Optimal anthropometric factor cutoffs for hyperglycemia, hypertension and dyslipidemia for the Taiwanese population

Tseng, Chin‐Hsiao; Chong, Choon-Khim; Chan, Ting Ting; Bai, Chyi Huey; You, San–Lin; Chiou, Hung Yi; Su, Ta-Chen; Chen, Chien Jen

doi:10.1016/j.atherosclerosis.2009.12.015

Cited by 67 publications

(74 citation statements)

References 14 publications

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“…Maher et al [8] showed that WHeiR >0.5 predicted both early vascular and metabolic changes and was as reliable as the BMI cutoff >25 in a healthy Caucasian population. Tseng et al also found a superior efficacy of WHeiR to BMI in predicting hyperglycemia, hypertension, and dyslipidemia in a Taiwanese population [16]. Our results contradicted previous findings.…”

Section: Discussioncontrasting

confidence: 63%

Association of Anthropometric Measurements with Components of Metabolic Syndrome and Carotid Intima-Media Thickness in Young Healthy Taiwanese

Tan

Chuang

2012

Journal of Medical Ultrasound

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KEY WORDSbody mass index, intima-media thickness, metabolic syndrome, waist circumference, waist circumferenceto-height ratioBackground: The degree of vascular changes and obesity-related metabolic abnormalities may differ from the distribution of body fat. We investigated the association of anthropometric measurements with vascular changes and components of metabolic syndrome (Mets). Materials and methods: One hundred and eleven volunteers (48 women, 63 men) were recruited. Anthropometric measurements included body mass index (BMI), waist circumference (WC), waist-to-hip circumference ratio (WHR), and waist circumference-to-height ratio (WHeiR). The carotid intima-media thickness (IMT) was measured by using B-mode ultrasonography. Correlations between anthropometric measures, components of Mets, and carotid IMT were analyzed. Results: All anthropometric measurements significantly correlated with components of Mets. Carotid IMT correlated with sex, age, blood pressure, body weight, BMI, WC, hip circumference (HC), WHR, WHeiR, fasting plasma glucose, and lipid profile. BMI (r Z 0.455) showed the strongest correlation followed by WC (r Z 0.405), WHeiR (r Z 0.405) and WHR (r Z 0.365) with carotid IMT. Only age, sex, and BMI were significant correlates of IMT in multivariate linear analysis. Conclusion: General adiposity as measured by BMI, rather than abdominal fat, is significantly correlated with carotid IMT in healthy young Taiwanese individuals. ª

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Section: Discussioncontrasting

confidence: 63%

Association of Anthropometric Measurements with Components of Metabolic Syndrome and Carotid Intima-Media Thickness in Young Healthy Taiwanese

Tan

Chuang

2012

Journal of Medical Ultrasound

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“…Several well-established risk factors for dyslipidemia 18,[20][21][22][23] , including age, family history of dyslipidemia, current smoking, overweight and obesity, were clearly associated with dyslipidemia in the present study. The increased prevalence of dyslipidemia may be partially attributed to an increase in the prevalence of overweight and obesity.…”

Section: Discussionmentioning

confidence: 52%

Prevalence, Awareness, Treatment, and Control of Dyslipidemia among Adults in Beijing, China

Cai

Zhang

Liu

et al. 2012

JAT

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Aim:The present study aimed to determine the up-to-date prevalence, awareness, treatment, and control of dyslipidemia, and their distribution and related influencing factors in adults in Beijing, China. Method: A cross-sectional study was conducted in 2008, using a four-stratified cluster sampling. Data from a questionnaire, physical examination, and blood sampling were obtained from 5761 adults aged 18-79 years.

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“…Diabetes is increasing in prevalence and incidence and affects hundreds of millions of people worldwide [35][36][37]. Because most patients with diabetes are treated with multiple drugs for the management of hyperglycemia Downloaded by [Korea University] at 17: 47 27 December 2014 3 and other related comorbidities, the safety of the commonly used medications in this highly prevalent disease is of great public health concern.…”

Section: Introductionmentioning

confidence: 99%

A Review on Thiazolidinediones and Bladder Cancer in Human Studies

Tseng

2014

Journal of Environmental Science and Health, Part C

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There is a concern of an increased risk of bladder cancer associated with the use of thiazolidinediones, a class of oral glucose-lowering drugs commonly used in patients with type 2 diabetes with a mechanism of improving insulin resistance. Human studies on related issues are reviewed, followed by a discussion on potential concerns on the causal inference in current studies. Pioglitazone and rosiglitazone are discussed separately, and findings from different geographical regions are presented. Randomized controlled trials designed for primarily answering such a cancer link are lacking, and evidence from clinical trials with available data for evaluating the association may not be informative. Observational studies have been reported with the use of population-based administrative databases, single-hospital records, drug adverse event reporting system, and case series collection. Meta-analysis has also been performed by six different groups of investigators. These studies showed a signal of higher risk of bladder cancer associated with pioglitazone, especially at a higher cumulative dose or after prolonged exposure; however, a weaker signal or null association is observed with rosiglitazone. In addition, there are some concerns on the causal inference, which may be related to the use of secondary databases, biases in sampling, differential detection, and confounding by indications. Lack of full control of smoking and potential biases related to study designs and statistical approaches such as prevalent user bias and immortal time bias may be major limitations in some studies. Overlapping populations and opposing conclusions in studies using the same databases may be of concern and weaken the reported conclusions of the studies. Because randomized controlled trials are expensive and unethical in providing an answer to this cancer issue, observational studies are expected to be the main source in providing an answer in the future. Furthermore, international comparison studies using well-designed and uniform methodology to clarify the risk in specific sexes, ethnicities, and other subgroups and to evaluate the interaction with other environmental risk factors or medications will be helpful to identify patients at risk.

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Optimal anthropometric factor cutoffs for hyperglycemia, hypertension and dyslipidemia for the Taiwanese population

Cited by 67 publications

References 14 publications

Association of Anthropometric Measurements with Components of Metabolic Syndrome and Carotid Intima-Media Thickness in Young Healthy Taiwanese

Association of Anthropometric Measurements with Components of Metabolic Syndrome and Carotid Intima-Media Thickness in Young Healthy Taiwanese

Prevalence, Awareness, Treatment, and Control of Dyslipidemia among Adults in Beijing, China

A Review on Thiazolidinediones and Bladder Cancer in Human Studies

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