April 1, 2025Journal of Clinical MedicineOpen Access

Waist-to-Height Ratio, Waist Circumference, and Body Mass Index in Relation to Full Cardiometabolic Risk in an Adult Population from Medellin, Colombia

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Why the study?

Few studies have compared associations of different adiposity markers with cardiometabolic risk in individuals without diabetes or CVD, particularly in South America, and associations with full cardiometabolic risk remain unknown.

Does waist-to-height ratio, waist circumference, or BMI better predict full cardiometabolic risk in adults without diabetes or CVD?

Population

29,236 adults without diabetes or CVD in Medellin, Colombia

Comparison

Increased W-HtR, increased WC, and overweight/obesity

Design

Cross-sectional study

Authors

MCMariana Montoya CastilloUniversidad Cooperativa de Colombia WQWilson de Jesús Martínez QuirozMunicipality of Medellín MSMilton Fabian Suárez‐OrtegónUniversity of Edinburgh

Discussion

Member takes

Implication

W-HtR may better flag full cardiometabolic risk than WC or BMI in South American adults without diabetes/CVD; leaves open prospective validation before clinical adoption.

Structured PICO

Does waist-to-height ratio, waist circumference, or BMI better predict full cardiometabolic risk in adults without diabetes or CVD?

Population

29,236 adults (age: 19–121 years) without diabetes or cardiovascular disease (CVD) in a chronic disease prevention program in Medellín, Colombia. Most individuals were over 40 years old (97.6%).

Intervention

Increased waist-to-height ratio (W-HtR >0.5), increased waist circumference (WC ≥80 cm for women, ≥90 cm for men), and overweight/obesity (BMI)

Comparator

Normal waist-to-height ratio, normal waist circumference, and normal BMI

Outcome

Full cardiometabolic risk (FCMR), defined as the simultaneous presence of altered glycemia, high blood pressure, and dyslipidemiasurrogate

Waist-to-height ratio is a stronger predictor of full cardiometabolic risk than waist circumference or BMI in adults without diabetes or cardiovascular disease.

Cite This Study

Castillo et al. (2025) studied this question.

synapsesocial.com/papers/6a71011efe4101aa97e066dc https://doi.org/10.3390/jcm14072411

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Implication

W-HtR may better flag full cardiometabolic risk than WC or BMI in South American adults without diabetes/CVD; leaves open prospective validation before clinical adoption.

Waist-to-Height Ratio, Waist Circumference, and Body Mass Index in Relation to Full Cardiometabolic Risk in an Adult Population from Medellin, Colombia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Waist-to-Height Ratio, Waist Circumference, and Body Mass Index in Relation to Full Cardiometabolic Risk in an Adult Population from Medellin, Colombia

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider