Association between anthropometric indices of obesity and risk of cardiovascular disease in Japanese men.

Autor: Xiang M; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Hu H; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Imai T; Azbil Corporation, Tokyo, Japan., Nishihara A; Azbil Corporation, Tokyo, Japan., Sasaki N; Mitsubishi Fuso Truck and Bus Corporation, Kanagawa, Japan., Ogasawara T; Mitsubishi Fuso Truck and Bus Corporation, Kanagawa, Japan., Hori A; Department of Global Public Health, University of Tsukuba, Ibaraki, Japan., Nakagawa T; Hitachi Ltd., Ibaraki, Japan., Yamamoto S; Hitachi Ltd., Ibaraki, Japan., Honda T; Hitachi Ltd., Ibaraki, Japan., Okazaki H; Mitsui Chemicals, Inc., Tokyo, Japan., Uehara A; Seijinkai Shizunai Hospital, Hokkaidō, Japan., Yamamoto M; YAMAHA CORPORATION, Shizuoka, Japan., Miyamoto T; Nippon Steel Corporation Kimitsu Works, Chiba, Japan., Kochi T; Furukawa Electric Co., Ltd., Tokyo, Japan., Eguchi M; Furukawa Electric Co., Ltd., Tokyo, Japan., Murakami T; Mizue Medical Clinic, Keihin Occupational Health Center, Kanagawa, Japan., Shimizu M; Mizue Medical Clinic, Keihin Occupational Health Center, Kanagawa, Japan., Tomita K; Mitsubishi Plastics, Inc., Tokyo, Japan., Nagahama S; All Japan Labour Welfare Foundation, Tokyo, Japan., Nanri A; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan.; Department of Food and Health Sciences, International College of Arts and Sciences, Fukuoka Women's University, Fukuoka, Japan., Konishi M; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Akter S; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Kuwahara K; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan.; Teikyo University Graduate School of Public Health, Tokyo, Japan., Kashino I; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Yamaguchi M; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Kabe I; Furukawa Electric Co., Ltd., Tokyo, Japan., Mizoue T; Department of Epidemiology and Prevention, National Center for Global Health and Medicine, Tokyo, Japan., Kunugita N; Department of Environmental Health, National Institute of Public Health, Saitama, Japan., Dohi S; Mitsui Chemicals, Inc., Tokyo, Japan.
Jazyk: angličtina
Zdroj: Journal of occupational health [J Occup Health] 2020 Jan; Vol. 62 (1), pp. e12098. Date of Electronic Publication: 2019 Nov 21.
DOI: 10.1002/1348-9585.12098
Abstrakt: Objectives: We aimed to compare the association of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) with risk of cardiovascular disease (CVD) among middle-aged working Japanese men.
Methods: A nested case-control study was performed among middle-aged male employees who underwent periodic health checkup. A total of 241 CVD cases were identified and matched individually on age, gender, and worksite with 1205 controls. Data on BMI, WC, WHtR, smoking, hypertension, diabetes, and dyslipidemia collected at 4 years before the event/index date were retrieved. Associations between BMI, WC, WHtR, and CVD risk were assessed by using conditional logistic regression models.
Results: The strength of the association of BMI, WC, and WHtR with CVD risk was similar. The smoking-adjusted odds ratio (95% confidence interval) for CVD was 1.60 (1.38-1.85), 1.53 (1.33-1.78), and 1.56 (1.35-1.81) for a 1 SD unit increase in BMI, WC, and WHtR respectively. After further adjustment for hypertension, diabetes, and dyslipidemia, these associations were attenuated but remained statistically significant.
Conclusions: Measures of general (BMI) and abdominal (WC and WHtR) obesity were similarly associated with CVD in middle-aged Japanese men.
(© 2019 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.)
Databáze: MEDLINE
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