PMID- 20144326
OWN - NLM
STAT- MEDLINE
DCOM- 20100602
LR  - 20211020
IS  - 1932-2968 (Electronic)
IS  - 1932-2968 (Linking)
VI  - 3
IP  - 4
DP  - 2009 Jul 1
TI  - Waist circumference threshold values for type 2 diabetes risk.
PG  - 761-9
AB  - Adult gains in body weight, excess adiposity, and intra-abdominal fat have each 
      been associated with risk for type 2 diabetes mellitus (T2DM), forming the basis 
      for preventive medicine guidelines and actuarial predictions using practical 
      indices of weight (e.g., body mass index [BMI]) and waist circumference (WC). As 
      obesity-related disease spreads beyond affluent western countries, application of 
      WC thresholds to other populations has highlighted issues of their 
      generalizability. For example, U.S. national health goals based on BMI < 25 
      kg/m(2) and WC < 89 cm (women) and <102 cm (men) differ considerably with a 
      recent law in Japan mandating intervention for older adults with WC exceeding 90 
      cm (women) and 85 cm (men). The U.S. military has also faced issues of 
      generalizability of WC-based adiposity standards that are fair and achievable. 
      Data from many studies indicate that WC is a reliable biomarker for T2DM risk, 
      suggesting that, for adult men and women, action thresholds should be more 
      stringent than current U.S. guidelines, and it would not be harmful to set 
      worldwide targets somewhere below 90 cm for men and women, regardless of weight 
      status. Medical technology has provided many great insights into disease, 
      including modern imaging technologies that have differentiated fat depots that 
      have the greatest influence on T2DM, but ultimately, an inexpensive measuring 
      tape provides the most useful and cost-effective preventive measure for T2DM 
      today. At some point in the future, a Star Trek-like abdominal body fat 
      "tricorder" noninvasive assessment of tissue composition may provide an advantage 
      over abdominal girth.
CI  - Copyright 2009 Diabetes Technology Society.
FAU - Friedl, Karl E
AU  - Friedl KE
AD  - Telemedicine and Advanced Technology Research Center, US Army Medical Research 
      and Materiel Command, Fort Detrick, Maryland 21702-5012, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20090701
PL  - United States
TA  - J Diabetes Sci Technol
JT  - Journal of diabetes science and technology
JID - 101306166
SB  - IM
MH  - Adult
MH  - Body Composition
MH  - Body Mass Index
MH  - Diabetes Mellitus, Type 2/*prevention & control
MH  - Female
MH  - Humans
MH  - Japan
MH  - Male
MH  - Risk
MH  - Risk Factors
MH  - *Waist Circumference
PMC - PMC2769976
EDAT- 2010/02/11 06:00
MHDA- 2010/06/03 06:00
PMCR- 2010/07/01
CRDT- 2010/02/11 06:00
PHST- 2010/02/11 06:00 [entrez]
PHST- 2010/02/11 06:00 [pubmed]
PHST- 2010/06/03 06:00 [medline]
PHST- 2010/07/01 00:00 [pmc-release]
AID - dst.3.4.0761 [pii]
AID - 10.1177/193229680900300424 [doi]
PST - epublish
SO  - J Diabetes Sci Technol. 2009 Jul 1;3(4):761-9. doi: 10.1177/193229680900300424.