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Related Articles Comparisons between anthropometric indices for predicting the metabolic syndrome in the Japanese. Asia Pac J Clin Nutr. 2008;17(2):223-8 Authors: Kato M, Takahashi Y, Inoue M, Tsugane S, Kadowaki T, Noda M, Jphc Study Group F Aims: Most definitions of the metabolic syndrome (MS) employ waist circumference as an indicator of central obesity. However, several reports, mainly from Asia, argue that other indices, for example the waist/height ratio, are superior to waist circumference for identifying subjects with cardiovascular risk factors. We therefore inves-tigated correlations between the predictive power of several anthropometric indices and risk factor accumulation (RFA) defined by the existence of two or more disorders among hypertension, dyslipidemia (high triglycerides and/or low levels of high density lipoprotein cholesterol) and fasting hyperglycemia; each of which is a compo-nent of MS. Methods: We conducted a cross-sectional analysis using data from a part of the Japan Public Health Center-based Cohort. A total of 315 men and 314 women, 51 to 70 years of age were examined for vari-ables including waist and hip circumferences, blood pressure, fasting plasma glucose and lipids at an annual health check-up. Results: The prevalence of RFA increased almost linearly in parallel with increasing waist cir-cumference up to 95 cm. Receiver operating characteristic analysis demonstrated that waist circumference was better ...
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