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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

Identifieur interne : 009514 ( Main/Exploration ); précédent : 009513; suivant : 009515

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

Auteurs : Beverley Balkau [France] ; John E. Deanfield [Royaume-Uni] ; Jean-Pierre Despres [Canada] ; Jean-Pierre Bassand [France] ; Keith A. A. Fox [Royaume-Uni] ; Sidney C. Jr Smith [États-Unis] ; Philip Barter [Australie] ; Chee-Eng Tan [Singapour] ; Luc Van Gaal [Belgique] ; Hans-Ulrich Wittchen [Allemagne] ; Christine Massien [France] ; Steven M. Haffner [États-Unis]

Source :

RBID : Pascal:07-0502979

Descripteurs français

English descriptors

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≥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.


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<name sortKey="Bassand, Jean Pierre" sort="Bassand, Jean Pierre" uniqKey="Bassand J" first="Jean-Pierre" last="Bassand">Jean-Pierre Bassand</name>
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<name sortKey="Haffner, Steven M" sort="Haffner, Steven M" uniqKey="Haffner S" first="Steven M." last="Haffner">Steven M. Haffner</name>
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<name sortKey="Despres, Jean Pierre" sort="Despres, Jean Pierre" uniqKey="Despres J" first="Jean-Pierre" last="Despres">Jean-Pierre Despres</name>
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<name sortKey="Bassand, Jean Pierre" sort="Bassand, Jean Pierre" uniqKey="Bassand J" first="Jean-Pierre" last="Bassand">Jean-Pierre Bassand</name>
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<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Besangon</wicri:noRegion>
<wicri:noRegion>University Hospital Jean-Minjoz</wicri:noRegion>
<wicri:noRegion>University Hospital Jean-Minjoz</wicri:noRegion>
</affiliation>
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<name sortKey="Fox, Keith A A" sort="Fox, Keith A A" uniqKey="Fox K" first="Keith A. A." last="Fox">Keith A. A. Fox</name>
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</inist:fA14>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Édimbourg</settlement>
<region type="country">Écosse</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Smith, Sidney C Jr" sort="Smith, Sidney C Jr" uniqKey="Smith S" first="Sidney C. Jr" last="Smith">Sidney C. Jr Smith</name>
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<s1>University of North Carolina</s1>
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<country>États-Unis</country>
<wicri:noRegion>University of North Carolina</wicri:noRegion>
</affiliation>
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<name sortKey="Barter, Philip" sort="Barter, Philip" uniqKey="Barter P" first="Philip" last="Barter">Philip Barter</name>
<affiliation wicri:level="3">
<inist:fA14 i1="09">
<s1>The Heart Research Institute</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>7 aut.</sZ>
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<country>Australie</country>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Tan, Chee Eng" sort="Tan, Chee Eng" uniqKey="Tan C" first="Chee-Eng" last="Tan">Chee-Eng Tan</name>
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<s1>Centre for Molecular Epidemiology National University of Singapore</s1>
<s3>SGP</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Singapour</country>
<wicri:noRegion>Centre for Molecular Epidemiology National University of Singapore</wicri:noRegion>
</affiliation>
</author>
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<name sortKey="Van Gaal, Luc" sort="Van Gaal, Luc" uniqKey="Van Gaal L" first="Luc" last="Van Gaal">Luc Van Gaal</name>
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<s1>Antwerp University Hospital</s1>
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<s3>BEL</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Antwerp University Hospital</wicri:noRegion>
</affiliation>
</author>
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<name sortKey="Wittchen, Hans Ulrich" sort="Wittchen, Hans Ulrich" uniqKey="Wittchen H" first="Hans-Ulrich" last="Wittchen">Hans-Ulrich Wittchen</name>
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<s3>DEU</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName>
<region type="land" nuts="1">Saxe (Land)</region>
<region type="district" nuts="2">District de Dresde</region>
<settlement type="city">Dresde</settlement>
</placeName>
</affiliation>
</author>
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<name sortKey="Massien, Christine" sort="Massien, Christine" uniqKey="Massien C" first="Christine" last="Massien">Christine Massien</name>
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<s3>FRA</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
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<name sortKey="Haffner, Steven M" sort="Haffner, Steven M" uniqKey="Haffner S" first="Steven M." last="Haffner">Steven M. Haffner</name>
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<inist:fA14 i1="14">
<s1>University of Texas Health Science Center</s1>
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<s3>USA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>University of Texas Health Science Center</wicri:noRegion>
</affiliation>
</author>
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<title level="j" type="main">Circulation : (New York, N.Y.)</title>
<title level="j" type="abbreviated">Circulation : (N. Y. N.Y.)</title>
<idno type="ISSN">0009-7322</idno>
<imprint>
<date when="2007">2007</date>
</imprint>
</series>
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<title level="j" type="main">Circulation : (New York, N.Y.)</title>
<title level="j" type="abbreviated">Circulation : (N. Y. N.Y.)</title>
<idno type="ISSN">0009-7322</idno>
</seriesStmt>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Cardiovascular disease</term>
<term>Diabetes mellitus</term>
<term>Epidemiology</term>
<term>Human</term>
<term>Nutritional status</term>
<term>Obesity</term>
<term>Risk factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Appareil circulatoire pathologie</term>
<term>Obésité</term>
<term>Diabète</term>
<term>Homme</term>
<term>Epidémiologie</term>
<term>Facteur risque</term>
<term>Etat nutritionnel</term>
<term>Maladie cardiovasculaire</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Diabète</term>
<term>Homme</term>
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<front>
<div type="abstract" xml:lang="en">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≥30 kg/m
<sup>2</sup>
). A further 40% and 30% of men and women, respectively, were overweight (BMI 25 to 30 kg/m
<sup>2</sup>
). 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/m
<sup>2</sup>
). 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.</div>
</front>
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<affiliations>
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<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Canada</li>
<li>France</li>
<li>Royaume-Uni</li>
<li>Singapour</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>District de Dresde</li>
<li>Grand Londres</li>
<li>Nouvelle-Galles du Sud</li>
<li>Saxe (Land)</li>
<li>Écosse</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Dresde</li>
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