Tags

Type your tag names separated by a space and hit enter

Waist circumference, body mass index, and risk for stroke in older people: a 15 year longitudinal population study of 70- year-olds.

Abstract

OBJECTIVES

To investigate waist circumference (WC) and body mass index (BMI) at age 70 as risk factors for stroke.

DESIGN

Cohort study of 70-year-olds with 15-year follow-up.

SETTING

Geriatric Medicine Department, Göteborg University, Sweden.

PARTICIPANTS

Two thousand two hundred eighty-seven (1,045 men; 1,242 women) 70-year-olds examined between 1971 and 1981 in Göteborg, Sweden.

MEASUREMENTS

Cox regression model was used to calculate relative risk (RR) and 95% confidence interval (CI) for first-ever stroke (fatal and nonfatal) in reference to the lowest quartiles of WC and BMI. Tests for trend were performed fitting WC and BMI in their original continuous form.

RESULTS

In men and women, RRs for stroke, in the highest WC quartile were 1.65 (95% CI = 1.08-2.51) and 1.31 (95% CI = 0.88-1.92), respectively, after adjustment for cohorts, smoking habit, coronary heart disease (CHD), diabetes mellitus, total cholesterol (TC), systolic blood pressure (SBP), and height at age 70. In men, RR for stroke in the highest BMI quartile (> or=28 kg/m2) was 1.68 (95% CI = 1.12-2.53) after adjustment for cohorts, smoking habits, CHD, diabetes mellitus, TC, and SBP at age 70. In women, adjusted RRs for stroke across the BMI quartiles were not significantly different. In men, population attributable fractions of stroke were 24.8% and 25.2% for the highest quartiles of WC and BMI, respectively.

CONCLUSIONS

High WC (> or =99 cm) and BMI (> or =28 kg/m2) are risks for stroke in older men but not in older women.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Departments of Geriatric Medicine and Clinical Nutrition, Göteborg University, Göteborg, Sweden. debashish.dey@geriatrik.gu.se

    , , ,

    Source

    MeSH

    Aged
    Aged, 80 and over
    Anthropometry
    Blood Pressure
    Body Constitution
    Body Mass Index
    Cholesterol
    Coronary Disease
    Diabetes Complications
    Female
    Humans
    Longitudinal Studies
    Male
    Proportional Hazards Models
    Regression Analysis
    Risk Factors
    Smoking
    Stroke

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    12383148

    Citation

    Dey, Debashish K., et al. "Waist Circumference, Body Mass Index, and Risk for Stroke in Older People: a 15 Year Longitudinal Population Study of 70- Year-olds." Journal of the American Geriatrics Society, vol. 50, no. 9, 2002, pp. 1510-8.
    Dey DK, Rothenberg E, Sundh V, et al. Waist circumference, body mass index, and risk for stroke in older people: a 15 year longitudinal population study of 70- year-olds. J Am Geriatr Soc. 2002;50(9):1510-8.
    Dey, D. K., Rothenberg, E., Sundh, V., Bosaeus, I., & Steen, B. (2002). Waist circumference, body mass index, and risk for stroke in older people: a 15 year longitudinal population study of 70- year-olds. Journal of the American Geriatrics Society, 50(9), pp. 1510-8.
    Dey DK, et al. Waist Circumference, Body Mass Index, and Risk for Stroke in Older People: a 15 Year Longitudinal Population Study of 70- Year-olds. J Am Geriatr Soc. 2002;50(9):1510-8. PubMed PMID: 12383148.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Waist circumference, body mass index, and risk for stroke in older people: a 15 year longitudinal population study of 70- year-olds. AU - Dey,Debashish K, AU - Rothenberg,Elisabet, AU - Sundh,Valter, AU - Bosaeus,Ingvar, AU - Steen,Bertil, PY - 2002/10/18/pubmed PY - 2002/11/26/medline PY - 2002/10/18/entrez SP - 1510 EP - 8 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 50 IS - 9 N2 - OBJECTIVES: To investigate waist circumference (WC) and body mass index (BMI) at age 70 as risk factors for stroke. DESIGN: Cohort study of 70-year-olds with 15-year follow-up. SETTING: Geriatric Medicine Department, Göteborg University, Sweden. PARTICIPANTS: Two thousand two hundred eighty-seven (1,045 men; 1,242 women) 70-year-olds examined between 1971 and 1981 in Göteborg, Sweden. MEASUREMENTS: Cox regression model was used to calculate relative risk (RR) and 95% confidence interval (CI) for first-ever stroke (fatal and nonfatal) in reference to the lowest quartiles of WC and BMI. Tests for trend were performed fitting WC and BMI in their original continuous form. RESULTS: In men and women, RRs for stroke, in the highest WC quartile were 1.65 (95% CI = 1.08-2.51) and 1.31 (95% CI = 0.88-1.92), respectively, after adjustment for cohorts, smoking habit, coronary heart disease (CHD), diabetes mellitus, total cholesterol (TC), systolic blood pressure (SBP), and height at age 70. In men, RR for stroke in the highest BMI quartile (> or=28 kg/m2) was 1.68 (95% CI = 1.12-2.53) after adjustment for cohorts, smoking habits, CHD, diabetes mellitus, TC, and SBP at age 70. In women, adjusted RRs for stroke across the BMI quartiles were not significantly different. In men, population attributable fractions of stroke were 24.8% and 25.2% for the highest quartiles of WC and BMI, respectively. CONCLUSIONS: High WC (> or =99 cm) and BMI (> or =28 kg/m2) are risks for stroke in older men but not in older women. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/12383148/Waist_circumference_body_mass_index_and_risk_for_stroke_in_older_people:_a_15_year_longitudinal_population_study_of_70__year_olds_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2002&volume=50&issue=9&spage=1510 DB - PRIME DP - Unbound Medicine ER -