@Article{Delavari2009,
journal="Archives of Medical Science",
issn="1734-1922",
volume="5",
number="4",
year="2009",
title="The first cut-off points for generalized and abdominal obesity in predicting lipid disorders in a nationally representative population in the Middle East: The National Survey of Risk Factors for Non-Communicable Diseases of Iran",
abstract=" Introduction:  To determine the prevalence of dyslipidaemia and the optimal cut-off points of body mass index (BMI) and waist circumference (WC) at which abnormal lipid levels can be identified with maximum sensitivity and specificity in a nationwide population-based sample for the first time in the Middle East.   Material and methods:  Using a probability proportional to size, multistage cluster sampling method, a sociodemographically representative sample of 3024 of the Iranian population aged 25-64 years living in urban and rural areas of all 30 provinces of the country was studied.    Results:  The mean age of participants was 41.3 (0.07) years. The receiver operating curve (ROC) analysis showed that the optimal cut-off value of BMI to identify with maximum sensitivity and specificity the detection of lipid disorders was 25 kg/m 2  for males and 26-28 kg/m 2  for females. Considering WC, among males this optimal cut-off value was 88-89 cm for high total cholesterol (T. Chol), low HDL-C and high triglycerides (TG), whereas it was lower (86 cm) for predicting high LDL-C. Among females, this cut-off value was 83-84 cm for predicting high T. Chol, high LDL-C and high TG, but it was higher (90 cm) for low HDL-C. The most prevalent type of abnormal lipid level was low HDL-C.   Conclusions:  The optimal cut-off points provided in the current study might serve as a public health action threshold in the Middle East population. The very high prevalence of high TG and low HDL-C suggest that current guidelines for screening lipid disorders that are based on total and LDL cholesterol should consider such ethnic differences.",
author="Delavari, Alireza
and Kelishadi, Roya
and Forouzanfar, Mohammad H.
and Safaei, Afshin
and Birjandi, Fariba
and Alikhani, Siamak",
pages="542--549",
url="https://www.termedia.pl/The-first-cut-off-points-for-generalized-and-abdominal-obesity-in-predicting-lipid-disorders-in-a-nationally-representative-population-in-the-Middle-East-The-National-Survey-of-Risk-Factors-for-Non-Co,19,13910,1,1.html"
}