What question did this study set out to answer?

To evaluate and compare the accuracy of various anthropometric measures of obesity in predicting the presence of multiple cardiovascular risk conditions.

November 14, 2006The Journal of Clinical Endocrinology & MetabolismOpen Access

Accuracy of Anthropometric Indicators of Obesity to Predict Cardiovascular Risk

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Why the study?

Do waist to height ratio or waist circumference predict cardiovascular risk better than body mass index or waist to hip ratio in subjects without arteriosclerotic disease?

Population

5377 unselected subjects without arteriosclerotic disease, aged 20-79 years, from the DETECT laboratory…

Design

Cross-sectional

Authors

HSHarald J. SchneiderGoethe University Frankfurt HGHeide GlaesmerUniversity Hospital Leipzig JKJens KlotscheLeibniz Association

Discussion

Member takes

Implication

WHtR may modestly improve cardiometabolic risk identification in women; leaves open whether it should replace BMI in practice.

Key Points

To evaluate and compare the accuracy of various anthropometric measures of obesity in predicting the presence of multiple cardiovascular risk conditions.
Analyzed cross-sectional data from 5,377 subjects (2,016 men and 3,361 women aged 20–79 years) without arteriosclerotic disease in the primary care DETECT laboratory sample.
Measured body mass index (BMI), waist circumference (WC), hip circumference, waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) alongside standardized clinical and laboratory evaluations.
Assessed predictive accuracy for metabolic syndrome, dyslipidemia, and type 2 diabetes using area under the receiver-operating characteristic curve (AUROC) and adjusted odds ratios per 1 SD increase.
Waist-to-height ratio yielded significantly higher AUROC values than all other anthropometric parameters for every evaluated risk condition in women, as well as for dyslipidemia and type 2 diabetes in men.
Adjusted odds ratios for prevalent risk conditions associated with a 1 SD increase were consistently highest for waist-to-height ratio or waist circumference.
Differences in predictive performance between waist-to-height ratio, waist circumference, BMI, and waist-to-hip ratio remained modest overall.

Structured PICO

Do waist to height ratio or waist circumference predict cardiovascular risk better than body mass index or waist to hip ratio in subjects without arteriosclerotic disease?

Population

5377 unselected subjects (2016 men, 3361 women) without arteriosclerotic disease, aged 20-79 years, from the DETECT laboratory sample.

Intervention

Measurement of anthropometric parameters including body mass index (BMI), waist circumference (WC), hip circumference, waist to hip ratio (WHR), and waist to height ratio (WHtR).

Outcome

Associations of BMI, WC, hip circumference, WHR, and WHtR to cardiovascular risk (metabolic syndrome, dyslipidemia, and type 2 diabetes) assessed by calculating the area under the receiver-operating characteristic curve and adjusted odds ratios.surrogate

Waist-to-height ratio and waist circumference may be slightly better predictors of prevalent cardiovascular risk conditions than BMI or waist-to-hip ratio.

Cite This Study

Schneider et al. (2006) studied this question.

synapsesocial.com/papers/6a7d234ff1daba58ecd5a6b7 https://doi.org/10.1210/jc.2006-0254

Topics

Lipid management Hypertension management Women and heart disease

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Accuracy of Anthropometric Indicators of Obesity to Predict Cardiovascular Risk

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Accuracy of Anthropometric Indicators of Obesity to Predict Cardiovascular Risk

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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