Waist:height ratio: a superior index in estimating cardiovascular risks in Turkish adults.
| Autor: | Meseri R; 1Department of Nutrition and Dietetics,Izmir Ataturk School of Health,Ege University,Bornova,35100 Izmir,Turkey., Ucku R; 2Faculty of Medicine,Department of Public Health,Dokuz Eylul University,Narlidere,Izmir,Turkey., Unal B; 2Faculty of Medicine,Department of Public Health,Dokuz Eylul University,Narlidere,Izmir,Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | Public health nutrition [Public Health Nutr] 2014 Oct; Vol. 17 (10), pp. 2246-52. Date of Electronic Publication: 2013 Oct 08. |
| DOI: | 10.1017/S136898001300267X |
| Abstrakt: | Objective: To determine the best anthropometric measurement among waist: height ratio (WHtR), BMI, waist:hip ratio (WHR) and waist circumference (WC) associated with high CHD risk in adults and to define the optimal cut-off point for WHtR. Design: Population-based cross-sectional study. Setting: Balcova, Izmir, Turkey. Subjects: Individuals (n 10 878) who participated in the baseline survey of the Heart of Balcova Project. For each participant, 10-year coronary event risk (Framingham risk score) was calculated using data on age, sex, smoking status, blood pressure, serum lipids and diabetes status. Participants who had risk higher than 10 % were defined as 'medium or high risk'. Results: Among the participants, 67·7% were female, 38·2% were obese, 24·5% had high blood pressure, 9·2% had diabetes, 1·5% had undiagnosed diabetes (≥126 mg/dl), 22·0% had high total cholesterol and 45·9% had low HDL-cholesterol. According to Framingham risk score, 32·7% of them had a risk score higher than 10 %. Those who had medium or high risk had significantly higher mean BMI, WHtR, WHR and WC compared with those at low risk. According to receiver-operating characteristic curves, WHtR was the best and BMI was the worst indicator of CHD risk for both sexes. For both men and women, 0·55 was the optimal cut-off point for WHtR for CHD risk. Conclusions: BMI should not be used alone for evaluating obesity when estimating cardiometabolic risks. WHtR was found to be a successful measurement for determining cardiovascular risks. A cut-off point of '0·5' can be used for categorizing WHtR in order to target people at high CHD risk for preventive actions. |
| Databáze: | MEDLINE |
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