Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk.
<h4>Introduction</h4>Several anthropometric measurements have been associated with cardiovascular disease, type-2 diabetes mellitus and other cardiovascular risk conditions, such as hypertension or metabolic syndrome. Waist-to-height-ratio has been proposed as a useful tool for assessing...
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2012
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oai:doaj.org-article:465be419127a493b97defedbe9005c092021-11-18T07:08:47ZWaist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk.1932-620310.1371/journal.pone.0043275https://doaj.org/article/465be419127a493b97defedbe9005c092012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22905246/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Several anthropometric measurements have been associated with cardiovascular disease, type-2 diabetes mellitus and other cardiovascular risk conditions, such as hypertension or metabolic syndrome. Waist-to-height-ratio has been proposed as a useful tool for assessing abdominal obesity, correcting other measurements for the height of the individual. We compared the ability of several anthropometric measurements to predict the presence of type-2 diabetes, hyperglycemia, hypertension, atherogenic dyslipidemia or metabolic syndrome.<h4>Materials and methods</h4>In our cross-sectional analyses we included 7447 Spanish individuals at high cardiovascular risk, men aged 55-80 years and women aged 60-80 years, from the PREDIMED study. Logistic regression models were fitted to evaluate the odds ratio of presenting each cardiovascular risk factor according to various anthropometric measures. The areas under the receiver-operating characteristic curve (AUC) were used to compare the predictive ability of these measurements.<h4>Results</h4>In this relatively homogeneous cohort with 48.6% of type-2 diabetic individuals, the great majority of the studied anthropometric parameters were significantly and positively associated with the cardiovascular risk factors. No association was found between BMI and body weight and diabetes mellitus. The AUCs for the waist-to-height ratio and waist circumference were significantly higher than the AUCs for BMI or weight for type-2 diabetes, hyperglycemia, atherogenic dyslipidemia and metabolic syndrome. Conversely, BMI was the strongest predictor of hypertension.<h4>Conclusions</h4>We concluded that measures of abdominal obesity showed higher discriminative ability for diabetes mellitus, high fasting plasma glucose, atherogenic dyslipidemia and metabolic syndrome than BMI or weight in a large cohort of elderly Mediterranean individuals at high cardiovascular risk. No significant differences were found between the predictive abilities of waist-to-height ratio and waist circumference on the metabolic disease.Marta Guasch-FerréMònica BullóMiguel Ángel Martínez-GonzálezDolores CorellaRamon EstruchMaría-Isabel CovasFernando ArósJulia WärnbergMiquel FiolJosé LapetraMiguel Ángel MuñozLluís Serra-MajemXavier PintóNancy BabioAndrés Díaz-LópezJordi Salas-SalvadóPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e43275 (2012) |
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Medicine R Science Q |
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Medicine R Science Q Marta Guasch-Ferré Mònica Bulló Miguel Ángel Martínez-González Dolores Corella Ramon Estruch María-Isabel Covas Fernando Arós Julia Wärnberg Miquel Fiol José Lapetra Miguel Ángel Muñoz Lluís Serra-Majem Xavier Pintó Nancy Babio Andrés Díaz-López Jordi Salas-Salvadó Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| description |
<h4>Introduction</h4>Several anthropometric measurements have been associated with cardiovascular disease, type-2 diabetes mellitus and other cardiovascular risk conditions, such as hypertension or metabolic syndrome. Waist-to-height-ratio has been proposed as a useful tool for assessing abdominal obesity, correcting other measurements for the height of the individual. We compared the ability of several anthropometric measurements to predict the presence of type-2 diabetes, hyperglycemia, hypertension, atherogenic dyslipidemia or metabolic syndrome.<h4>Materials and methods</h4>In our cross-sectional analyses we included 7447 Spanish individuals at high cardiovascular risk, men aged 55-80 years and women aged 60-80 years, from the PREDIMED study. Logistic regression models were fitted to evaluate the odds ratio of presenting each cardiovascular risk factor according to various anthropometric measures. The areas under the receiver-operating characteristic curve (AUC) were used to compare the predictive ability of these measurements.<h4>Results</h4>In this relatively homogeneous cohort with 48.6% of type-2 diabetic individuals, the great majority of the studied anthropometric parameters were significantly and positively associated with the cardiovascular risk factors. No association was found between BMI and body weight and diabetes mellitus. The AUCs for the waist-to-height ratio and waist circumference were significantly higher than the AUCs for BMI or weight for type-2 diabetes, hyperglycemia, atherogenic dyslipidemia and metabolic syndrome. Conversely, BMI was the strongest predictor of hypertension.<h4>Conclusions</h4>We concluded that measures of abdominal obesity showed higher discriminative ability for diabetes mellitus, high fasting plasma glucose, atherogenic dyslipidemia and metabolic syndrome than BMI or weight in a large cohort of elderly Mediterranean individuals at high cardiovascular risk. No significant differences were found between the predictive abilities of waist-to-height ratio and waist circumference on the metabolic disease. |
| format |
article |
| author |
Marta Guasch-Ferré Mònica Bulló Miguel Ángel Martínez-González Dolores Corella Ramon Estruch María-Isabel Covas Fernando Arós Julia Wärnberg Miquel Fiol José Lapetra Miguel Ángel Muñoz Lluís Serra-Majem Xavier Pintó Nancy Babio Andrés Díaz-López Jordi Salas-Salvadó |
| author_facet |
Marta Guasch-Ferré Mònica Bulló Miguel Ángel Martínez-González Dolores Corella Ramon Estruch María-Isabel Covas Fernando Arós Julia Wärnberg Miquel Fiol José Lapetra Miguel Ángel Muñoz Lluís Serra-Majem Xavier Pintó Nancy Babio Andrés Díaz-López Jordi Salas-Salvadó |
| author_sort |
Marta Guasch-Ferré |
| title |
Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| title_short |
Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| title_full |
Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| title_fullStr |
Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| title_full_unstemmed |
Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| title_sort |
waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2012 |
| url |
https://doaj.org/article/465be419127a493b97defedbe9005c09 |
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