Waist circumference as a determinant of hypertension and diabetes in Brazilian women

A population-based study

Bibliographic Data

ID15090163
AuthorsMTA Olinto (Universidade Federal de Pelotas, corresponding author), Luis Nacul (0000-0003-1411-8088, London School of Hygiene & Tropical Medicine), LC Nacul, DP Gigante (Universidade Federal de Pelotas), JSD Costa (Universidade Federal de Pelotas), AMB Menezes (Universidade Federal de Pelotas), S Macedo, Sara Raquel Dutra-Macêdo (0000-0001-6474-4568, Universidade Federal de Pelotas)
Year2004
Volume7
Issue5
Pages629-635
Publication date2004-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2003582
PMID15251053
OpenAlexW2076403273
LanguageEN
Citations received14
References cited32

Objective: To evaluate the role of central adiposity, as evaluated by the measurement of waist circumference (WC), as an independent risk factor for hypertension and type 2 diabetes mellitus in the setting of a developing country. Design: Population-based, cross-sectional study. Setting: A medium-sized town in southern Brazil. Participants: One thousand and ninety-five non-pregnant women, 20 to 69 years old, recruited by cluster random sampling between 1999 and 2000. Their mean WC was 85.3 cm (standard deviation 13.9 cm) and 23.3% ( n = 255) were obese (body mass index >30 kg m −2 ). The prevalence of hypertension and diabetes was 25.6% ( n = 280) and 6.2% ( n = 68), respectively. Results: The risks of hypertension and diabetes were directly related to WC measurement. Women with WC > 80 cm had increased risk of hypertension (odds ratio (OR) = 6.2, P P = 0.02) after adjusting for confounders. The effect of WC on diabetes was modified by age. The effect was stronger in women younger than 40 years old (OR = 12.7, P = 0.016) than in those over 40 years old (OR = 2.8, P = 0.013). In the multivariate analysis, the odds ratio was 5.7 ( P = 0.12) in those under 40 years old and 2.8 ( P = 0.008) in older women. Conclusions: Waist circumference is an independent determinant for hypertension and diabetes in women in this population. The stronger association between WC and diabetes in younger women suggests that the validity of this indicator to assess abdominal adiposity is age-specific. Further studies should validate the usefulness of WC measurement in different age groups

Body mass index · Circumference · Confounding · Cross-sectional study · Diabetes mellitus · Environmental health · Obstetrics · Odds ratio · Population · Risk factor · Waist · Adipokines, Inflammation, and Metabolic Diseases · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Obesity, Physical Activity, Diet · Endocrinology · Internal Medicine

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