| Autor: |
Kazlauskaite, Rasa, Avery‐Mamer, Elizabeth F., Li, Hong, Chataut, Chandra P., Janssen, Imke, Powell, Lynda H., Kravitz, Howard M. |
| Předmět: |
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| Zdroj: |
American Journal of Human Biology; Jan/Feb2017, Vol. 29 Issue 1, pn/a-N.PAG, 6p |
| Abstrakt: |
Objective To compare the performance of waist-to-height ratio as a screening tool for cardiometabolic conditions - hypertension, prediabetes/diabetes, dyslipidemia, and subclinical inflammation - in 5 race/ethnic groups of mid-life women. Methods Waist-to-height ratio and 4 cardiometabolic conditions were assessed in 3033 premenopausal midlife women (249 Hispanic, 226 Chinese, 262 Japanese, 1435 European-American, and 861 African American). The areas under the receiver operating characteristic curve (AUROC) were compared across the five race/ethnic groups using waist-to-height ratio to determine the likelihood of the four cardiometabolic conditions. Results The performance of waist-to-height ratio to detect one or more cardiometabolic conditions was comparable among all race/ethnic groups (AUROC > 0.60, p = 0.252), and was good/fair (AUROC > 0.60) when hypertension, prediabetes/diabetes, dyslipidemia, or subclinical inflammation were analyzed separately. The performance of waist-to-height ratio of 0.50 was skewed towards higher specificity among groups with low prevalence of cardiometabolic conditions and lower median waist-to-height ratio, and towards higher sensitivity among groups with high prevalence of cardiometabolic conditions and higher median waist-to-height ratio. Conclusions Waist-to-height ratio can be used for community-based screening of mid-life women who may need secondary prevention for cardiometabolic conditions. A simple public health message: 'Keep your waist to less than half of your height' applies to midlife women. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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