Obesity indices and cardiovascular risk factors in Thai adults

Obesity indices and cardiovascular risk factors in Thai adults
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DOI:
10.1038/sj.ijo.0803346
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发表时间:
2006-12-01
影响因子:
4.9
通讯作者:
Suriyawongpaisal, P.
Suriyawongpaisal, P.
中科院分区:
医学2区
文献类型:
--
作者:
Aekplakorn, W.;Kosulwat, V.;Suriyawongpaisal, P.

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目的:研究泰国人群中体重指数(BMI)、腰围(WC)、腰臀比(WHpR)和腰高比(WHtR)与心血管危险因素和糖尿病的关系。设计:一项心血管危险因素的全国横断面调查。受试者:5305名年龄≥ 35岁的泰国成年人。测量:测量体重、身高、腰围和臀围以及心血管危险因素,包括血压、血浆总胆固醇、高密度脂蛋白、甘油三酯和空腹血糖。年龄和性别特异性的手段和心血管危险因素的患病率进行了计算和比较之间的人体测量measurements.Results:有增加的趋势,心血管危险因素的严重程度和患病率的发病情况跨BMI,WC,WHpR和WHtR类别的增加水平。对于≥ 65岁的年龄组,WC、WHpR和WHtR与心血管危险因素的相关性比BMI更一致。曲线下面积表明,测量中心性肥胖比BMI更能预测心血管风险。人体测量的最佳截止点是符合亚太地区的建议,但是,类似的截止点为男性和女性之间的82和85 cm observed.Conclusion:中心肥胖指数略好与心血管危险因素相比,BMI在泰国成年人年龄>= 35岁。
Objective: To examine the relationship of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHpR) and waist-to-height ratio (WHtR) with cardiovascular risk factors and diabetes in Thai population.Design: A national cross-sectional survey of cardiovascular risk factors.Subjects: Five thousand and three hundred five Thai adults aged >= 35 years.Measurements: Body weight, height, waist and hip circumference and cardiovascular risk factors including blood pressure, total plasma cholesterol, high-density lipoprotein, triglyceride and fasting plasma glucose were measured. Age- and sex-specific means and prevalence of cardiovascular risk factors were calculated and compared among anthropometric measurements.Results: There were increasing trends of severity of cardiovascular risk factors and prevalence of morbidity conditions across increasing levels of BMI, WC, WHpR and WHtR categories. For age group >= 65 years, WC, WHpR and WHtR provided more consistent association with cardiovascular risk factors than BMI. Area under the curve indicated that measurement of central obesity could predict cardiovascular risk better than BMI. The optimal cutoff points for anthropometric measurements were in line with the Asia-Pacific recommendation; however, similar cutoff point for men and women between 82 and 85cm was observed.Conclusion: Central obesity indices were slightly better associated with cardiovascular risk factors compared to BMI in Thai adults aged >= 35 years.