Metabolic age correlates better than chronological age with waist-to-height ratio, a cardiovascular risk index

2020 ◽  
Author(s):  
Rebeca Elguezabal-Rodelo ◽  
Renata Ochoa-Précoma ◽  
Gabriela Vazquez-Marroquin ◽  
Leonardo M. Porchia ◽  
Ivette Montes-Arana ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Risk Index ◽  
Chronological Age ◽  
Height Ratio ◽  
Waist To Height Ratio ◽  
Metabolic Age ◽  
Better Than

scholarly journals Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline

2018 ◽  
Vol 21 (6) ◽  
pp. 1028-1035 ◽  
Author(s):  
Marcelo Castanheira ◽  
Dóra Chor ◽  
José Uéleres Braga ◽  
Letícia de Oliveira Cardoso ◽  
Rosane Härter Griep ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
False Negative ◽  
False Negative Rate ◽  
Cross Sectional Study ◽  
Discriminatory Power ◽  
Adult Health ◽  
Height Ratio ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
Better Than

AbstractObjectiveTo evaluate the performance of waist-to-height ratio (WHtR) in predicting cardiometabolic outcomes and compare cut-off points for Brazilian adults.DesignCross-sectional study. WHtR areas under the curve (AUC) were compared with those for BMI, waist circumference (WC) and waist-to-hip ratio (WHR). The outcomes of interest were hypertension, diabetes, hypertriacylglycerolaemia and presence of at least two components of metabolic syndrome (≥2 MetS). Cut-offs for WHtR were compared and validity measures were estimated for each point.SettingTeaching and research institutions in six Brazilian state capitals, 2008–2010.SubjectsWomen (n 5026) and men (n 4238) aged 35–54 years who participated in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) at baseline.ResultsWHtR age-adjusted AUC ranged from 0·68 to 0·72 in men and 0·69 to 0·75 in women, with smaller AUC for hypertriacylglycerolaemia and the largest for ≥2 MetS. WHtR performed better than BMI for practically all outcomes; better than WHR for hypertension in both sexes; and displayed larger AUC than WC in predicting diabetes mellitus. It also offered better discriminatory power for ≥2 MetS in men; and was better than WC, but not WHR, in women. Optimal cut-off points of WHtR were 0·55 (women) and 0·54 (men), but they presented high false-negative rate compared with 0·50.ConclusionsWe recommend using WHtR (which performed similarly to, or better than, other available indices of adiposity) as an anthropometric index with good discriminatory power for cardiometabolic outcomes in Brazilian adults, indicating the already referenced limit of WHtR≥0·50.

scholarly journals Association between High Waist-to-Height Ratio and Cardiovascular Risk among Adults Sampled by the 2016 Half-Way National Health and Nutrition Survey in Mexico (ENSANUT MC 2016)

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1402 ◽  
Author(s):  
Eduardo Rangel-Baltazar ◽  
Lucia Cuevas-Nasu ◽  
Teresa Shamah-Levy ◽  
Sonia Rodríguez-Ramírez ◽  
Ignacio Méndez-Gómez-Humarán ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
National Health ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Height Ratio ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Mexican Adults ◽  
Waist To Height Ratio

Little evidence exists regarding the association between waist-to-height ratio (WHtR) and cardiovascular risk (CVR) factors in Mexican adults. Our study pursued a twofold objective: To describe the association between a high WHtR and CVR indicators among Mexican adults canvassed by the 2016 Half-Way National Health and Nutrition Survey, and to examine the interaction of sex and age on this association. We analyzed data from the adult sample (≥20 years old) and classified in two groups using WHtRs ≥0.5 considered high and low otherwise. The following CVR factors were analyzed: High-total-cholesterol (≥200 mg/dL), low high-density-lipoprotein-cholesterol (HDL-c < 40 mg/dL), high low-density-lipoprotein-cholesterol (LDL-c ≥ 130 mg/dL), high triglycerides (≥150 mg/dL), insulin resistance (IR) (HOMA-IR) (≥2.6), and hypertension (HBP) (≥140/≥90 mmHg). We estimated prevalence ratios (PR) to analyze the association between high WHtRs and CVR indicators. Over 90% of participants had high WHtRs and were at greater risk for dyslipidemias, HBP, and IR compared to those that had low WHtRs. PR for men with high WHtRs were between 1.3 to 2.3 for dyslipidemias, 3.4 for HBP and 7.6 for IR; among women were between 1.8 to 2.4 for dyslipidemias and HBP and 5.9 for IR (p < 0.05). A high WHtR is associated with CVR factors in Mexican adults.

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

PLoS ONE ◽  
2012 ◽  
Vol 7 (8) ◽  
pp. e43275 ◽  
Author(s):  
Marta Guasch-Ferré ◽  
Mònica Bulló ◽  
Miguel Ángel Martínez-González ◽  
Dolores Corella ◽  
Ramon Estruch ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Height Ratio ◽  
High Cardiovascular Risk ◽  
Elderly Individuals ◽  
Waist To Height Ratio

Waist-to-Height Ratio and Body Mass Index as Indicators of Cardiovascular Risk in Youth

2013 ◽  
Vol 83 (11) ◽  
pp. 805-809 ◽  
Author(s):  
Daniel J. Keefer ◽  
Jennifer L. Caputo ◽  
Wayland Tseh
Keyword(s):  
Body Mass Index ◽  
Cardiovascular Risk ◽  
Body Mass ◽  
Height Ratio ◽  
Waist To Height Ratio

scholarly journals Overweight/Obese Schoolchildren with Low Muscle Strength Have a Lower Cardiorespiratory Capacity and Greater Cardiovascular Risk: Results of the School Health Survey of the Extreme South of Chile 2019

