For men with spinal cord injuries, a waist size of 86.5 cm better detects belly fat (visceral adipose tissue) than the standard cutoff, identifying more true cases (84.6% vs 7.7%) while still correctly identifying most people without excess belly fat (91.3% vs 100%).
Scientific Claim
In men with chronic spinal cord injury, a waist circumference cutoff of 86.5 cm is associated with higher sensitivity (84.6%) and specificity (91.3%) for visceral adipose tissue cross-sectional area ≥100 cm² compared to the general population cutoff of 102 cm (sensitivity 7.7%, specificity 100%).
Original Statement
“In reference to VAT CSA, the general population WC cutoff point had a sensitivity of 7.7% and specificity of 100% both of which changed to 84.6% and 91.3% respectively, with a SCI specific cutoff point of 86.5 cm.”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
association
Can only show association/correlation
Assessment Explanation
The study is observational and demonstrates associations, so using 'associated with' is appropriate. No causation is claimed.