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Table 2 Cut-off points for waist circumference (WC) in the definition of metabolic syndrome as recommended by the Joint Interim Statement criteria (not including WC)

From: Optimal cut-off points for waist circumference in the definition of metabolic syndrome in Brazilian adults: baseline analyses of the Longitudinal Study of Adult Health (ELSA-Brasil)

WC Sens. % Spec.% PPV % NPV % Youden Prevalence MetSc (%) Odds ratiod
Value 95% CI
Men
 90a 77.9 53.3 74.9 57.4 0.3119 54.1 1.26 1.22–1.30
 91 74.8 57.6 76.0 56.0 0.3241 52.9 1.38 1.32–1.44
 92 71.2 61.2 76.7 54.3 0.3245 51.5 1.50 1.42–1.59
 93 67.7 64.5 77.4 52.7 0.3220 50.1 1.64 1.53–1.76
 94b 63.9 67.2 77.7 50.9 0.3110 48.6 1.78 1.64–1.93
 95 59.7 70.8 78.5 49.5 0.3048 47.0 1.93 1.76–2.12
 96 56.0 73.6 79.1 48.3 0.2954 45.7 2.09 1.88–2.32
 97 52.2 76.6 80.0 47.2 0.2884 44.3 2.25 2.01–2.52
 98 48.4 80.0 81.2 46.4 0.2836 43.0 2.42 2.14–2.73
 99 44.8 82.8 82.3 45.5 0.2755 41.8 2.59 2.27–2.94
 100 40.9 85.0 83.0 44.5 0.2593 40.4 2.76 2.41–3.15
 101 37.9 86.5 83.4 43.8 0.2444 39.6 2.93 2.56–3.35
 102 34.3 88.1 83.8 42.8 0.2244 38.4 3.10 2.71–3.55
Women
 80ab 87.4 41.9 55.3 80.2 0.2932 40.5 1.11 1.09–1.12
 81 84.8 46.4 56.5 78.8 0.3122 39.8 1.22 1.19–1.25
 82 82.4 50.3 57.6 77.6 0.3265 39.0 1.34 1.30–1.39
 83 79.4 53.9 58.6 76.0 0.3322 38.1 1.48 1.42–1.54
 84 77.2 57.6 59.9 75.5 0.3478 37.6 1.62 1.55–1.70
 85 74.3 61.4 61.3 74.4 0.3574 36.6 1.77 1.68–1.87
 86 70.8 65.1 62.5 73.0 0.3589 35.6 1.93 1.83–2.05
 87 67.5 68.2 63.5 71.8 0.3566 34.7 2.10 1.98–2.24
 88 64.1 71.1 64.5 70.6 0.3513 33.7 2.28 2.14–2.44
 89 60.5 73.6 65.4 69.4 0.3419 32.6 2.47 2.30–2.66
 90 57.1 76.2 66.4 68.4 0.3333 31.6 2.67 2.47–2.89
  1. Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), 2008–2010
  2. WC waist circumference, Sens. sensitivity, Spec. specificity, PPV positive predictive value, NPV negative predictive value, MetS metabolic syndrome, 95% CI 95% confidence interval
  3. a Cut-off suggested by the Joint Interim Statement (JIS) for Central and South Americans ethnic groups
  4. b Cut-off suggested by the JIS for white Caucasians/Europids or black Sub-Saharan African origin
  5. c Prevalence in the overall sex-specific sample
  6. d Relative odds of the metabolic syndrome being present above the cut-off point, reference strata being the lowest 25% of WCs
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