Waist circumference cut-off points for the definition of metabolic syndrome in older adults: SABE Colombia study.

Abstract

We aimed to define sex-specific waist circumference cut-off points for Colombian older adults that best predict metabolic syndrome using data obtained in the "Survey on Health, Well-Being, and Aging in Colombia" (SABE Colombia study). A total of 3,812 non-institutionalized older adults aged 60 years or more were studied. Participants with two or more of International Diabetes Federation criteria for the definition of metabolic syndrome were classified as high risk. The optimal cut-off point was analyzed by sex. Waist circumference demonstrated a good predictive capacity in the Colombian older adult population (AUC for men 0.71 and women 0.66). The most adequate cut-off point for waist circumference for the definition of metabolic syndrome was 91 cm for both sexes. We propose the use of 91 cm waist circumference as the cut-off point to be used for the definition of metabolic syndrome for older Colombian adults and older adults from Latin America (while there is a lack of specific studies for the last). The cut-off points recommended by the International Diabetes Federation and the National Cholesterol Education Program Adult Treatment Panel III are not supported by the present study of a significant sample of the Colombian older adult population.