Kim Yejin, Kuk Jennifer L, Park Kyung Hee, Lee SoJung
Obesity and Physical Activity Research Laboratory, Kyung Hee University, Yongin, Republic of Korea; Division of Sports Medicine and Science, Graduate School of Physical Education, Kyung Hee University, Yongin, Republic of Korea.
School of Kinesiology and Health Science, York University, Toronto, ON, Canada.
Obes Res Clin Pract. 2025 Jan-Feb;19(1):28-33. doi: 10.1016/j.orcp.2025.01.007. Epub 2025 Jan 30.
Waist circumference (WC) has been recognized as a simple anthropometric measure of abdominal obesity and associated health risk. We compared WC values at five measurement sites, and examined whether measurement sites influence the relationships between WC and cardiometabolic risk in Korean adults.
In this cross-sectional study, participants included 180 men and 176 women (age: 30-60 years, BMI: 18.5-30.0 kg/m) who underwent a regular health examination between 2021 and 2022. WC was measured at the following sites; lowest rib, superior border of the iliac crest, midpoint between the lowest rib and the iliac crest, umbilicus, and narrowest waist. Fasting glucose and lipids, and resting blood pressure were measured after a 10-hour overnight fast. Cardiometabolic risk factors were defined using the modified National Cholesterol Education Program Adult Treatment Panel-III.
All WC measures at five sites were highly correlated (P < 0.01) with each other in men (r = 0.933-0.995) and women (r = 0.893-0.990). Differences in absolute mean WC values existed in both men and women. The prevalence of abdominal obesity (men: 17.2 %-34.4 %, women: 5.7 %-40.9 %) and metabolic syndrome (men: 30.6 %-38.9 % women: 13.6 %-22.2 %) varied depending on the measurement site. All five WC sites were similarly associated (P < 0.05) with an increased odd ratio for elevated glucose, elevated triglycerides, low HDL cholesterol and cardiometabolic risk clustering in men, and elevated blood pressure and cardiometabolic risk clustering in women.
Although the differences in absolute WC values existed, the associations between WC at each site and cardiometabolic risk were similar in Korean adults.
腰围（WC）已被公认为是一种简单的腹部肥胖人体测量指标及相关健康风险指标。我们比较了五个测量部位的WC值，并研究了测量部位是否会影响韩国成年人WC与心脏代谢风险之间的关系。
在这项横断面研究中，参与者包括180名男性和176名女性（年龄：30 - 60岁，BMI：18.5 - 30.0kg/m²），他们在2021年至2022年期间接受了常规健康检查。WC在以下部位进行测量：最低肋骨处、髂嵴上缘、最低肋骨与髂嵴之间的中点、脐部以及最窄腰围处。在禁食10小时过夜后测量空腹血糖、血脂和静息血压。使用改良的美国国家胆固醇教育计划成人治疗小组第三次报告来定义心脏代谢风险因素。
男性（r = 0.933 - 0.995）和女性（r = 0.893 - 0.990）五个部位的所有WC测量值彼此高度相关（P < 0.01）。男性和女性的绝对平均WC值均存在差异。腹部肥胖（男性：17.2% - 34.4%，女性：5.7% - 40.9%）和代谢综合征（男性：30.6% - 38.9%，女性：13.6% - 22.2%）的患病率因测量部位而异。所有五个WC测量部位与男性血糖升高、甘油三酯升高、高密度脂蛋白胆固醇降低以及心脏代谢风险聚集的比值比增加，以及女性血压升高和心脏代谢风险聚集的关联相似（P < 0.05）。
尽管绝对WC值存在差异，但韩国成年人中每个测量部位的WC与心脏代谢风险之间的关联相似。
