Optimal definitions for abdominal obesity and the metabolic syndrome in Andean Hispanics: the PREVENCION study.

Optimal definitions for abdominal obesity and the metabolic syndrome in Andean Hispanics: the PREVENCION study.
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DOI:
10.2337/dc09-2353
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发表时间:
2010-06
期刊:
影响因子:
16.2
通讯作者:
PREVENCION Investigators
PREVENCION Investigators
中科院分区:
医学1区
文献类型:
--
作者:
Medina-Lezama J;Pastorius CA;Zea-Diaz H;Bernabe-Ortiz A;Corrales-Medina F;Morey-Vargas OL;Chirinos DA;Muñoz-Atahualpa E;Chirinos-Pacheco J;Chirinos JA;PREVENCION Investigators

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We aimed to establish optimal definitions for abdominal obesity and metabolic syndrome (MetS) among Andean adults. Among 1,448 Andean adults, we assessed the relationship between waist circumference and subclinical vascular disease assessed by carotid intima-media thickness (cIMT) and manifest cardiovascular disease (M-CVD). Optimal waist circumference cutoffs to classify individuals with abnormal cIMT or M-CVD were >97 and >87 cm in men and women, respectively. With these cutoffs, there was substantial disagreement between the original American Heart Association/National Heart, Lung and Blood Institute (AHA/NHLBI) and the recently updated MetS definition, particularly among men (κ = 0.85). Subjects with MetS identified by the updated definition but not meeting the original AHA/NHLBI MetS criteria demonstrated significantly increased cIMT (P < 0.001) compared with subjects who did not meet the MetS criteria by either definition. Our findings support the use of ethnic-specific waist circumference cutoffs and the updated MetS definition in Andean adults.
DOI: 10.1097/01.hjr.0000095050.46631.6f
发表时间: 2003-10-01
期刊: European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
影响因子: --
作者:
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通讯作者: Lopez-Jaramillo, Patricio
DOI: 10.1161/hypertensionaha.108.120352
发表时间: 2008-12-01
期刊: HYPERTENSION
影响因子: 8.3
作者:
Chirinos, Julio A.;David, Robert;Medina-Lezama, Josefina
通讯作者: Medina-Lezama, Josefina
DOI: 10.1016/j.ijcard.2004.12.032
发表时间: 2005-11-02
影响因子: 3.5
作者:
Medina-Lezama, J;Chirinos, JA;Chirinos-Pacheco, J
通讯作者: Chirinos-Pacheco, J