International Day for the Evaluation of Abdominal Obesity (IDEA): A Study of Waist Circumference, Cardiovascular Disease, and Diabetes Mellitus in 168 000 Primary Care Patients in 63 Countries

By B. Balkau, J. Deanfield, J. Despres, J. Bassand, K. Fox, Sidney C. Smith, P. Barter, C. Tan, L. Van Gaal, Hans-Ulrich Wittchen and 2 more. Circulation, 2007

798 citations recorded by the source corpus.

Background— Abdominal adiposity is a growing clinical and public health problem. It is not known whether it is similarly associated with cardiovascular disease (CVD) and diabetes mellitus in different regions around the world, and thus whether measurement of waist circumference (WC) in addition to body mass index (BMI) is useful in primary care practice. Methods and Results— Randomly chosen primary care physicians in 63 countries recruited consecutive patients aged 18 to 80 years on 2 prespecified half days. WC and BMI were measured and the presence of CVD and diabetes mellitus recorded. Of the patients who consulted the primary care physicians, 97% agreed to participate in the present study. Overall, 24% of 69 409 men and 27% of 98 750 women were obese (BMI≥30 kg/m2). A further 40% and 30% of men and women, respectively, were overweight (BMI 25 to 30 kg/m2). Increased WC (>102 for men and >88 cm for women) was recorded in 29% and 48%, CVD in 16% and 13%, and diabetes mellitus in 13% and 11% of men and women, respectively. A statistically significant graded increase existed in the frequency of CVD and diabetes mellitus with both BMI and WC, with a stronger relationship for WC than for BMI across regions for both genders. This relationship between WC, CVD, and particularly diabetes mellitus was seen even in lean patients (BMI<25 kg/m2). Conclusions— Among men and women who consulted primary care physicians, BMI and particularly WC were both strongly linked to CVD and especially to diabetes mellitus. Strategies to address this global problem are required to prevent an epidemic of these major causes of morbidity and mortality.

Subfields: Endocrinology, Diabetes and Metabolism, Pharmacy, Surgery

View Paper: https://www.semanticscholar.org/paper/75f80160859c4da353b0ee6bb19b37ddbdb0fd8a

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Endocrinology, Diabetes and Metabolism

1. André Tchernof
2. J. Despres
3. Anoop Misra
4. L. Khurana
5. S. Grundy

In Pharmacy

1. André Tchernof
2. J. Despres

In Surgery

1. J. Despres
2. André Tchernof

Citations in the corpus

• Obesity and the metabolic syndrome in developing countries. (2008, background): “In the International Day for Evaluation of Abdominal obesity study (33), waist circumference data from 63 countries showed highest prevalence of abdominal obesity in South Asians compared with north Europeans and other Asian ethnic groups.”
• Pathophysiology of human visceral obesity: an update. (2013, background): “(22) clearly showed that within any BMI category (“normal,” overweight, obese), there was a progressive increase in the prevalence of diabetes across quintiles of waist circumference.”