Evidence map›Paper›PMID 27853033›Full record

Observational studyAnnals of African medicine

Performance of waist circumference and proposed cutoff levels for defining overweight and obesity in Nigerians.

Christian I Okafor, Taiwo H Raimi, Ibrahim D Gezawa, Anas A Sabir, Ofem Enang, Fabian Puepet, Olufemi A Fasanmade, Esther N Ofoegbu, Olatunde Odusan

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of African medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Christian I OkaforDepartment of Medicine, University of Nigeria, Enugu Campus/University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Enugu State, Nigeria.
Taiwo H RaimiDepartment of Medicine, Ekiti State University/Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria.
Ibrahim D GezawaDepartment of Medicine, Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Anas A SabirDepartment of Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Sokoto State, Nigeria.
Ofem EnangDepartment of Medicine, University of Calabar/University of Calabar Teaching Hospital, Calabar, Cross-River State, Nigeria.
Fabian PuepetDepartment of Medicine, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Olufemi A FasanmadeDepartment of Medicine, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Lagos State, Nigeria.
Esther N OfoegbuDepartment of Medicine, University of Nigeria, Enugu Campus/University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Enugu State, Nigeria.
Olatunde OdusanDepartment of Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWaist circumference (WC) is a simple tool for measuring central obesity in routine clinic settings. Gender- and ethnic-specific optimal cutoff points for WC are encouraged for populations lacking such data.

objectivesTo derive WC cutoff values, predictive of overweight and obesity in Nigerians and to evaluate the performance of currently recommended values. SUBJECTS AND

methodsApparently, healthy urban dwellers from six cities spread across Nigeria were selected for this cross-sectional study. Biophysical profiles such as blood pressure and anthropometric indices were measured according to the World Health Organization's STEPs instrument protocol. Receiver operating characteristics curve analysis was used to determine the optimal cutoff levels using the decision rule of maximum (sensitivity + specificity). The level of significance was set at P< 0.05.

resultsA total of 6089 subjects (3234 males and 2855 females) were recruited for the study. WC demonstrated a high area under the curve in both genders. Selected cutoff points ranged from 83 to 96 cm with high sensitivities and specificities.

conclusionsThe currently recommended gender-specific WC cutoff values proved inappropriate in this study group, but WC remains a reliable tool for measuring obesity.

Indexed as

Waist CircumferenceAdultArea Under CurveBlack PeopleCross-Sectional StudiesFemaleHumansMaleMiddle AgedNigeriaObesityObesity, AbdominalOverweightReference ValuesSensitivity and SpecificityThinness

Identifiers

PMID27853033
PMCPMC5402832

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.