Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk
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Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk

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Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk

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dc.contributor.author Guasch-Ferré, Marta es_ES
dc.contributor.author Bulló, Mònica es_ES
dc.contributor.author Martínez-González, Miguel Ángel es_ES
dc.contributor.author Corella, Dolores es_ES
dc.contributor.author Estruch, Ramón es_ES
dc.contributor.author Covas, María-Isabel es_ES
dc.contributor.author Arós, Fernando es_ES
dc.contributor.author Wärnberg, Julia es_ES
dc.contributor.author Fiol, Miquel es_ES
dc.contributor.author Lapetra, José es_ES
dc.contributor.author Muñoz, Miguel Ángel es_ES
dc.contributor.author Serra-Majem, Lluís es_ES
dc.contributor.author Pintó, Xavier es_ES
dc.contributor.author Babio, Nancy es_ES
dc.contributor.author Díaz-López, Andrés es_ES
dc.contributor.author Salas-Salvadó, Jordi es_ES
dc.date.accessioned 2015-06-19T10:18:00Z
dc.date.available 2015-06-19T10:18:00Z
dc.date.issued 2012 es_ES
dc.identifier.uri http://hdl.handle.net/10550/44547
dc.description.abstract IntroductionSeveral anthropometric measurements have been associated with cardiovascular disease, type-2 diabetes mellitus and other cardiovascular risk conditions, such as hypertension or metabolic syndrome. Waist-to-height-ratio has been proposed as a useful tool for assessing abdominal obesity, correcting other measurements for the height of the individual. We compared the ability of several anthropometric measurements to predict the presence of type-2 diabetes, hyperglycemia, hypertension, atherogenic dyslipidemia or metabolic syndrome.Materials and MethodsIn our cross-sectional analyses we included 7447 Spanish individuals at high cardiovascular risk, men aged 55–80 years and women aged 60–80 years, from the PREDIMED study. Logistic regression models were fitted to evaluate the odds ratio of presenting each cardiovascular risk factor according to various anthropometric measures. The areas under the receiver-operating characteristic curve (AUC) were used to compare the predictive ability of these measurements.ResultsIn this relatively homogeneous cohort with 48.6% of type-2 diabetic individuals, the great majority of the studied anthropometric parameters were significantly and positively associated with the cardiovascular risk factors. No association was found between BMI and body weight and diabetes mellitus. The AUCs for the waist-to-height ratio and waist circumference were significantly higher than the AUCs for BMI or weight for type-2 diabetes, hyperglycemia, atherogenic dyslipidemia and metabolic syndrome. Conversely, BMI was the strongest predictor of hypertension.ConclusionsWe concluded that measures of abdominal obesity showed higher discriminative ability for diabetes mellitus, high fasting plasma glucose, atherogenic dyslipidemia and metabolic syndrome than BMI or weight in a large cohort of elderly Mediterranean individuals at high cardiovascular risk. No significant differences were found between the predictive abilities of waist-to-height ratio and waist circumference on the metabolic disease. es_ES
dc.source PLoS ONE Vol. 7 Issue 8: es_ES
dc.title Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.identifier.doi 10.1371/journal.pone.0043275 es_ES
dc.identifier.idgrec 081757 es_ES

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