Measurement error and ethnic comparisons of measures of abdominal obesity

S.S. Dhaliwal, Timothy Welborn

    Research output: Contribution to journalArticle

    28 Citations (Scopus)

    Abstract

    Methods of estimating central obesity are important because of the increasing frequency of obesity related diseases worldwide. Here we evaluate the precision of measuring waist circumference and the waist to hip ratio with comparisons across ethnic groups.MethodsThe third Australian Risk Factor Prevalence Study (1989) of 9279 adults recorded height, weight, and Body Mass Index together with duplicate measurements of the waist and hip circumferences, the waist to hip ratio, and blood pressure levels using clearly defined survey techniques. Measurement error and precision for these variables were calculated, and comparisons were made across ethnic groups.ResultsCoefficients of variation for the waist circumference and the waist to hip ratio were less than 1% indicating good precision in comparison with quite large variability for systolic and diastolic pressure readings. Waist circumference showed increased variability in subjects with larger body build in comparison with waist to hip ratio. Equivalence tests across ethnic groups indicated that the waist to hip ratio was independent of ethnicity.ConclusionWaist to hip ratio provides a superior measure of central obesity with low measurement error, high precision, and no bias over a wide range of ethnic groups. We believe that it is essential to standardize methods in the assessment of central obesity. Assessment criteria should be based on waist to hip ratio rather than waist circumference.
    Original languageEnglish
    Pages (from-to)148-152
    JournalPreventive Medicine
    Volume49
    Issue number2-3
    DOIs
    Publication statusPublished - 2009

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