Waist-related anthropometric measures: Simple and useful predictors of coronary heart disease in women
Journal Title: National Journal of Physiology, Pharmacy and Pharmacology - Year 2015, Vol 5, Issue 1
Abstract
Background: Waist circumference (WC) (abdominal girth), a measure of both subcutaneous and visceral fats, is easily measured and also correlated with body frame size. Waist circumference (WC) and waist – hip ratio (WHR) , but not body mass index (BMI) , have also been identified as independent predictors of CVD risk, accounting for conventional risk factors in the Framingham risk score model. Aims & Objective: To compare waist - related anthropometric measures such as wais t circumference, waist – height ratio (WHtR), waist – hip ratio (WHR), and body mass index (BMI) as predictors of coronary heart disease (CHD) in women. Materials and Methods: This prospective study included 88 women aged 40 – 80 years. Waist circumference, hip circumference, height, weight, age, and other covariates were collected by a questionnaire. The primary end point was incident CHD that was reported by a physician. χ 2 - Test or Student’s t - test was used for comparison of quantitative data. The significance of the results was determined by 95% CI and a p value <0.05 was considered to be statistically significant. Results: The mean age of the women was 59.07 ± 11.53 in the study group and 54.36 ± 10.84 in the control group. The waist circumference of the women in the study group was higher (95.443 ± 11.187) than that of the control group (74.886 ± 6.672) ( p < 0.001). The mean WHR was 0.96 ± 0.08 in the study group and 0.78 ± 0.06 in th e control group ( p < 0.001). The mean WHtR was 0.62 ± 0.07 in the study group and 0.48 ± 0.04 in the control group ( p < 0.001). Waist - derived measures were superior to BMI in predicting CHD. The unadjusted area under the ROC curve was 0.008 (95% confidence interval (CI) 0.006 – 0.095) f or WHtR, 0.001 (95% CI 0.00 – 0.002) for WHR , and 1 (95% CI 0.323 – 1.766) for BMI. Conclusion: Waist - related anthropometric measures are important predictors of CVD risk among middle - aged and older women, as compared to BMI.
Authors and Affiliations
Sharanjit Kaur, Anand Sharma, Harinder Jot Singh
Keywords
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- EP ID EP154253
- DOI 10.5455/njppp.2015.5.010820142
- Views 75
- Downloads 0
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