{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:41:21Z","timestamp":1787704881857,"version":"build-2784847793"},"reference-count":23,"publisher":"American Diabetes Association","issue":"8","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/www.diabetesjournals.org\/content\/license"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65233"],"award-info":[{"award-number":["N01-HC65233"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65234"],"award-info":[{"award-number":["N01-HC65234"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65235"],"award-info":[{"award-number":["N01-HC65235"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65236"],"award-info":[{"award-number":["N01-HC65236"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65237"],"award-info":[{"award-number":["N01-HC65237"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>Various organizations have highlighted the need to examine whether abdominal obesity cut points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic\/Latino adults living in Western societies. This study aimed 1) to establish optimal definitions for abdominal obesity among Hispanics\/Latinos and 2) to determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (JIS) definition and an updated definition with optimal abdominal obesity cut points.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>The sample included 16,289 adults who self-identified as Hispanic\/Latino ages 18\u201374 years enrolled in the Hispanic Community Health Study\/Study of Latinos (HCHS\/SOL). Receiver operating characteristic curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut points.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Among U.S. Hispanic\/Latino adults, waist circumference cut points of &amp;gt;102 cm in men (in line with current JIS criteria) and &amp;gt;97 cm (9 points higher than JIS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current JIS criteria. The prevalence of the metabolic syndrome was overestimated by \u223c5 percentage points among women based on JIS criteria in comparison with our definition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Our results suggest that the current recommendations for waist circumference cut points may not be appropriate for U.S. Hispanic\/Latino women.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc19-1855","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T23:35:15Z","timestamp":1592609715000},"page":"1774-1780","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":21,"title":["Defining Abdominal Obesity as a Risk Factor for Coronary Heart Disease in the U.S.: Results From the Hispanic Community Health Study\/Study of Latinos (HCHS\/SOL)"],"prefix":"10.2337","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8571-1009","authenticated-orcid":false,"given":"Diana A.","family":"Chirinos","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria M.","family":"Llabre","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Center, University of Miami, Coral Gables, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0924-1110","authenticated-orcid":false,"given":"Ronald","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Center, University of Miami, Coral Gables, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Gellman","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Center, University of Miami, Coral Gables, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Mendez","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Center, University of Miami, Coral Gables, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwen","family":"Cai","sequence":"additional","affiliation":[{"name":"Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Sotres-Alvarez","sequence":"additional","affiliation":[{"name":"Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Daviglus","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Illinois at Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda C.","family":"Gallo","sequence":"additional","affiliation":[{"name":"Department of Psychology, San Diego State University, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Schneiderman","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Center, University of Miami, Coral Gables, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"key":"2022031300283966100_B1","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1002\/oby.22370","article-title":"Trends in lipids, obesity, metabolic syndrome, and diabetes mellitus in the United States: an NHANES analysis (2003-2004 to 2013-2014)","volume":"27","author":"Palmer","year":"2019","journal-title":"Obesity (Silver Spring)"},{"key":"2022031300283966100_B2","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1161\/CIRCULATIONAHA.109.192644","article-title":"Harmonizing the metabolic syndrome: a Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; 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