Which obesity index is a better predictor for cardiometabolic risk factors in a young adult rural population of Telangana State, India?

Autor: Kusneniwar GN; Community Medicine and Family Medicine, AIIMS, Bibinagar (Near Hyderabad), Bhuvanagiri-Yadadari District, Telangana, India.; Department of Community Medicine, SHARE INDIA, MediCiti Institute of Medical Sciences, Ghanpur (V), Medchal (M) and District, Telangana, India., Jammy GR; Department of Community Medicine, SHARE INDIA, MediCiti Institute of Medical Sciences, Ghanpur (V), Medchal (M) and District, Telangana, India., Shailendra D; Department of Pharmacology, SHARE INDIA, MediCiti Institute of Medical Sciences, Ghanpur (V), Medchal (M) and District, Telangana, India., Bunker CH; Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA., Reddy PS; School of Medicine, University of Pittsburgh. Pittsburgh, PA 15213, USA.; SHARE INDIA, MediCiti Institute of Medical Sciences, Ghanpur(V), Medchal(M) and District, Telangana, India.
Jazyk: angličtina
Zdroj: Journal of family medicine and primary care [J Family Med Prim Care] 2020 Sep 30; Vol. 9 (9), pp. 4667-4672. Date of Electronic Publication: 2020 Sep 30 (Print Publication: 2020).
DOI: 10.4103/jfmpc.jfmpc_864_20
Abstrakt: Background: Waist-to-height ratio (WHtR) has recently been found to be a useful marker of cardiovascular disease (CVD) risk in populations in developed countries; the comparison of various obesity indices, particularly WHtR, has received little study in India and other developing countries.
Aim: This study aimed to compare the associations of common obesity indices, body mass index (BMI), waist circumference, waist-hip ratio (WHR), and WHtR, with cardiometabolic risk factors in a young, rural Indian population.
Subjects and Methods: Anthropometric measurements and cardiometabolic risk factors (hypertension, diabetes, and dyslipidemia) were measured using standardized protocols at the baseline visit of the Longitudinal Indian Family hEalth Pilot Study, a population-based cohort study of child-bearing age women and their husbands in rural Telangana, India.
Results: In comparison with most previously studied populations, this population sample (642 males and 980 females) was younger; had lower BMI; and lower rates of diabetes, hypertension, and abnormal lipids (exception of high rates of low high-density lipoprotein). With regard to each of the cardiometabolic risk factors, the associations across the obesity indices tended to be significant, but weak, and similar to each other, whereas the association with WHR was less strong.
Conclusion: Although WHtR was not a better predictor of cardiometabolic risk than conventional obesity indices, in this young adult Indian population, it was equally good. This raises the prospect of using WHtR as an alternative to BMI for assessing cardiometabolic risk in Indians considering the ease with which it can be easily done and interpreted.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2020 Journal of Family Medicine and Primary Care.)
Databáze: MEDLINE
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