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

Beverley Balkau, John E Deanfield, Jean-Pierre Després, Jean-Pierre Bassand, Keith A A Fox, Sidney C Smith Jr, Philip Barter, Chee-Eng Tan, Luc Van Gaal, Hans-Ulrich Wittchen, Christine Massien, Steven M Haffner, Beverley Balkau, John E Deanfield, Jean-Pierre Després, Jean-Pierre Bassand, Keith A A Fox, Sidney C Smith Jr, Philip Barter, Chee-Eng Tan, Luc Van Gaal, Hans-Ulrich Wittchen, Christine Massien, Steven M Haffner

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 > or = 30 kg/m2). A further 40% and 30% of men and women, respectively, were overweight (BMI 25 to 30 kg/m2). 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 < 25 kg/m2).

Conclusions: Among men and women who consulted primary care physicians, BMI and particularly WC were both strongly linked to CVD and especially to diabetes mellitus. Strategies to address this global problem are required to prevent an epidemic of these major causes of morbidity and mortality.

Figures

Figure 1
Figure 1
Age-standardized Frequency of Overweight (Body Mass Index [BMI] 25–30kg/m2) and Obesity (BMI ≥ 30kg/m2) by Region in (a) Men and (b) Women
Figure 1
Figure 1
Age-standardized Frequency of Overweight (Body Mass Index [BMI] 25–30kg/m2) and Obesity (BMI ≥ 30kg/m2) by Region in (a) Men and (b) Women
Figure 2
Figure 2
Box and Whisker Plot Showing the Distribution of Waist Circumference (WC) by Region for (a) Men and (b) Women. Data shown are Medians, Quartiles, and 2.5 and 97.5 Percentiles. Vertical lines show WC=102cm (men) and WC=88cm (women)
Figure 2
Figure 2
Box and Whisker Plot Showing the Distribution of Waist Circumference (WC) by Region for (a) Men and (b) Women. Data shown are Medians, Quartiles, and 2.5 and 97.5 Percentiles. Vertical lines show WC=102cm (men) and WC=88cm (women)
Figure 3
Figure 3
Age-standardized Frequencies of (a) Cardiovascular Disease (CVD) and (b) Diabetes by Region in Men and Women
Figure 3
Figure 3
Age-standardized Frequencies of (a) Cardiovascular Disease (CVD) and (b) Diabetes by Region in Men and Women
Figure 4
Figure 4
Age- and Region-adjusted Frequencies of Cardiovascular Disease (CVD) and Diabetes Across Gender-specific Quintiles of Waist Circumference in the Overall Study Population of (a) Men (n=69,409), (b) Women (n=98,750)
Figure 4
Figure 4
Age- and Region-adjusted Frequencies of Cardiovascular Disease (CVD) and Diabetes Across Gender-specific Quintiles of Waist Circumference in the Overall Study Population of (a) Men (n=69,409), (b) Women (n=98,750)
Figure 5
Figure 5
Frequency of Known Cardiovascular Disease for (a) Men, (b) Women, and Known Diabetes for (c) Men, (d) Women, Adjusted for Age, Region, and Smoking Status, by Gender-specific Waist Circumference (WC) Tertiles and Body Mass Index (BMI) Categories. The percentage of patients in each of the nine groups is shown.
Figure 5
Figure 5
Frequency of Known Cardiovascular Disease for (a) Men, (b) Women, and Known Diabetes for (c) Men, (d) Women, Adjusted for Age, Region, and Smoking Status, by Gender-specific Waist Circumference (WC) Tertiles and Body Mass Index (BMI) Categories. The percentage of patients in each of the nine groups is shown.
Figure 5
Figure 5
Frequency of Known Cardiovascular Disease for (a) Men, (b) Women, and Known Diabetes for (c) Men, (d) Women, Adjusted for Age, Region, and Smoking Status, by Gender-specific Waist Circumference (WC) Tertiles and Body Mass Index (BMI) Categories. The percentage of patients in each of the nine groups is shown.
Figure 5
Figure 5
Frequency of Known Cardiovascular Disease for (a) Men, (b) Women, and Known Diabetes for (c) Men, (d) Women, Adjusted for Age, Region, and Smoking Status, by Gender-specific Waist Circumference (WC) Tertiles and Body Mass Index (BMI) Categories. The percentage of patients in each of the nine groups is shown.

Source: PubMed

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