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A comparative analysis of weight to height and waist to hip circumference indices as indicators of the presence of cardiovascular disease risk factors. Canadian Heart Health Surveys Research Group.
CMAJ. 1997 Jul 01; 157 Suppl 1:S32-8.CMAJ

Abstract

OBJECTIVE

To determine the mathematic formula for weight, height and waist and hip circumference that is most closely correlated to cardiovascular disease risk factors.

DESIGN

Population-based, cross-sectional surveys.

SETTING

Five Canadian provinces, between 1990 and 1992.

PARTICIPANTS

A probability sample of 16,007 men and women aged 18 to 74 years was selected using health insurance registration files in each province. Anthropometry was performed on 10,054 (63%) of these adults.

OUTCOME MEASURES

The power of height in the body mass index (BMI, kg/m2) and of hip circumference in the ratio of waist to hip circumference (WC/HC) was varied from 0 to 3. Simple linear regression analysis for each age-sex group was used to examine the relation of each index to systolic and diastolic blood pressure (SBP and DBP), levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL), triglycerides (TRIG) and the ratio of TC to HDL. Values for the coefficient of determination (r2) were used to compare the fits of the models.

RESULTS

The r2 values were generally low (< 0.27), but were greatest in the younger age groups (18-24 and 35-54 years) and in women. Waist circumference alone (WC/HC0) showed the best fit with SBP and DBP, whereas WC/HC0.5 was most closely related to HDL, TC/HDL and TRIG. None of the indices was closely associated with TC or LDL. Whatever the power of height used, the weight-height ratios showed weaker associations with the risk factors than the waist-hip ratios.

CONCLUSIONS

WC and BMI correlate most closely with blood pressure and plasma lipid and may be the best simple anthropometric indices to include in the routine clinical examination of adults.

Authors+Show Affiliations

Département de Nutrition, Faculté de Médecine, Université de Montréal, Que.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

9220952

Citation

Ledoux, M, et al. "A Comparative Analysis of Weight to Height and Waist to Hip Circumference Indices as Indicators of the Presence of Cardiovascular Disease Risk Factors. Canadian Heart Health Surveys Research Group." CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, vol. 157 Suppl 1, 1997, pp. S32-8.
Ledoux M, Lambert J, Reeder BA, et al. A comparative analysis of weight to height and waist to hip circumference indices as indicators of the presence of cardiovascular disease risk factors. Canadian Heart Health Surveys Research Group. CMAJ. 1997;157 Suppl 1:S32-8.
Ledoux, M., Lambert, J., Reeder, B. A., & Després, J. P. (1997). A comparative analysis of weight to height and waist to hip circumference indices as indicators of the presence of cardiovascular disease risk factors. Canadian Heart Health Surveys Research Group. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, 157 Suppl 1, S32-8.
Ledoux M, et al. A Comparative Analysis of Weight to Height and Waist to Hip Circumference Indices as Indicators of the Presence of Cardiovascular Disease Risk Factors. Canadian Heart Health Surveys Research Group. CMAJ. 1997 Jul 1;157 Suppl 1:S32-8. PubMed PMID: 9220952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparative analysis of weight to height and waist to hip circumference indices as indicators of the presence of cardiovascular disease risk factors. Canadian Heart Health Surveys Research Group. AU - Ledoux,M, AU - Lambert,J, AU - Reeder,B A, AU - Després,J P, PY - 1997/7/1/pubmed PY - 1997/7/1/medline PY - 1997/7/1/entrez SP - S32 EP - 8 JF - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne JO - CMAJ VL - 157 Suppl 1 N2 - OBJECTIVE: To determine the mathematic formula for weight, height and waist and hip circumference that is most closely correlated to cardiovascular disease risk factors. DESIGN: Population-based, cross-sectional surveys. SETTING: Five Canadian provinces, between 1990 and 1992. PARTICIPANTS: A probability sample of 16,007 men and women aged 18 to 74 years was selected using health insurance registration files in each province. Anthropometry was performed on 10,054 (63%) of these adults. OUTCOME MEASURES: The power of height in the body mass index (BMI, kg/m2) and of hip circumference in the ratio of waist to hip circumference (WC/HC) was varied from 0 to 3. Simple linear regression analysis for each age-sex group was used to examine the relation of each index to systolic and diastolic blood pressure (SBP and DBP), levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL), triglycerides (TRIG) and the ratio of TC to HDL. Values for the coefficient of determination (r2) were used to compare the fits of the models. RESULTS: The r2 values were generally low (< 0.27), but were greatest in the younger age groups (18-24 and 35-54 years) and in women. Waist circumference alone (WC/HC0) showed the best fit with SBP and DBP, whereas WC/HC0.5 was most closely related to HDL, TC/HDL and TRIG. None of the indices was closely associated with TC or LDL. Whatever the power of height used, the weight-height ratios showed weaker associations with the risk factors than the waist-hip ratios. CONCLUSIONS: WC and BMI correlate most closely with blood pressure and plasma lipid and may be the best simple anthropometric indices to include in the routine clinical examination of adults. SN - 0820-3946 UR - https://www.unboundmedicine.com/medline/citation/9220952/A_comparative_analysis_of_weight_to_height_and_waist_to_hip_circumference_indices_as_indicators_of_the_presence_of_cardiovascular_disease_risk_factors__Canadian_Heart_Health_Surveys_Research_Group_ L2 - http://www.diseaseinfosearch.org/result/130 DB - PRIME DP - Unbound Medicine ER -