臺大醫院-精神醫學部;臺大醫學院-精神科;Lin, Chao-ChengChao-ChengLinYu, Shun-ChiehShun-ChiehYuWu, Bo-JianBo-JianWuChang, Da-JenDa-JenChang2014-07-022018-07-122014-07-022018-07-122012http://ntur.lib.ntu.edu.tw//handle/246246/260248There is a lack of understanding about the impact of different waist circumference (WC) measurements on the detection of abdominal obesity and metabolic syndrome in psychiatric patients. This cross-sectional study included a total of 382 inpatients with schizophrenia-related disorders to assess each component of metabolic syndrome. WC was measured at the lowest rib, midpoint between the iliac crest and lowest rib, iliac crest, minimal waist, and umbilicus. Logistic regression analysis was performed to examine the ability of WC at each site to predict the presence of metabolic risk clustering. The mean WC values for all sites were significantly different from each other. The measurement site had an influence on the prevalence of abdominal obesity (30-38.2% in men and 53.9-86.3% in women). The influence on the prevalence of metabolic syndrome was greater with the International Diabetes Federation (IDF) criteria (19.3-23.9% in men and 29.4-43.1% in women) than with the Adult Treatment Panel III (ATP III) criteria (26.1-28.6% in men and 37.3-44.1% in women). The areas under the receiver operating characteristic curve for metabolic risk clustering were highest at the umbilicus and midpoint. Given that the WC measurement protocol has substantial influence on the prevalence of abdominal obesity and metabolic syndrome, a predefined measurement site is required for all psychiatric studies. (C) 2012 Elsevier Ireland Ltd. All rights reserved.112 bytestext/htmlWaist circumferencesObesityMetabolic syndromeSchizophrenia[SDGs]SDG3abdominal obesity; adult; article; clinical assessment; clinical feature; cross-sectional study; disease association; female; human; iliac crest; major clinical study; male; mental patient; metabolic syndrome X; prevalence; priority journal; receiver operating characteristic; rib; risk assessment; risk factor; schizophrenia; scoring system; sex difference; umbilicus; waist circumference; Anthropometry; Cross-Sectional Studies; Female; Humans; Male; Metabolic Syndrome X; Middle Aged; Predictive Value of Tests; Prevalence; Psychotic Disorders; Reference Values; Risk Factors; ROC Curve; Schizophrenia; Taiwan; Waist Circumference10.1016/j.psychres.2011.09.012http://ntur.lib.ntu.edu.tw/bitstream/246246/260248/1/index.html