Key result
Normal weight with high waist circumference in men was associated with significantly higher odds of hypertriglyceridemia (OR 3.8; 95% CI 1.8-8.2) and high blood glucose (OR 3.2; 95% CI 1.5-6.9).
Why the study?
The study was conducted to investigate cardiometabolic risk factors in community dwelling men based on a combination of body mass index and waist circumference.
Does normal weight with high waist circumference increase cardiometabolic risk factors in community dwelling men?
Cross-Sectional (n=867)
Does normal weight with high waist circumference increase cardiometabolic risk factors in community dwelling men?
In community-dwelling men, having a normal weight but high waist circumference is associated with a substantially higher risk of cardiometabolic abnormalities than general obesity.
May flag hidden cardiometabolic risk in normal-weight men; hypothesis-generating and requires longitudinal confirmation before practice change.
The aim of this study was to investigate the cardiometabolic risk factors (CRFs) in community dwelling men based on a combination of body mass index (BMI) and waist circumference (WC). This cross-sectional study was based on 867 males between the ages of 20 and 71 years. Subjects were categorized into 4 groups by BMI and WC (Group 1, BMI < 25 kg/m2 and WC < 90 cm; Group 2, BMI < 25 kg/m2 and WC > 90 cm; Group 3, BMI > 25 kg/m2 and WC < 90 cm; and Group 4 BMI > 25 kg/m2 and WC > 90 cm). The proportion of subjects with a normal weight with high WC was 3.2%. Among normal weight men with the high range of WC, significantly high Odds ratios (ORs) and 95% CI were found for hypertriglyceridemia (3.8, 1.8–8.2) and high blood glucose (3.2, 1.5–6.9). The probability that the general obesity group (Group 3) had one CRF was around twice that of the reference group (Group 1) (1.9 to 2.1 times), but Group 2 had probability more than 4 times higher (4.3 to 4.6 times). In community dwelling adult men, normal weight with high waist circumference was associated with the highest cardiometabolic risk. In conclusion, follow-up screening of those with high WC may be necessary to detect and prevent cardiometabolic diseases, particularly for men with a normal weight.
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Kim et al. (2020) conducted a cross-sectional in Cardiometabolic risk factors (n=867). Normal weight with high waist circumference (BMI < 25 kg/m2 and WC > 90 cm) vs. Normal weight with normal waist circumference (BMI < 25 kg/m2 and WC < 90 cm) was evaluated on Hypertriglyceridemia (OR 3.8, 95% CI 1.8-8.2). Normal weight with high waist circumference in men was associated with significantly higher odds of hypertriglyceridemia (OR 3.8; 95% CI 1.8-8.2) and high blood glucose (OR 3.2; 95% CI 1.5-6.9).
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