Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people

Wang, Zhiqiang; Hoy, W. E.

doi:10.1038/sj.ejcn.1601891

Cited by 147 publications

(133 citation statements)

References 21 publications

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“…Correlations among body size measurements in this population have been reported elsewhere. 3 All measurements were positively correlated with each other except that hip circumference was negatively correlated with waist-to-hip ratios.…”

Section: Resultsmentioning

confidence: 91%

“…1,2 We found that waist circumference predicted the risk of cardiovascular disease better than body mass index (BMI) and waist-to-hip ratio in an Australian Aboriginal population. 3 There is increasing interest in investigating the separate contributions of waist and hip circumferences to diabetes, demonstrating a protective effect of a large hip circumference in non-Aboriginal populations. [4][5][6] The cardiovascular risk profile in Aboriginal people is different from that of the general Australian population.…”

Section: Introductionmentioning

confidence: 99%

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Body size measurements as predictors of type 2 diabetes in Aboriginal people

Wang

Hoy

2004

Int J Obes

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OBJECTIVE: To investigate waist circumference, waist-to-hip ratio, body mass index (BMI), weight and hip circumference as risk factors for type 2 diabetes in Aboriginal Australians. DESIGN: Community-based cross-sectional study. SUBJECTS: In total, 915 Australian Aboriginal adults (age: 18-74 y) from a remote Aboriginal community in the Northern Territory of Australia. MEASUREMENTS: Body size measurements included waist circumference, waist-to-hip ratio, BMI, weight and hip circumference. Diabetes status was determined according to medical history and fasting and 2-h postload plasma glucose values. Logistic regression was used to calculate odds ratio for diabetes associated with 1 standard deviation (s.d.) increase in a body size measurement. The areas under the ROC curves of five body size measurements were calculated and compared. RESULTS: Risk of diabetes increased with increasing levels of body size. ORs (95% CI) for diabetes with adjustment for age and sex were 2

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Section: Resultsmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Body size measurements as predictors of type 2 diabetes in Aboriginal people

Wang

Hoy

2004

Int J Obes

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“…Recentemente, foi sugerido que a RCQ define melhor indivíduos de risco para doença cardiovascular (9)(10)(11). Outros autores consideram que a medida da cintura é melhor preditor de obesidade, dislipidemia e risco cardiovascular (4,(12)(13)(14). Deve também ser considerado que o padrão de distribuição da gordura pode variar de acordo com os grupos étnicos, e tem sido recomendado que essas medidas sejam padronizadas para as diversas etnias (15)(16)(17)(18)(19)(20)(21).…”

Section: A O B E S I D a D E C O N T R I B U I P A R A O Desenvolvimeunclassified

Medida da cintura e razão cintura/quadril e identificação de situações de risco cardiovascular: estudo multicêntrico em pacientes com diabetes melito tipo 2

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Leitão

Gerchman

et al. 2007

Arq Bras Endocrinol Metab

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RESUMOA obesidade abdominal está associada à presença de doenças cardiovasculares. O objetivo do presente trabalho foi avaliar, em pacientes com diabetes melito tipo 2 (DM2), o desempenho de duas medidas de obesidade abdominal, medida da circunferência da cintura e razão cintura/quadril (RCQ) na identificação de situações clínicas que representam risco cardiovascular: cardiopatia isquêmica, HAS, dislipidemia, obesidade e nefropatia diabética. Foi realizado um estudo transversal multicêntrico com 820 pacientes com DM2. A medida da cintura apresentou uma forte correlação com o índice de massa corporal (IMC), em homens (r= 0,814; P< 0,05) e em mulheres (r= 0,770; P< 0,05). Já a correlação da RCQ com o IMC foi fraca (homens: r= 0,263, P< 0,05; mulheres: r= 0,092, P< 0,05). Apenas cintura se correlacionou com as medidas da pressão arterial sistólica (r= 0,211, P< 0,05 para homens; r= 0,224, P< 0,05 para mulheres). Na análise das áreas sob as curvas ROC, a cintura foi superior à RCQ para identificação de obesidade e HAS, tanto em homens como em mulheres, e para a dislipidemia em homens. Em conclusão, a circunferência da cintura está mais associada a situações de risco cardiovascular do que a RCQ. Abdominal obesity is associated with cardiovascular disease. This study aims to compare two measures of abdominal obesity [waist and wais-tohip ratio (WHR)] in patients with DM2 to identify cardiovascular risk factors: ischemic cardiopathy, hypertension, dislipidemia, obesity and diabetic nephropathy. A multicentric study was performed in 820 patients with type 2 DM. Waist circumference strongly correlated with body mass index (BMI), for men (r= 0.814; P< 0.05) and women (r= 0.770; P< 0.05). On the other hand, WRH was weakly correlated (r= 0.263, P< 0.05 for men; r= 0.092, P< 0.05 for women). Only waist circumference correlated with systolic pressure (r= 0.211, P< 0.05 for men; r= 0,224, P< 0.05 for women). ROC curve analysis demonstrated the superiority of waist circumference measurement compared to WHR regarding obesity and hypertension for men and women, and dyslipidemia for men. In conclusion, waist circumference is better correlated with cardiovascular risk factor than WRH.

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“…Hallal et al, 2005), and in disease risk studies (e.g. Wang and Hoy, 2004). The BMI is a highly time-saving measure.…”

Section: Introductionmentioning

confidence: 99%

Validity of overweight and obesity in a nation based on self-report versus measurement device data

et al. 2005

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Objective: To analyze overweight and obesity in a nation by self-report (SR) data and by data about the target person provided via other household members compared to measurement devices (MD). The magnitude of hypothesized under-reporting by the SR data should be estimated with adjustment for age, gender, and education. Design: Two cross-sectional studies, nationally representative health examination surveys (response rates: 61.4 and 73.2%, respectively). Setting: Adult general population of Germany aged 20-79 years. Subjects: Sample 1 included 6806 residents. Samples 2 (n ¼ 98 673) and 3 (n ¼ 34 960) included residents in the second survey. Measurements: In sample 1 MD data were collected, in sample 2 SR data were collected, and in sample 3 body weight and height information was provided from another household member living together with the target person. Results: MD data revealed higher proportions of overweight and obesity compared to SR. Among women with body mass index (BMI) 35.00 or higher, the odds ratio (OR) was 3.9 (95% confidence interval, CI, 3.2-4.7), and among men 2.8 (CI, 2.2-3.6) for MD versus SR. Data from other household members also revealed higher proportions of overweight and obesity than SR (OR for BMI 35.00 or higher 2.1, CI, 1.7-2.5, for data from other household members versus SR in women and OR 1.3, CI, 1.1-1.5, in men).

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Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people

Cited by 147 publications

References 21 publications

Body size measurements as predictors of type 2 diabetes in Aboriginal people

Body size measurements as predictors of type 2 diabetes in Aboriginal people

Medida da cintura e razão cintura/quadril e identificação de situações de risco cardiovascular: estudo multicêntrico em pacientes com diabetes melito tipo 2

Validity of overweight and obesity in a nation based on self-report versus measurement device data

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