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New waist size cutoff: 94 cm Men, 80 Women, less for South Asians
The smaller the waistline the better especially for those with
metabolic syndrome (MetS) which includes everyone with type-2 diabetes. May GOD continue to heal our hearts with HIS living water so that we can love others just a little bit more, dear brother Enrico whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Enrico C wrote: 94cm = 37inches 80cm = 31/32inches What do you make of this...? http://www.ucdmc.ucdavis.edu/ome/mcr...definition.pdf The metabolic syndrome—a new worldwide definition [...] The International Diabetes Federation (IDF) felt there was a strong need for one practical definition that would be useful in any country for the identification of people at high risk of CVD, but also diabetes. This definition would also allow comparative long-term studies, which could then be used, if necessary, to refine the definition on the basis of solid endpoints. As a result, an IDF consensus group met in 2004, with representatives from the organisations that had generated the previous definitions and members from all IDF regions. Their recommenda- tions are now available. [...] Central obesity, as assessed by waist circumference, was agreed as essential (panel), because of the strength of the evidence linking waist circumference with cardiovascular disease and the other metabolic syndrome components, and the likelihood that central obesity is an early step in the aetiological cascade leading to full metabolic syndrome. The waist circumference cutoff selected was the same as that used by European Group for the Study of Insulin Resistance, and lower than the main Adult Treatment Panel III recommendations, because most available data suggest an increase in other cardiovascular disease risk factors in Europids (white people of European origin, regardless of where they live in the world) when the waist circumference rises above 94 cm in men and 80cm in women. Ethnic-specific waist circumference cutoffs have been incorporated into the definition (table), and have been based on available data linking waist circumference to other components of the metabolic syndrome in different populations. The levels of the other variables were as described by Adult Treatment Panel III, except that the most recent diagnostic level from the American Diabetes Association for impaired fasting glucose (5·6 mmol/L [100 mg/dL]) was used. Although this new definitionwill still miss substantial numbers of people with impaired glucose tolerance (because an oral glucose-tolerance test is not required), it retains the simplicity of the instrument. The consensus group also recommended additional criteria that should be part of further research into metabolic syndrome, including: tomographic assessment of visceral adiposity and liver fat, biomarkers of adipose tissue (adiponectin, leptin), apolipoprotein B, LDL particle size, formal measurement of insulin resistance and an oral glucose-tolerance test, endothelial dysfunction, urinary albumin, inflammatory markers (C-reactive protein, tumour necrosis factor , interleukin 6), and thrombotic markers (plasminogen activator inhibitor type 1, fibrinogen). These factors should be combined with assessment of CVD outcome and development of diabetes so better predictors can be developed. Researchers and clinicians should use the new criteria for the identification of high-risk individuals and for research studies. Preventive measures are obviously needed in the people identified. Mounting evidence suggests that lifestyle modification with weight loss and increased physical activity will be beneficial, although specific studies in metabolic syndrome are needed. [...] Panel:International Diabetes Federation: metabolic syndrome definition Central obesity Waist circumference*—ethnicity specific Table: Ethnic-specific values for waist circumference Ethnic group Waist circumference (as measure of central obesity) Europids* Men94 cm Women80 cm South Asians Men90 cm Women80 cm Chinese Men90 cm Women80 cm Japanese Men85 cm Women90 cm Ethnic south and central Americans Use south Asian recommendations until more specific data are available Sub-Saharan Africans Use European data until more specific data are available Eastern Mediterranean and middle east (Arab) populations Use European data until more specific data are available Data are pragmatic cutoffs and better data are required to link them to risk. Ethnicity should be basis for classification, not country of residence. *In USA, Adult Treatmen panel III values (102 cm male, 88 cm female) are likely to continue to be used for clinical purposes. In future epidemiological studies of populations of Europid origin (white people of European origin, regardless of where they live in the world), prevalence should be given, with both European and North American cutoffs to allow better comparisons. Plus any two: Raised triglycerides150 mg/dL (1·7 mmol/L) Specific treatment for this lipid abnormality Reduced HDL-cholesterol40 mg/dL (1·03 mmol/L) in men50 mg/dL (1·29 mmol/L) in women Specific treatment for this lipid abnormality Raised blood pressure Systolic 130 mm Hg Diastolic 85 mm Hg Treatment of previously diagnosed hypertension Raised fasting plasma glucoseâ€* Fasting plasma glucose 100 mg/dL (5·6 mmol/L) Previously diagnosed type 2 diabetes If above 5·6 mmol/L or 100 mg/dL, oral glucose tolerance test is strongly recommended, but is not necessary to define presence of syndrome *If body-mass index is over 30 kg/m , central obesity can be assumed and waist circumference does not need to be measured. â€*In clinical practice, impaired glucose tolerance is also acceptable, but all reports of prevalence of metabolic syndrome should use only fasting plasma glucose and presence of previously diagnosed diabetes to define hyperglycaemia. Prevalences also incorporating 2-h glucose results can be added as supplementary findings. [...] Lancet, Vol 366, September 24, 2005 xpost sci.med.nutrition,sci.med.cardiology,misc.health.d iabetes |
#2
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New waist size cutoff: 94 cm Men, 80 Women, less for South Asians
How's the job, Andy?
