The prevalence of XXXX and determination of the optimal waist circumference cutoff points in a rural South african community.

@entity1 @entity6 @entity497 @entity209 @entity413 @entity165
OBJECTIVE: To determine the prevalence of @entity209 and to define optimal ethnic-specific waist-circumference cutoff points in a @entity497 . RESEARCH DESIGN AND METHODS: This was a cross-sectional survey conducted by random-cluster sampling of adults aged >15 years. @entity1 had demographic, anthropometric, and biochemical measurements taken, including a 75-g oral @entity413 tolerance test. @entity209 was defined using the 2009 Joint Interim Statement (JIS) definition. RESULTS: Of 947 subjects (758 @entity1 ) studied, the age-adjusted prevalence of @entity209 was 22.1%, with a higher prevalence in @entity1 (25.0%) than in @entity1 (10.5%). Peak prevalence was in the oldest age-group (>= 65 years) in @entity1 (44.2%) and in the 45- to 54-year age-group in @entity1 (25.0%). The optimal waist circumference cutoff point to predict the presence of at least two other components of the @entity209 was 86 cm for @entity1 and 92 cm for @entity1 . The crude prevalence of @entity209 was higher with the JIS definition (26.5%) than with the International @entity6 Federation (IDF) (23.3%) or the modified Third Report of the National @entity165 Education Program Adult Treatment Panel (ATPIII) (18.5%) criteria; there was very good agreement with the IDF definition (k = 0.90 [95% CI 0.87-0.94]) and good concordance with ATPIII criteria (0.77 [0.72-0.82]). CONCLUSIONS: There is a high prevalence of @entity209 , especially in @entity1 , suggesting that this community, unlike other rural communities in Africa, already has entered the epidemic of @entity209 . Waist circumference cutoff points differ from those currently recommended for Africans.