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 734
Author(s):  
Javier Albornoz-Guerrero ◽  
Rafael Zapata-Lamana ◽  
Daniel Reyes-Molina ◽  
Igor Cigarroa ◽  
Guillermo García Pérez de Sevilla ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Muscle Strength ◽  
Muscular Strength ◽  
High Strength ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Obese Group ◽  
Height Ratio ◽  
Waist To Height Ratio ◽  
Low Strength

Objective: To compare cardiovascular risk and cardiorespiratory capacity in schoolchildren from a region in the extreme south of Chile according to nutritional status and muscular strength. Methods: An analytical cross-sectional study was performed on a sample of 594 schoolchildren from 5th to 8th grade in the extreme south of Chile. Based on body mass index and lower limb muscle strength, participants were divided into four groups: high strength-normal weight, high strength-overweight/obese, low strength-normal weight, and low strength-overweight/obese. Then, waist-to-height ratio and cardiorespiratory capacity, measured with the 20 m shuttle run test, were assessed to determine their cardiovascular risk, comparing the four groups. Results: The overweight/obese group with high muscular strength presented better indicators in anthropometric variables (waist circumference and waist-to-height ratio) than their peers with low muscular strength. Additionally, the overweight/obese group with low muscular strength presented a lower cardiorespiratory capacity than their peers with high muscular strength. Both results were observed in boys and girls. Conclusion: The results of this study suggest that overweight/obese schoolchildren with high muscle strength present healthier anthropometric indicators and greater cardiorespiratory capacity than their peers with low muscle strength. These results confirm the relevance of measuring muscle strength in schoolchildren and its usefulness to assess functionality. These results encourage the scientific community to continue studying the role that muscle strength plays in modulating the effects of overweight and obesity on respiratory and cardiovascular conditions in childhood.

scholarly journals Predictive potential of cardiovascular risk factors and their associations with arterial stiffness in people of European and Korean ethnic groups

2021 ◽  
Vol 26 (5) ◽  
pp. 4230
Author(s):  
T. A. Brodskaya ◽  
V. A. Nevzorova ◽  
K. I. Shakhgeldyan ◽  
B. I. Geltser ◽  
D. A. Vrazhnov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Ethnic Groups ◽  
Multivariate Logistic Regression ◽  
Height Ratio ◽  
Apo B ◽  
Waist To Height Ratio ◽  
Ethnic Factor

Aim. To compare the effect of cardiovascular risk factors on aortic stiffness in people of European and East Asian ethnic groups.Material and methods. A total of 266 patients aged 18-60 years of European (n=133) and Korean (n=133) ethnic groups were examined. Clinical assessment was carried, Also, following blood parameters was evaluated: total cholesterol (TC), low- (LDL-C) and high- (HDL-C) density lipoprotein cholesterol, apolipoproteins A (apo-A) and B (apo-B), triglycerides (TG), uric acid, creatinine, glucose, adiponectin, resistin. The aortic pulse wave velocity (PWV) and central blood pressure (CBP) were determined using a Tensiomed arteriograph (Hungary). The study design included 3 stages. The first stage included statistical analysis using Mann-Whitney, χ2, Fisher tests, while the second one — determination of weighing coefficients of individual risk factors on aortic PWV. The third stage consists of verification of the relationship between ethnicity and aortic PWV using multivariate logistic regression and stochastic gradient boosting (SGB).Results. In Europeans, the median values of growth, body mass index (BMI), waist circumference (WC) and waist-to-height ratio were significantly higher, while the levels of apo-B, TC, HDL-C, LDL-C, TG was significantly lower than in Asians. Koreans had higher blood concentrations of UA, creatinine, glucose, while the resistin concentration was 1,8 times lower. Among Europeans, the odds ratio of developing hypertension (HTN) was significantly higher. The level of aortic PWV in people of different ethnic groups did not differ significantly. Univariate logistic regression showed a dominant influence of age, CPP and waist-to-height ratio on aortic PWV. A less noticeable significant relationship with aortic PWV had HTN, female sex, BMI, levels of systolic, diastolic and pulse BP. Multivariate logistic regression and SGB showed the maximum prediction accuracy when 5 predictors were combined in one model: age, height, HTN, LDL-C, and ethnicity. Comparable accuracy was demonstrated by a model where glucose level was used instead of LDL-C. The results indicate a nonlinear relationship between the ethnic factor and aortic PWV. Its predictive potential was realized only in combination with functional and metabolic status parameters of patients. In Koreans, the threshold values of these factors can be significantly higher than in Europeans.Conclusion. Developed using modern machine learning technologies, the assessment aortic PWV models taking into account the ethnic factor can be a useful tool for processing and analyzing data in predictive studies.

scholarly journals Waist-to-height ratio, body mass index, and cardiovascular risk profile in children with chronic kidney disease

2018 ◽  
Vol 33 (9) ◽  
pp. 1577-1583 ◽  
Author(s):  
Kristen Sgambat ◽  
Jennifer Roem ◽  
Mark Mitsnefes ◽  
Anthony A. Portale ◽  
Susan Furth ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Chronic Kidney Disease ◽  
Cardiovascular Risk ◽  
Kidney Disease ◽  
Body Mass ◽  
Risk Profile ◽  
Cardiovascular Risk Profile ◽  
Height Ratio ◽  
Waist To Height Ratio
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