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Waist-to-height ratio is a better obesity index than body mass index and waist-to-hip ratio for predicting diabetes, hypertension and lipidemia.
Bangladesh Med Res Counc Bull. 2003 Apr; 29(1):1-10.BM

Abstract

Body mass index (BMI, kg/m.sq) and waist-to-hip ratio (WHR) are widely used as obesity indices for diabetes and cardiovascular risks. Lower adult height was related to diabetes and stroke. Waist-girth was proved important for visceral obesity. Incorporating waist-girth and height as waist-to-height ratio (WHtR), we reported earlier--"Waist-to-height ratio is an important predictor of hypertension and diabetes". We readdressed this index in a larger sample with two-sample OGTT and lipid profiles. In a cluster sampling of 16,818 rural inhabitants, considering age > or = 20 y, 5713 subjects were found eligible. Of them, 4923 (M/F=2321/2602) volunteered for height, weight, blood pressure, waist-girth and hip-girth. Fasting venous blood (5 ml) was drawn for plasma glucose, total cholesterol (T-chol), Triglycerides (TG) and high-density lipoprotien (HDL-c). Overall, 1565 participants were undertaken for OGTT. The mean (SD) values of BMI, WHR and WHtR for subjects with diabetes and hypertension were significantly higher in either sex. The level significance was highest for WHtR. The prevalence of diabetes and hypertension increased significantly with higher quintiles of BMI, WHR and WHtR (chi sq values were largest in WHtR for both events). Partial correlation coefficients, controlling for age and sex, showed that BMI, WHR and WHtR significantly correlated with systolic and diastolic BP, FBG, T-chol and TG. In the entire correlation matrix, the 'r' values were the highest for WHtR. Taking diabetes and hypertension as dependent variables, logistic regression also showed the highest odds ratio in higher WHtR than BMI and WHR. We conclude that WHtR was proved again a valuable obesity index for predicting diabetes, hypertension and lipidemia.

Authors+Show Affiliations

Dept. of Community Medicine, Ibrahim Medical College, Segunbagicha, Dhaka.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

14674615

Citation

Sayeed, M A., et al. "Waist-to-height Ratio Is a Better Obesity Index Than Body Mass Index and Waist-to-hip Ratio for Predicting Diabetes, Hypertension and Lipidemia." Bangladesh Medical Research Council Bulletin, vol. 29, no. 1, 2003, pp. 1-10.
Sayeed MA, Mahtab H, Latif ZA, et al. Waist-to-height ratio is a better obesity index than body mass index and waist-to-hip ratio for predicting diabetes, hypertension and lipidemia. Bangladesh Med Res Counc Bull. 2003;29(1):1-10.
Sayeed, M. A., Mahtab, H., Latif, Z. A., Khanam, P. A., Ahsan, K. A., Banu, A., & Azad Khan, A. K. (2003). Waist-to-height ratio is a better obesity index than body mass index and waist-to-hip ratio for predicting diabetes, hypertension and lipidemia. Bangladesh Medical Research Council Bulletin, 29(1), 1-10.
Sayeed MA, et al. Waist-to-height Ratio Is a Better Obesity Index Than Body Mass Index and Waist-to-hip Ratio for Predicting Diabetes, Hypertension and Lipidemia. Bangladesh Med Res Counc Bull. 2003;29(1):1-10. PubMed PMID: 14674615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Waist-to-height ratio is a better obesity index than body mass index and waist-to-hip ratio for predicting diabetes, hypertension and lipidemia. AU - Sayeed,M A, AU - Mahtab,H, AU - Latif,Z A, AU - Khanam,P A, AU - Ahsan,K A, AU - Banu,A, AU - Azad Khan,A K, PY - 2003/12/17/pubmed PY - 2004/2/6/medline PY - 2003/12/17/entrez SP - 1 EP - 10 JF - Bangladesh Medical Research Council bulletin JO - Bangladesh Med Res Counc Bull VL - 29 IS - 1 N2 - Body mass index (BMI, kg/m.sq) and waist-to-hip ratio (WHR) are widely used as obesity indices for diabetes and cardiovascular risks. Lower adult height was related to diabetes and stroke. Waist-girth was proved important for visceral obesity. Incorporating waist-girth and height as waist-to-height ratio (WHtR), we reported earlier--"Waist-to-height ratio is an important predictor of hypertension and diabetes". We readdressed this index in a larger sample with two-sample OGTT and lipid profiles. In a cluster sampling of 16,818 rural inhabitants, considering age > or = 20 y, 5713 subjects were found eligible. Of them, 4923 (M/F=2321/2602) volunteered for height, weight, blood pressure, waist-girth and hip-girth. Fasting venous blood (5 ml) was drawn for plasma glucose, total cholesterol (T-chol), Triglycerides (TG) and high-density lipoprotien (HDL-c). Overall, 1565 participants were undertaken for OGTT. The mean (SD) values of BMI, WHR and WHtR for subjects with diabetes and hypertension were significantly higher in either sex. The level significance was highest for WHtR. The prevalence of diabetes and hypertension increased significantly with higher quintiles of BMI, WHR and WHtR (chi sq values were largest in WHtR for both events). Partial correlation coefficients, controlling for age and sex, showed that BMI, WHR and WHtR significantly correlated with systolic and diastolic BP, FBG, T-chol and TG. In the entire correlation matrix, the 'r' values were the highest for WHtR. Taking diabetes and hypertension as dependent variables, logistic regression also showed the highest odds ratio in higher WHtR than BMI and WHR. We conclude that WHtR was proved again a valuable obesity index for predicting diabetes, hypertension and lipidemia. SN - 0377-9238 UR - https://www.unboundmedicine.com/medline/citation/14674615/Waist_to_height_ratio_is_a_better_obesity_index_than_body_mass_index_and_waist_to_hip_ratio_for_predicting_diabetes_hypertension_and_lipidemia_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -