Atherosclerosis
Volume 206, Issue 2 , Pages 340-342 , October 2009

Large waist circumference with normal BMI identifies a significant subset of Italian female patients with the metabolic syndrome—A high risk presentation?

  • Giuliana Mombelli

      Affiliations

    • University Center for Dyslipidemias, Niguarda Hospital, Milano, Italy
    • ,
  • Anna M. Zanaboni

      Affiliations

    • Department of Computer Sciences, University of Milano, Italy
    • ,
  • Sabrina Gaito

      Affiliations

    • Department of Computer Sciences, University of Milano, Italy
    • ,
  • Cesare R. Sirtori

      Affiliations

    • University Center for Dyslipidemias, Niguarda Hospital, Milano, Italy
    • Department of Pharmacological Sciences, University of Milano, Italy
    • Corresponding Author InformationCorresponding author at: University Center for Dyslipidemias, Department of Pharmacological Sciences, University of Milano, Via Balzaretti 9, 20133 Milano, Italy. Tel.: +39 02 50318303; fax: +39 02 50318397.

Received 31 October 2008

References 

  1. Onat A, Uyarel H, Hergenc G, et al. Determinants and definition of abdominal obesity as related to risk of diabetes, metabolic syndrome and coronary disease in Turkish men: a prospective cohort study. Atherosclerosis. 2007;191:182–190
  2. Chien KL, Lee BC, Hsu HC, et al. Prevalence, agreement and classification of various metabolic syndrome criteria among ethnic Chinese: a report on hospital-based health diagnosis of the adult population. Atherosclerosis. 2008;196:764–771
  3. Maggi S, Noale M, Zambon A, et al. Validity of the ATP III diagnostic criteria for metabolic syndrome in an elderly Italian Caucasian population. The Italian Longitudinal Study on Aging. Atherosclerosis. 2008;197:877–882
  4. Canoy D, Boekholdt SM, Wareham N, et al. Body fat distribution and risk of coronary heart disease in men and women in the European Prospective Investigation Into Cancer And Nutrition In Norfolk cohort: a population-based prospective study. Circulation. 2007;116:2933–2943
  5. Balkau B, Deanfield JE, Despres JP, et al. International Day for the Evaluation of Abdominal Obesity (IDEA): a study of waist circumference, cardiovascular disease, and diabetes mellitus in 168000 primary care patients in 63 countries. Circulation. 2007;116:1942–1951
  6. Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Curr Opin Cardiol. 2006;21:1–6
  7. Ryan MC, Farin HMF, Abbassi F, Reaven GM. Comparison of waist circumference versus body mass Index in diagnosing metabolic syndrome and identifying apparently healthy subjects at increased risk of cardiovascular disease. Am J Cardiol. 2008;102:40–46
  8. Li C, Ford ES, McGuire LC, et al. Increasing trends in waist circumference and abdominal obesity among US adults. Obesity. 2007;15:216–223
  9. De Lorenzo A, Martinoli R, Vaia F, et al. Normal weight obese (NWO) women: an evaluation of a candidate new syndrome. Nutr Metab Cardiovasc Dis. 2006;16:513–523
  10. De Lorenzo A, Del Gobbo V, Premrov MG, et al. Normal-weight obese syndrome: early inflammation?. Am J Clin Nutr. 2007;85:40–45
  11. Zeller M, Steg PG, Ravisy J, et al. Relation between body mass index, waist circumference and death after myocardial infarction. Circulation. 2008;118:482–490
  12. Pischon T, Boeing H, Hoffmann K, et al. General and abdominal adiposity and risk of death in Europe. N Engl J Med. 2008;359:2105–2120
  13. Pan WH, Flegal KM, Chang HY, et al. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr. 2004;79:31–39
  14. Yeh WT, Chang HY, Yeh CJ, et al. Do centrally obese Chinese with normal BMI have increased risk of metabolic disorders?. Int J Obes. 2005;29:818–825

PII: S0021-9150(09)00151-8

doi: 10.1016/j.atherosclerosis.2009.02.036

Atherosclerosis
Volume 206, Issue 2 , Pages 340-342 , October 2009

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