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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

International Day for the Evaluation of Abdominal obesity: rationale and design of a primary care study on the prevalence of abdominal obesity and associated factors in 63 countries

Hans-Ulrich Wittchen1,*, Beverley Balkau2, Christine Massien3, Alain Richard3, Steven Haffner4, Jean-Pierre Després5 on behalf of the IDEA Steering Committee

1 Institute of Clinical Psychology, Technical University of Dresden, Chemnitzerstr 46, 01187 Dresden, Germany
2 INSERM U780, Villejuif, France
3 Sanofi-aventis, Paris, France
4 Department of Medicine, University of Texas Health Science Center, San Antonio, TX, USA
5 Québec Heart Institute, Laval University, Québec, Canada

* Corresponding author. Tel: +49 351 463 36983; fax: +49 351 463 36984. E-mail address: wittchen{at}psychologie.tu-dresden.de

Sedentary lifestyles and energy-rich diets are driving an increasing prevalence of abdominal obesity, which is associated with cardiovascular risk. Reliable estimates of the worldwide prevalence of abdominal obesity are needed to quantify the associated health risk. The International Day for the Evaluation of Abdominal obesity (IDEA) study is a large, international epidemiological cross-sectional study designed to provide reliable data on the distribution of waist circumference according to region, gender, age, and socio-economic level in 177 345 primary care patients from 63 countries across five continents. Any non-pregnant patient aged 18–80 consulting one of the randomly selected primary care physicians on two pre-defined half days was eligible to participate in the study. The primary objective was to estimate the prevalence of abdominal obesity in primary care, in each participating country. Secondary objectives were to estimate the prevalence of hypertension, type 2 diabetes, dyslipidaemia, and smoking, and to evaluate their associations with abdominal obesity, according to age, gender, and socio-economic level and region. The IDEA study will provide the first global map of the prevalence of abdominal obesity and associated comorbidities in primary care practice.

Key Words: Abdominal obesity • Coronary heart disease • Epidemiology • Primary care • Prevalence • Waist circumference


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