Waist circumference, metabolic syndrome and coronary artery disease in a Pakistani cohort

Wierzbicki, Anthony S.; Nishtar, Sania; Lumb, P J; Lambert-Hammill, Michelle; Crook, Martin; Marber, Michael; Gill, Jaswinder

doi:10.1016/j.ijcard.2007.05.036

Cited by 9 publications

(8 citation statements)

References 34 publications

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“…The exact waist circumference cut‐offs for Indian Asians are controversial and some native studies give different values to those proposed by NCEP‐ATP3 or IDF (23). Similarly, factor analyses tend to suggest that the clustering of M‐IRS risk factors differ in Indian Asian population from other groups (24,25).…”

Section: Discussionmentioning

confidence: 99%

Insulin resistance phenotypes and coronary artery disease in a native Pakistani cohort

Wierzbicki

Nishtar

Lumb

et al. 2008

International Journal of Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Insulin resistance phenotypes and coronary artery disease in a native Pakistani cohort

Wierzbicki

Nishtar

Lumb

et al. 2008

International Journal of Clinical Practice

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“…South Asian populations (Bangladesh, India, Nepal, Pakistan, Sri Lanka) Abdominal obesity is associated with a variety of risk factors among South Asians including insulin action and insulin resistance (McKeigue et al, 1992;Banerji et al, 1999;Rush et al, 2007b), lipids, markers of inflammation, the metabolic syndrome, carotid intima-media thickness, angiographically determined atherosclerosis and risk for myocardial infarction (Pais et al, 1996;Chambers et al, 2001;Venkatramana and Reddy, 2002;Valsamakis et al, 2004;Chow et al, 2008;Wierzbicki et al, 2008). South Asians have increased abdominal adiposity at a given BMI (Lean et al, 2001;Orr-Walker et al, 2005) and a higher percentage of body fat (Banerji et al, 1999;Deurenberg-Yap et al, 2000;Lear et al, 2007b;Rush et al, 2007a) than Europeans.…”

Section: Asian Populationsmentioning

confidence: 99%

Appropriateness of waist circumference and waist-to-hip ratio cutoffs for different ethnic groups

et al. 2009

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Current waist circumference (WC) and waist-to-hip ratio (WHR) cutoffs have been identified from studies of predominantly European-derived populations. However, these cutoffs may not be appropriate for other ethnic groups. This paper reviews the literature regarding ethnic differences in body composition and the appropriateness of ethnic-specific WC and WHR cutoffs in various ethnic groups. Studies investigating ethnic-specific cutoffs were identified among Aboriginal, Asian, African (SubSaharan), African-American, Hispanic, Middle Eastern, Pacific Islander and South American populations. Abstracts that recommended WC and/or WHR cutoffs (or rejected the use of cutoffs) were included with their supporting literature. The evidence for ethnic-specific WC and/or WHR cutoffs was then rated as either convincing, probable, possible or insufficient. The majority of studies recommending ethnic-specific cutoffs was for Asian populations. Few studies recommended cutoffs in Aboriginal, African (Sub-Saharan), Pacific Islanders and South American populations. All studies were cross-sectional, and the overwhelming majority of studies used receiver operating characteristic curves. The studies used a number of methods for assessing WC and WHR, and a variety of outcome measures, making cross-study comparison difficult. There is possible evidence that Asians should have a lower WC cutoff than Europeans. The evidence is insufficient for specific cutoffs for African-American, Hispanic and Middle Eastern populations but some studies indicate current cutoffs for Europeans may be appropriate, whereas there is insufficient evidence for the other ethnic groups. Future studies are needed to address the methodological limitations of the current literature.

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“…A total of 42 studies have been identified, of which 30 used the NCEP ATP III criterion (2001) 1 as the sole diagnostic criteron for MS, and 12 articles used other criteria for the diagnosis of MS besides the NCEP ATP III 1 . A total of 42 articles have been selected, as follows: 14 cohort studies 13,[15][16][17][18][19][20][21][22][23][24][25][26][27] , 12 cross-sectional studies 10,[30][31][32][33][34][35][36][37][38][39][40] , 8 prospective cohort studies [41][42][43][44][45][46][47][48] , 2 observational studies 49,50 , 2 prospective studies 51,52 , 1 prospective observational study 53 , 1 crosssectional and population cohort study 54 , 1 case-control study 55 , and 1 longitudinal community-based study 56 .…”

Section: Resultsmentioning

confidence: 99%

“…Of the studies selected in this review, one showed no association of MS with CAD 54 , and another showed no association of MS with atheromatous plaque formation 18 . However, most studies showed the association of MS and some of its components with higher risk of general morbidity and mortality and of CVD.…”

Section: Ms -Metabolic Syndrome; Ncep Atp III -National Cholesterol Ementioning

confidence: 96%

Síndrome metabólica na doença arterial coronariana e vascular oclusiva: uma revisão sistemática

Farias¹,

Pereira²,

Rosa³

2010

Arq. Bras. Cardiol.

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Nowadays, the metabolic syndrome (MS) is highly prevalent and is associated with risk factors for non-transmissible chronic diseases, such as type 2 diabetes mellitus, and coronary atherosclerotic disease. The objective of this systematic review is to describe the results of studies that investigated the association of MS with coronary artery disease and occlusive vascular diseases. We conducted a systematic review of data from original studies published between 1999 and 2008, written in English or Portuguese, using the databases Medline, Pubmed, Science Direct and HighWire Press. We included articles in which the diagnosis of MS was made by the criteria of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III, 2001). We excluded studies with animals, supplementation studies, and those with oral or intravenous administration of any substance, as well as those of low methodological quality and those which had a heterogeneous initial sample. Despite the heterogeneity among studies, we observed that individuals with MS had a higher probability (risk = 2.13) of developing occlusive vascular diseases, coronary disease, diabetes and stroke. Lifestyle changes such as healthy eating habits, regular physical activity and cessation of smoking should be encouraged by health professionals to minimize the complications and morbidity associated with MS.

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Waist circumference, metabolic syndrome and coronary artery disease in a Pakistani cohort

Cited by 9 publications

References 34 publications

Insulin resistance phenotypes and coronary artery disease in a native Pakistani cohort

Insulin resistance phenotypes and coronary artery disease in a native Pakistani cohort

Appropriateness of waist circumference and waist-to-hip ratio cutoffs for different ethnic groups

Síndrome metabólica na doença arterial coronariana e vascular oclusiva: uma revisão sistemática

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