013000529","type":"journal-article","created":{"date-parts":[[2013,3,12]],"date-time":"2013-03-12T13:21:40Z","timestamp":1363094500000},"page":"861-869","source":"Crossref","is-referenced-by-count":10,"title":["Accuracy and adequacy of waist circumference cut-off points currently recommended in Brazilian adults"],"prefix":"10.1017","volume":"17","author":[{"given":"Carolina Avila","family":"Vianna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio","family":"da Silva Linhares","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata Moraes","family":"Bielemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo Coelho","family":"Machado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Alejandro","family":"Gonz\u00e1lez-Chica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia Manitto","family":"Matijasevich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise Petrucci","family":"Gigante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e1","family":"da Silva dos Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,3,12]]},"reference":[{"key":"S1368980013000529_ref11","first-page":"26","article-title":"Anthropometric indexes of obesity as an instrument of screening for high coronary risk in adults in the city of Salvador \u2013 Bahia","volume":"85","author":"Pitanga","year":"2005","journal-title":"Arq Bras Cardiol"},{"key":"S1368980013000529_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.08.012"},{"key":"S1368980013000529_ref17","volume-title":"Anthropometric Standardization Reference Manual","author":"Lohman","year":"1988"},{"key":"S1368980013000529_ref14","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2002000300020"},{"key":"S1368980013000529_ref33","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2009000200003"},{"key":"S1368980013000529_ref13","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2006000200008"},{"key":"S1368980013000529_ref30","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1007\/s00125-002-0887-5","article-title":"The association between components of adult height and type II diabetes and insulin resistance: British Women's Heart and Health Study","volume":"45","author":"Lawlor","year":"2002","journal-title":"Diabetologia"},{"key":"S1368980013000529_ref9","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2009.70"},{"key":"S1368980013000529_ref12","doi-asserted-by":"publisher","DOI":"10.1590\/S0066-782X2006001700003"},{"key":"S1368980013000529_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S0954422410000120"},{"key":"S1368980013000529_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2008.03.007"},{"key":"S1368980013000529_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01858.x"},{"key":"S1368980013000529_ref6","volume-title":"Waist Circumference and Waist\u2013Hip Ratio: Report of a WHO Expert Consultation","year":"2008"},{"key":"S1368980013000529_ref10","first-page":"462","article-title":"Waist circumference and body mass index as predictors of hypertension","volume":"87","author":"Peixoto Mdo","year":"2006","journal-title":"Arq Bras Cardiol"},{"key":"S1368980013000529_ref26","first-page":"375","article-title":"Abdominal obesity and cardiovascular risk: performance of anthropometric indexes in women","volume":"925","author":"Almeida","year":"2009","journal-title":"Arq Bras Cardiol"},{"key":"S1368980013000529_ref20","volume-title":"Obesity: Preventing and Managing the Global Epidemic. 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