Does Waist Circumference Add to the Predictive Power of the Body Mass Index for Coronary Risk?

2001 ◽  
Vol 9 (11) ◽  
pp. 685-695 ◽  
Author(s):  
Satoshi Iwao ◽  
Nobuko Iwao ◽  
Denis C. Muller ◽  
Dariush Elahi ◽  
Hiroshi Shimokata ◽  
...  
2013 ◽  
Vol 32 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Emina Čolak ◽  
Dragana Pap ◽  
Nada Majkić-Singh ◽  
Ivana Obradović

Summary Background: It has been reported that obesity is associated with metabolic syndrome, insulin resistance, cardiovascular risk but also with nonalcoholic fatty liver disease (NAFLD). The prevalence of obesity in children and adolescents is increasing rapidly all over the world. The aim of this study was to analyze the value of liver enzymes: AST, ALT and γGT in a group of obese students in order to establish their correlation to anthropometric parameters such as: BMI (body mass index), WC (waist circumference), HC (hip circumference), and WHR (waist-to-hip ratio) compared to non-obese students who comprised the control group (CG). Methods: In this study, 238 students from the University of Novi Sad of both sexes (126 men and 112 women) with a mean age of 22.32 ± 1.85 years were included. According to the body mass index (BMI) lower and higher than 25 kg/m2 and waist circumference (WC) lower and higher than 94 cm (80 cm for females) the whole group of 238 students was divided into 2 subgroups: the obese group at increased risk for CVD (Group 1) and the group at lower risk for CVD (Group 2). AST, ALT and γGT activities were determined in fasting blood samples. Results: Statistical processing data revealed significantly higher values of AST, ALT and γGT in the group of students with BMI>25 kg/m2, WC>94 cm for males and WC>80 cm for females, HC>108 cm for males and HC>111 cm for females, and WHR>0.90 for males and WHR>0.80 for females (P<0.001). Significant association was established between anthropometric parameters and liver enzyme levels (P<0.0001). Conclusions: Obese students with higher BMI, WC, HC and WHR values have higher liver enzyme activites and a higher chance to develop NAFLD in the future.


2021 ◽  
Vol 26 ◽  
pp. 2515690X2110110
Author(s):  
Wiraphol Phimarn ◽  
Bunleu Sungthong ◽  
Hiroyuki Itabe

Aim. The efficacy of triphala on lipid profile, blood glucose and anthropometric parameters and its safety were assessed. Methods. Databases such as PubMed, ScienceDirect, Web of Science, and Thai Library Integrated System (ThaiLIS) were systematically searched to review current evidence of randomized controlled trials (RCT) on triphala. RCTs investigating the safety and efficacy of triphala on lipid profile, blood glucose and anthropometric parameters were included. Study selection, data extraction, and quality assessment were performed independently by 2 authors. Results. Twelve studies on a total of 749 patients were included. The triphala-treated groups showed significantly reduced low-density lipoprotein-cholesterol, total cholesterol and triglyceride in 6 studies. Five RCTs demonstrated triphala-treated groups led to statistically significant decrease in body weight, body mass index and waist circumference of obese patients. Moreover, triphala significantly decreased fasting blood glucose level in diabetic patients but not in people without diabetes. No serious adverse event associated with triphala was reported during treatment. Conclusions. This review summarized a current evidence to show triphala might improve the lipid profile, blood glucose, the body weight, body mass index and waist circumference under certain conditions. However, large well-designed RCTs are required to confirm this conclusion.


Author(s):  
Tapaswini Mishra ◽  
Dipti Mohapatra ◽  
Manasi Behera ◽  
Srimannarayan Mishra

ABSTRACTObjective: Adequate sleep has been considered important for the adolescent’s health and well-being. On the other hand, self-imposed sleepcurtailment is now recognized as a potentially important and novel risk factor for obesity. The objective of the study is to find the association betweenshort sleep duration and obesity (by calculating the body mass index [BMI]) among medical students.Methods: The study was conducted on 100 medical students. A brief history of sleep duration was taken. The height and weight were taken and thebody mass index (BMI) was calculated by formula weight in kg / height in m. Based on the BMI criteria the students were classified into six groups:Underweight, normal, overweight, obese class I, obese class II and obese III. The waist circumference (WC) was also taken. The data obtained werestatistically analysed by ANOVA test and the p < 0.5 was considered significant.2Results: The present cross-sectional study showed that there is an association between short sleep duration and obesity which was highly significant(p<0.001). This study also shows that there is an association between short sleep duration and waist circumference which was also highly significant(p<0.001).Conclusion: The present study observed a high association of short sleep duration among medical students of IMS and SUM Hospital and that shortsleep duration was significantly associated with increased risk of overweight and obesity. We should further investigate whether adults adopting ahealthy lifestyle with short sleep duration would improve their sleeping habits or not.Keywords: Sleep duration, Body mass index, Waist circumference, Obesity.


2020 ◽  
Vol 9 (5) ◽  
pp. 1289
Author(s):  
Chang Seong Kim ◽  
Kyung-Do Han ◽  
Hong Sang Choi ◽  
Eun Hui Bae ◽  
Seong Kwon Ma ◽  
...  

In this study based on a large nationally representative sample of Korean adults, we investigated the potential associations of the body mass index (BMI) and waist circumference (WC) with mortality in patients undergoing hemodialysis. We obtained the data of 18,699 participants >20 years of age who were followed up with for 4 years and for whom BMI and WC information were available, using a nationally representative dataset from the Korean National Health Insurance System. Patients were stratified into five levels by their baseline BMI and into six levels by their WC (5-cm increments). A total of 4975 deaths occurred during a median follow-up period of 48.2 months. Participants with a higher BMI had a lower mortality rate than those with a lower BMI. In a fully adjusted Cox regression analysis, being overweight and obese was associated with a significantly lower relative risk of all-cause mortality relative to the reference group. Conversely, the mortality rate was higher among participants with a high WC than among those with a low WC. Participants with the highest WC had a higher risk of mortality, while those with the lowest WC level had a significantly lower risk of mortality. In conclusion, all-cause mortality was positively associated with WC, a measure of abdominal obesity, and inversely associated with BMI, a measure of body volume, in patients undergoing hemodialysis.


Author(s):  
Martin Zvonar ◽  
Mario Kasović ◽  
Lovro Štefan

Background. The main purpose of this study was to explore the body-mass index and waist circumference associated with physical fitness by gender. Methods. In this cross-sectional study, we included 1036 adolescents (55.4% girls) from eight randomly selected secondary schools within the city of Zagreb (Croatia). Body-mass index and waist circumference were objectively measured. Physical fitness included three tests: (1) 1 min sit-ups, (2) standing long jump and (3) a sit-and-reach test. Associations were calculated using linear regression models. Results. Boys had higher body-mass index and waist circumference values, compared to girls (p < 0.001). They also performed better in 1 min sit-ups and the standing long jump tests (p < 0.001), while girls obtained higher values in the sit-and-reach test (p < 0.001). In boys, body-mass index and waist circumference were associated with 1 min sit-ups and the standing long jump. In girls, waist circumference was also associated with 1 min sit-ups and the standing long jump, while body-mass index was only associated with this standing long jump. Conclusions. Our study shows that anthropometric indices have non-linear associations with physical fitness tests in a large sample of Croatian adolescents. Screening for thinness and obesity to predict the level of physical fitness should be of a great interest.


2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 59-61 ◽  
Author(s):  
Mônica FERNANDEZ ◽  
Rosana Farah TOIMIL ◽  
Zied RASSLAN ◽  
Elias Jirjoss ILIAS ◽  
Ana Lúcia Torloni GRADINAR ◽  
...  

ABSTRACT Background: The study of body composition in patient candidates for bariatric surgery is directly related to the increase and distribution of body fat in the development of cardiovascular disease. Aim: To correlate anthropometric indicators and bioelectrical impedance in the assessment of body fat in female candidates for bariatric surgery. Methods: Cross-sectional, observational study of 88 women. The weight, height, body mass index and waist circumference data were evaluated in the anthropometric analysis. The body fat was determinate by bioelectrical impedance conducted according to the manufacturer´s recommended technique with a specific severe obesity formula. The patients were divided into two subgroups according to the average waist circumference and body mass index for better analysis of the results. Results: The group had a mean age of 39.7 years (±7.2), average weight of 125.6 kg (±16.2), mean body mass index of 48.7 kg/m2 (±6.4) and the mean waist circumference 137.6 cm (±12.4). Negative and significant relationship between BMI values waist circumference and resistance obtained by bioelectrical impedance were found. By analyzing the two groups the mean BMI and waist circumference, a significant relationship was observed, ie, the higher the degree of obesity less resistance was obtained by bioelectrical impedance. The higher is the obesity the lower is value found for resistance. Conclusion: The increase of anthropometric indicators (BMI and waist circumference) determined reduction in resistance and reactance obtained by bioelectrical impedance analysis in obese women candidates to bariatric surgery.


Author(s):  
Alexander Halim Santoso ◽  
Idawati Karjadidjaja ◽  
Frisca Santoso ◽  
Susy Olivia Lontoh

Diabetes mellitus (DM) is a metabolic disease characterized by elevated blood sugar levels (hyperglycaemia) due to insufficient production of insulin or the condition where the body cannot use insulin effectively. The condition of chronic hyperglycaemia relates to the damage, dysfunction and failure of organs such as the eyes, kidneys, nerves, heart and blood vessels. Diabetes Mellitus and its complications can affect the ability to drive. The prevalence of hyperglycaemia among bus drivers is 52,1%. Body mass Index (BMI), waist circumference (WC) and the ratio of waist circumference to height are often associated with the occurrence of type 2 Diabetes, but the results are still heavily influenced by many factors such as ethnicity and gender. This research aims to observe the association of BMI, waist circumference and waist circumference to height ratio to diabetes mellitus among inter-city bus drivers. This is an analytical research with cross-sectional design involving 176 subjects. Fifty four percent subjects were obese, 53.4% of subjects have a waist circumference above 90 cm, 71.6% of subjects with a waist-to-height ratio of over 0.5. The association between BMI and fasting blood sugar was significant (p = 0,035), and also between the waist circumference and fasting blood sugar (p = 0,009). There is no statistically significant association between the ratio of waist circumference to height and fasting blood sugar level (P = 0,274). As Conclusion, The BMI and waist circumference can be used as indicators to the risk of diabetes among bus drivers. Keywords diabetes mellitus, body mass index, waist circumference, waist circumference to height ration, bus driver ABSTRAKDiabetes mellitus (DM) merupakan suatu penyakit metabolik yang ditandai oleh peningkatan kadar gula darah (hiperglikemia) akibat produksi insulin yang tidak mencukupi atau keadaan dimana tubuh tidak dapat menggunakan insulin dengan efektif. Kondisi hiperglikemia kronik berhubungan dengan kerusakan, disfungsi, dan kegagalan dari organ-organ seperti mata, ginjal, saraf, jantung dan pembuluh darah. Diabetes melitus dan komplikasinya dapat mempengaruhi kemampuan mengemudi. Prevalensi hiperglikemia di kalangan pengendara bus sebesar 52,1%. Indeks Massa Tubuh (IMT), lingkar pinggang (LP) dan Rasio lingkar pinggang terhadap tinggi badan sering dihubungkan dengan kejadian Diabetes tipe 2, namun hasilnya masih banyak dipengaruhi oleh banyak faktor seperti etnis dan jenis kelamin. Penelitian ini bertujuan untuk melihat bagaimana hubungan IMT, lingkar pinggang dan rasio lingkar pinggang terhadap tinggi badan dengan diabetes melitus pada pengemudi bus antar kota. Penelitian ini merupakan penelitian analitik dengan desain potong lintang yang melibatkan 176 subjek. Didapatkan 54% subjek dengan status gizi obese, 53,4% subjek dengan lingkar pinggang di atas 90 cm, 71,6% subjek dengan rasio lingkar pinggang terhadap tinggi badan di atas 0,5. Didapatkan hubungan yang bermakna secara statistik antara indeks massa tubuh dengan kadar gula darah puasa (p=0,035), antara lingkar pinggang dengan kadar gula darah puasa (p=0,009). Tidak didapatkan hubungan bermakna secara statistik antara rasio lingkar pinggang terhadap tinggi badan dengan kadar gula darah puasa (p=0,274). Sebagai kesimpulan, IMT dan Lingkar pinggang dapat digunakan sebagai parameter terhadap risiko timbulnya diabetes pada pengemudi.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e8095 ◽  
Author(s):  
Claudia Beckmann ◽  
Lafi Aldakak ◽  
Patrick Eppenberger ◽  
Frank Rühli ◽  
Kaspar Staub ◽  
...  

