oa Journal of Endocrinology, Metabolism and Diabetes in South Africa - Association of waist circumference with perception of own health in urban African males and females : the Sympathetic Activity and Ambulatory Blood Pressure in Africans (SABPA) study : diabetes education
|Article Title||Association of waist circumference with perception of own health in urban African males and females : the Sympathetic Activity and Ambulatory Blood Pressure in Africans (SABPA) study : diabetes education|
|© Publisher:||Medpharm Publications|
|Journal||Journal of Endocrinology, Metabolism and Diabetes in South Africa|
|Affiliations||1 North-West University, 2 North-West University, 3 North-West University, 4 North-West University and 5 North-West University|
|Publication Date||Jan 2012|
|Pages||106 - 112|
|Keyword(s)||Anthropometry, Ethnicity, Perception of own health and Waist circumference|
Background : Current waist circumference (WC) cut-points of the Joint Statement Consensus (JSC) (male ≥ 94 cm, female ≥ 80 cm) were compared with a recently proposed WC cut-point (RPWC) (male ≥ 90 cm, female ≥ 98 cm). In this study, we aimed to compare the two cut-points to assess the association between central obesity and perception of own health.
Method : We determined blood pressure and fasting bloods [glucose, high-density lipoprotein (HDL) and triglycerides] as metabolic syndrome markers for 171 urban teachers. Perception of own health was determined via the General Health Questionnaire-28 (GHQ-28) to indicate probable psychological distress or a psychiatric disorder or caseness (≥ 4).
Results : The RPWC was an improved discrimination between the WC groups on perception of own health as reflected in the GHQ-28 subscales. In the male group, higher scores were found in the RPWC high WC group (≥ 90 cm) with regard to somatic symptoms, social dysfunction and GHQ-28 caseness, compared to those of the low WC groups (< 90 cm). Compared to the RPWC high WC females (≥ 98 cm), the low WC (< 98 cm) reflected significantly higher anxiety and sleeplessness subscale scores.
Conclusion : Our results suggest that the RPWC (men 90 cm, women 98 cm), (determined in this African cohort when adding GHQ-28 caseness as a discriminatory variable between WC cut-point), distinguished better between WC groups based on their perception of own health than the JSC cut-point.
Article metrics loading...