Please use this identifier to cite or link to this item: https://doi.org/10.1161/CIRCULATIONAHA.106.676379
Title: International day for the evaluation of abdominal obesity (IDEA): A study of waist circumference, cardiovascular disease, and diabetes mellitus in 168 000 primary care patients in 63 countries
Authors: Balkau, B.
Deanfield, J.E.
Després, J.-P.
Bassand, J.-P.
Fox, K.A.A.
Smith, S.C.
Barter, P.
Tan, C.-E. 
Van Gaal, L.
Wittchen, H.-U.
Massien, C.
Haffner, S.M.
Keywords: Cardiovascular diseases
Diabetes mellitus
Epidemiology
Obesity
Risk factors
Issue Date: Oct-2007
Citation: Balkau, B., Deanfield, J.E., Després, J.-P., Bassand, J.-P., Fox, K.A.A., Smith, S.C., Barter, P., Tan, C.-E., Van Gaal, L., Wittchen, H.-U., Massien, C., Haffner, S.M. (2007-10). International day for the evaluation of abdominal obesity (IDEA): A study of waist circumference, cardiovascular disease, and diabetes mellitus in 168 000 primary care patients in 63 countries. Circulation 116 (17) : 1942-1951. ScholarBank@NUS Repository. https://doi.org/10.1161/CIRCULATIONAHA.106.676379
Abstract: BACKGROUND - Abdominal adiposity is a growing clinical and public health problem. It is not known whether it is similarly associated with cardiovascular disease (CVD) and diabetes mellitus in different regions around the world, and thus whether measurement of waist circumference (WC) in addition to body mass index (BMI) is useful in primary care practice. METHODS AND RESULTS - Randomly chosen primary care physicians in 63 countries recruited consecutive patients aged 18 to 80 years on 2 prespecified half days. WC and BMI were measured and the presence of CVD and diabetes mellitus recorded. Of the patients who consulted the primary care physicians, 97% agreed to participate in the present study. Overall, 24% of 69 409 men and 27% of 98 750 women were obese (BMI≥30 kg/m). A further 40% and 30% of men and women, respectively, were overweight (BMI 25 to 30 kg/m). Increased WC (>102 for men and >88 cm for women) was recorded in 29% and 48%, CVD in 16% and 13%, and diabetes mellitus in 13% and 11% of men and women, respectively. A statistically significant graded increase existed in the frequency of CVD and diabetes mellitus with both BMI and WC, with a stronger relationship for WC than for BMI across regions for both genders. This relationship between WC, CVD, and particularly diabetes mellitus was seen even in lean patients (BMI
Source Title: Circulation
URI: http://scholarbank.nus.edu.sg/handle/10635/131494
ISSN: 00097322
DOI: 10.1161/CIRCULATIONAHA.106.676379
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