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Waist-to-Height Ratio Compared to Standard Obesity Measures as Predictor of Cardiometabolic Risk Factors in Asian Indians in North India.
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- Author(s): Vikram NK;Vikram NK; Latifi AN; Latifi AN; Misra A; Misra A; Misra A; Misra A; Luthra K; Luthra K; Bhatt SP; Bhatt SP; Guleria R; Guleria R; Pandey RM; Pandey RM
- Source:
Metabolic syndrome and related disorders [Metab Syndr Relat Disord] 2016 Dec; Vol. 14 (10), pp. 492-499. Date of Electronic Publication: 2016 Oct 14.- Publication Type:
Comparative Study; Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101150318 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-8518 (Electronic) Linking ISSN: 15404196 NLM ISO Abbreviation: Metab Syndr Relat Disord Subsets: MEDLINE
- Publication Information: Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c2003-
- Subject Terms: Body Mass Index* ; Waist Circumference*/physiology ; Waist-Height Ratio* ; Waist-Hip Ratio*/standards; Cardiovascular Diseases/*diagnosis ; Obesity/*diagnosis; Adult ; Asian People/statistics & numerical data ; Cardiovascular Diseases/etiology ; Cross-Sectional Studies ; Female ; Humans ; India/epidemiology ; Male ; Metabolic Syndrome/diagnosis ; Metabolic Syndrome/etiology ; Middle Aged ; Predictive Value of Tests ; Risk Factors ; Young Adult
- Abstract: Objective: The aim of this study was to compare the discriminatory ability of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) in identifying the presence of cardiometabolic risk factors in Asian Indians.
Methods: This cross-sectional study involved 509 subjects (278 males and 231 females) aged 20-60 years from New Delhi, India. Measurements included complete clinical examination, blood pressure, weight, height, WC, BMI, WHR and WHtR, fasting blood glucose, lipid profile, and fasting insulin levels. Receiver operating characteristic curve analyses were performed to compare predictive validity of various adiposity measures against the cardiometabolic risk factors (dyslipidemia, hyperinsulinemia, impaired fasting glucose, hypertension, and metabolic syndrome). The odds ratio for the presence of individual cardiometabolic risk factors in the presence of overweight, abdominal obesity, and high WHtR were calculated using logistic regression analysis.
Results: WC had the highest area under ROC for all other cardiometabolic risk factors except hyperinsulinemia in males and for dyslipidemia, metabolic syndrome and presence of at least one cardiometabolic risk factor in females. For metabolic syndrome, WC, followed by WHtR, was observed to be the better predictor than other measures of adiposity, and WHtR appeared to be the best predictor for hypertension in both genders, particularly in women.
Conclusions: In the northern Asian Indian population with high prevalence of cardiometabolic risk factors, a combination of WC and WHtR appeared to be having better clinical utility than BMI and WHR in identifying individuals with cardiometabolic risk factors. - Contributed Indexing: Keywords: Asian Indians; cardiometabolic risk; metabolic syndrome; waist circumference; waist-to-height ratio
- Publication Date: Date Created: 20161015 Date Completed: 20171107 Latest Revision: 20221207
- Publication Date: 20240104
- Accession Number: 10.1089/met.2016.0041
- Accession Number: 27740885
- Source:
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