TC Andrew B. Chung, MD/PhD wrote: The smaller the waistline the better especially for those with metabolic syndrome (MetS) which includes everyone with type-2 diabetes. May GOD continue to heal our hearts with HIS living water so that we can love others just a little bit more, dear brother Enrico whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love Enrico C wrote: 94cm = 37inches 80cm = 31/32inches What do you make of this...? http://www.ucdmc.ucdavis.edu/ome/mcr...definition.pdf The metabolic syndrome—a new worldwide definition [...] The International Diabetes Federation (IDF) felt there was a strong need for one practical definition that would be useful in any country for the identification of people at high risk of CVD, but also diabetes. This definition would also allow comparative long-term studies, which could then be used, if necessary, to refine the definition on the basis of solid endpoints. As a result, an IDF consensus group met in 2004, with representatives from the organisations that had generated the previous definitions and members from all IDF regions. Their recommenda- tions are now available. [...] Central obesity, as assessed by waist circumference, was agreed as essential (panel), because of the strength of the evidence linking waist circumference with cardiovascular disease and the other metabolic syndrome components, and the likelihood that central obesity is an early step in the aetiological cascade leading to full metabolic syndrome. The waist circumference cutoff selected was the same as that used by European Group for the Study of Insulin Resistance, and lower than the main Adult Treatment Panel III recommendations, because most available data suggest an increase in other cardiovascular disease risk factors in Europids (white people of European origin, regardless of where they live in the world) when the waist circumference rises above 94 cm in men and 80cm in women. Ethnic-specific waist circumference cutoffs have been incorporated into the definition (table), and have been based on available data linking waist circumference to other components of the metabolic syndrome in different populations. The levels of the other variables were as described by Adult Treatment Panel III, except that the most recent diagnostic level from the American Diabetes Association for impaired fasting glucose (5·6 mmol/L [100 mg/dL]) was used. Although this new definitionwill still miss substantial numbers of people with impaired glucose tolerance (because an oral glucose-tolerance test is not required), it retains the simplicity of the instrument. The consensus group also recommended additional criteria that should be part of further research into metabolic syndrome, including: tomographic assessment of visceral adiposity and liver fat, biomarkers of adipose tissue (adiponectin, leptin), apolipoprotein B, LDL particle size, formal measurement of insulin resistance and an oral glucose-tolerance test, endothelial dysfunction, urinary albumin, inflammatory markers (C-reactive protein, tumour necrosis factor , interleukin 6), and thrombotic markers (plasminogen activator inhibitor type 1, fibrinogen). These factors should be combined with assessment of CVD outcome and development of diabetes so better predictors can be developed. Researchers and clinicians should use the new criteria for the identification of high-risk individuals and for research studies. Preventive measures are obviously needed in the people identified. Mounting evidence suggests that lifestyle modification with weight loss and increased physical activity will be beneficial, although specific studies in metabolic syndrome are needed. [...] Panel:International Diabetes Federation: metabolic syndrome definition Central obesity Waist circumference*—ethnicity specific Table: Ethnic-specific values for waist circumference Ethnic group Waist circumference (as measure of central obesity) Europids* Men94 cm Women80 cm South Asians Men90 cm Women80 cm Chinese Men90 cm Women80 cm Japanese Men85 cm Women90 cm Ethnic south and central Americans Use south Asian recommendations until more specific data are available Sub-Saharan Africans Use European data until more specific data are available Eastern Mediterranean and middle east (Arab) populations Use European data until more specific data are available Data are pragmatic cutoffs and better data are required to link them to risk. Ethnicity should be basis for classification, not country of residence. *In USA, Adult Treatmen panel III values (102 cm male, 88 cm female) are likely to continue to be used for clinical purposes. In future epidemiological studies of populations of Europid origin (white people of European origin, regardless of where they live in the world), prevalence should be given, with both European and North American cutoffs to allow better comparisons. Plus any two: Raised triglycerides150 mg/dL (1·7 mmol/L) Specific treatment for this lipid abnormality Reduced HDL-cholesterol40 mg/dL (1·03 mmol/L) in men50 mg/dL (1·29 mmol/L) in women Specific treatment for this lipid abnormality Raised blood pressure Systolic 130 mm Hg Diastolic 85 mm Hg Treatment of previously diagnosed hypertension Raised fasting plasma glucoseâ€* Fasting plasma glucose 100 mg/dL (5·6 mmol/L) Previously diagnosed type 2 diabetes If above 5·6 mmol/L or 100 mg/dL, oral glucose tolerance test is strongly recommended, but is not necessary to define presence of syndrome *If body-mass index is over 30 kg/m , central obesity can be assumed and waist circumference does not need to be measured. â€*In clinical practice, impaired glucose tolerance is also acceptable, but all reports of prevalence of metabolic syndrome should use only fasting plasma glucose and presence of previously diagnosed diabetes to define hyperglycaemia. Prevalences also incorporating 2-h glucose results can be added as supplementary findings. [...] Lancet, Vol 366, September 24, 2005 xpost sci.med.nutrition,sci.med.cardiology,misc.health.d iabetes |
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New waist size cutoff: 94 cm Men, 80 Women, less for South Asians
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#4
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New waist size cutoff: 94 cm Men, 80 Women, less for South Asians
WoolyGooly wrote: On 5 Dec 2006 09:33:24 -0800, wrote: How's the job, Andy? Would you at least quit quoting the quack when you respond to his bait? Some of us have him killfiled... sorry |
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