Overweight and obesity are considered among the major health concerns worldwide. The body mass index is a frequently used measure for overweight and obesity and is associated with common non-communicable diseases such as diabetes type II, cardiovascular diseases and certain cancers. However, the body mass index does not account for the distribution of body fat and relative fat to muscle mass. 3D laser-based photonic full body scans provide detailed information on various body circumferences, surfaces, and volumes as well as body height and weight (using an integrated scale). In the literature, body scans showed good feasibility, reliability, and validity, while also demonstrating a good correlation with health parameters linked to the metabolic syndrome. However, systematic differences between body scan derived measurements and manual measurements remain an issue. This study aimed to assess these systematic differences for body height, waist circumference, and body mass index using cross-sectional data from a homogenous sample of 52 young Swiss male volunteers. In addition to 3D laser-based photonic full body scans and correlative manual measurements, body fat distribution was assessed through bioelectrical impedance analysis. Overall, an excellent correlation was found between measurements of waist circumference and body mass index, and good correlation between body mass index and total fat mass, as well as between waist circumference and visceral fat mass as assessed by bioelectrical impedance analysis. Volunteers were shorter in height measured by body scan when compared to manual measurements. This systematic difference became smaller when volunteers stood in the scanner in a completely upright position with their feet together. Waist circumference was slightly smaller for manual measurements than for body scan derived values. This systematic difference was larger in overweight volunteers compared to leaner volunteers.


2020 ◽  
Vol 7 (2) ◽  
pp. 103-110
Author(s):  
Syella Chintya Dewi ◽  
Muhammad Furqon ◽  
Danial Danial

Hypertension is the most common cause of cardiovascular disease and it is a major problem in both developed and developing countries. Obesity is one of the main risk factors of hypertension. Hypertension and obesity are health problems which its prevalence is continues to increase in Indonesia. The anthropometric index that can be used to determine nutritional status are the body mass index (BMI) and waist circumference measurement. This study was an observational analytic with cross sectional method. The sample of this study was 275 respondent who were selected using the consecutive sampling method in Karang Asam public health center Samarinda. Data of this study were obtained from direct measurement of height, weight, waist circumference and blood pressure of respondent and data were analyzed by using chi square test. The result of statistical test showed that there was relationship between body mass index (p = 0,000 ; OR= 5,234 ; 95% CI= 3,090-8,865) and waist circumference (p = 0,000; OR=5,489 ; 95% CI= 3,233 – 9,318) with blood pressure. There was a significant relationship between body mass index and waist circumference with blood pressure at Karang Asam Public Health Center Samarinda.


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