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Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people.
Eur J Clin Nutr. 2004 Jun; 58(6):888-93.EJ

Abstract

OBJECTIVE

To investigate waist circumference (WC), waist-hip ratio, hip circumference and body mass index (BMI) as risk factors for cardiovascular disease in Aboriginal Australians.

METHODS

This cohort study included 836 adults aged 20-74 y in a remote Aboriginal community. WC, waist-hip ratio, hip circumference and BMI were obtained from a screening program. The participants were followed for up to 10 y for cardiovascular events. A Cox regression model was used to calculate the rate ratio (RR) and 95% confidence interval (CI) for the first-ever cardiovascular event (fatal and nonfatal).

RESULTS

RRs for the first-ever cardiovascular event were 1.31 (95% CI: 1.11, 1.54), 1.29 (95% CI: 1.09,1.53), 1.28 (95% CI: 1.08, 1.52) and 1.10 (95% CI: 0.93, 1.30) per standard deviation increase in WC, BMI, hip circumference and waist-hip ratio, respectively, after adjustment for diabetes mellitus, total cholesterol, systolic blood pressure and smoking status. WC, BMI and hip circumference were significantly associated with cardiovascular risk, independent of other cardiovascular risk factors. Dividing each of the four parameters into quartiles, WC had the highest likelihood statistics (12.76) followed by BMI (11.45), hip circumference (10.57) and waist-hip ratio (3.15) for predicting first CV events.

CONCLUSION

WC, BMI and hip circumference are associated with cardiovascular outcome, independent of traditional risk factors. However, WC appears to be a better predictor for cardiovascular risk than other parameters. Waist-hip ratio is not as useful as other measurements.

Authors+Show Affiliations

Department of Medicine, The University of Queensland/Menzies School of Health Research, Australia. zwang@ccs.uq.edu.auNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

15164109

Citation

Wang, Z, and W E. Hoy. "Waist Circumference, Body Mass Index, Hip Circumference and Waist-to-hip Ratio as Predictors of Cardiovascular Disease in Aboriginal People." European Journal of Clinical Nutrition, vol. 58, no. 6, 2004, pp. 888-93.
Wang Z, Hoy WE. Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people. Eur J Clin Nutr. 2004;58(6):888-93.
Wang, Z., & Hoy, W. E. (2004). Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people. European Journal of Clinical Nutrition, 58(6), 888-93.
Wang Z, Hoy WE. Waist Circumference, Body Mass Index, Hip Circumference and Waist-to-hip Ratio as Predictors of Cardiovascular Disease in Aboriginal People. Eur J Clin Nutr. 2004;58(6):888-93. PubMed PMID: 15164109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Waist circumference, body mass index, hip circumference and waist-to-hip ratio as predictors of cardiovascular disease in Aboriginal people. AU - Wang,Z, AU - Hoy,W E, PY - 2004/5/28/pubmed PY - 2004/9/8/medline PY - 2004/5/28/entrez SP - 888 EP - 93 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 58 IS - 6 N2 - OBJECTIVE: To investigate waist circumference (WC), waist-hip ratio, hip circumference and body mass index (BMI) as risk factors for cardiovascular disease in Aboriginal Australians. METHODS: This cohort study included 836 adults aged 20-74 y in a remote Aboriginal community. WC, waist-hip ratio, hip circumference and BMI were obtained from a screening program. The participants were followed for up to 10 y for cardiovascular events. A Cox regression model was used to calculate the rate ratio (RR) and 95% confidence interval (CI) for the first-ever cardiovascular event (fatal and nonfatal). RESULTS: RRs for the first-ever cardiovascular event were 1.31 (95% CI: 1.11, 1.54), 1.29 (95% CI: 1.09,1.53), 1.28 (95% CI: 1.08, 1.52) and 1.10 (95% CI: 0.93, 1.30) per standard deviation increase in WC, BMI, hip circumference and waist-hip ratio, respectively, after adjustment for diabetes mellitus, total cholesterol, systolic blood pressure and smoking status. WC, BMI and hip circumference were significantly associated with cardiovascular risk, independent of other cardiovascular risk factors. Dividing each of the four parameters into quartiles, WC had the highest likelihood statistics (12.76) followed by BMI (11.45), hip circumference (10.57) and waist-hip ratio (3.15) for predicting first CV events. CONCLUSION: WC, BMI and hip circumference are associated with cardiovascular outcome, independent of traditional risk factors. However, WC appears to be a better predictor for cardiovascular risk than other parameters. Waist-hip ratio is not as useful as other measurements. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/15164109/Waist_circumference_body_mass_index_hip_circumference_and_waist_to_hip_ratio_as_predictors_of_cardiovascular_disease_in_Aboriginal_people_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601891 DB - PRIME DP - Unbound Medicine ER -