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Anthropometric predictors of coronary heart disease in Chinese women.
Int J Obes Relat Metab Disord. 2004 Jun; 28(6):734-40.IJ

Abstract

OBJECTIVE

To evaluate the associations of body size and fat distribution with incidence of coronary heart disease (CHD) in Chinese women.

DESIGN

Population-based, prospective cohort study.

SUBJECTS

A total of 67 334 women aged 40-70 y, who had no prior history of CHD, stroke, and cancer at study recruitment.

MEASUREMENTS

Weight, standing and sitting heights, circumferences of waist and hip, and ratios of the anthropometric measurements.

OUTCOME

incidence of CHD (non-fatal myocardial infarction (MI) or fatal CHD).

RESULTS

After a mean follow-up of 2.5 y (168 164 person-years), there were 70 incident cases of CHD (49 non-fatal MIs and 21 CHD deaths). Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-standing height ratio (WHtR), waist-to-sitting height ratio (WsHtR), and conicity index were all positively associated with the risk of CHD. With the exception of WHR, all other anthropometric indexes only predicted the risk of CHD among women </=55 y of age at enrollment. The relative risks (RRs) between extreme tertiles of BMI were 9.0 (95% CI, 2.0-41.5; P for trend=0.002) for younger women vs 1.3 (0.6-3.0; P for trend=0.83) for older women. Similarly, the RRs for WC, WHtR, WsHtR, and conicity index were 6.1 (1.8-21.4) vs 1.9 (0.6-5.4), 9.4 (2.6-33.8) vs 1.2 (0.5-3.1), 15.2 (3.3-69.1) vs 1.0 (0.4-2.5), and 7.8 (2.2-28.0) vs 0.9 (0.4-2.3) for the young and elderly, respectively. In contrast, the RR for WHR was 3.2 (1.1-9.1) for the young and 2.9 (1.0-8.4) for the elderly.

CONCLUSIONS

WHR was positively associated with the risk of CHD in both younger and older women, while other anthropometrics, including BMI, were related to CHD risk primarily among younger women.

Authors+Show Affiliations

Department of Medicine, Center for Health Services Research, Vanderbilt University, Nashville, TN, USA.No affiliation info availableNo affiliation info availableNo 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, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15052279

Citation

Zhang, X, et al. "Anthropometric Predictors of Coronary Heart Disease in Chinese Women." International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, vol. 28, no. 6, 2004, pp. 734-40.
Zhang X, Shu XO, Gao YT, et al. Anthropometric predictors of coronary heart disease in Chinese women. Int J Obes Relat Metab Disord. 2004;28(6):734-40.
Zhang, X., Shu, X. O., Gao, Y. T., Yang, G., Matthews, C. E., Li, Q., Li, H., Jin, F., & Zheng, W. (2004). Anthropometric predictors of coronary heart disease in Chinese women. International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity, 28(6), 734-40.
Zhang X, et al. Anthropometric Predictors of Coronary Heart Disease in Chinese Women. Int J Obes Relat Metab Disord. 2004;28(6):734-40. PubMed PMID: 15052279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anthropometric predictors of coronary heart disease in Chinese women. AU - Zhang,X, AU - Shu,X O, AU - Gao,Y-T, AU - Yang,G, AU - Matthews,C E, AU - Li,Q, AU - Li,H, AU - Jin,F, AU - Zheng,W, PY - 2004/3/31/pubmed PY - 2004/9/28/medline PY - 2004/3/31/entrez SP - 734 EP - 40 JF - International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity JO - Int. J. Obes. Relat. Metab. Disord. VL - 28 IS - 6 N2 - OBJECTIVE: To evaluate the associations of body size and fat distribution with incidence of coronary heart disease (CHD) in Chinese women. DESIGN: Population-based, prospective cohort study. SUBJECTS: A total of 67 334 women aged 40-70 y, who had no prior history of CHD, stroke, and cancer at study recruitment. MEASUREMENTS: Weight, standing and sitting heights, circumferences of waist and hip, and ratios of the anthropometric measurements. OUTCOME: incidence of CHD (non-fatal myocardial infarction (MI) or fatal CHD). RESULTS: After a mean follow-up of 2.5 y (168 164 person-years), there were 70 incident cases of CHD (49 non-fatal MIs and 21 CHD deaths). Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-standing height ratio (WHtR), waist-to-sitting height ratio (WsHtR), and conicity index were all positively associated with the risk of CHD. With the exception of WHR, all other anthropometric indexes only predicted the risk of CHD among women </=55 y of age at enrollment. The relative risks (RRs) between extreme tertiles of BMI were 9.0 (95% CI, 2.0-41.5; P for trend=0.002) for younger women vs 1.3 (0.6-3.0; P for trend=0.83) for older women. Similarly, the RRs for WC, WHtR, WsHtR, and conicity index were 6.1 (1.8-21.4) vs 1.9 (0.6-5.4), 9.4 (2.6-33.8) vs 1.2 (0.5-3.1), 15.2 (3.3-69.1) vs 1.0 (0.4-2.5), and 7.8 (2.2-28.0) vs 0.9 (0.4-2.3) for the young and elderly, respectively. In contrast, the RR for WHR was 3.2 (1.1-9.1) for the young and 2.9 (1.0-8.4) for the elderly. CONCLUSIONS: WHR was positively associated with the risk of CHD in both younger and older women, while other anthropometrics, including BMI, were related to CHD risk primarily among younger women. UR - https://www.unboundmedicine.com/medline/citation/15052279/Anthropometric_predictors_of_coronary_heart_disease_in_Chinese_women_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=15052279.ui DB - PRIME DP - Unbound Medicine ER -