The rows divide periodically to keep pace with the increasing circumference of the colony.
The prevalence odds of elevated HOMA-IR (≥ 2.00) also increased stepwise with increasing circumferences of the waist (Table 2).
Clinical examination revealed femoral artery pulse asymmetry with weaker left femoral pulse combined with asymmetrically increased circumference of the left lower limb greater by 1 cm at the levels of mid-thigh and mid-calf.
In addition, we found a modifying effect of leg length on the association of waist circumference with measures of insulin sensitivity, indicating that increasing leg length partially mitigates the detrimental effect of increasing waist circumference on insulin sensitivity, though the association was not seen in individuals with the smallest or largest waist circumference.
The prevalence of increased waist circumference (94 – 102 cm in men, 80 – 88 cm in women) and very high waist circumference (i.e. abdominal obesity, WC greater than 102 cm for men and greater than 88 cm for women) in the study participants is presented in Fig. 2. Figure 3 shows the prevalence of increased total cholesterol (> 5 mmol/l) and triacylglyceride levels (> 1.7 mmol/l).
The rationale for using a combination of waist circumference and fasting triglyceride levels is to partially overcome the inability of waist circumference to discriminate between subcutaneous and visceral adiposity; raised serum triglycerides in the presence of increased waist circumference are more likely to indicate visceral rather than subcutaneous fat accumulation [ 4].
Similarly, ex-smokers had a significantly (P < 0.05) higher prevalence of increased waist circumference (69%) compared with never-smokers (60%) and current smokers (49%).
52 The cardio-metabolic risk factors consist of increased central obesity (waist circumference), increased blood pressure, increased triglycerides, decreased HDL-C, and increased fasting plasma glucose.
Aim of this study was to assess the prevalence of overweight and obesity and the prevalence of an increased waist circumference in primary care and to study the relationship of these anthropometric variables to the presence of cardiovascular risk factors in defined subpopulations.
According to the Joint Interim Statement (JIS) criteria any three of the following five components are necessary for the diagnosis of MetS: increased waist circumference, raised blood pressure, increased triglycerides, decreased high density lipoprotein (HDL) cholesterol and raised plasma glucose [ 4].
