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Height ratio: a superior index in estimating cardiovascular risks in Turkish adults

Bibliographic Data

ID15095191
AuthorsReci Meseri (0000-0002-2482-3066, Ege University, corresponding author), Reyhan Uçku (0000-0003-0254-571X, Dokuz Eylül University), Belgin Ünal (0000-0002-5720-953X, Dokuz Eylül University)
Year2014
Volume17
Issue10
Pages2246-2252
Publication date2014-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s136898001300267x
PMID24103435
OpenAlexW2140681831
LanguageEN
Citations received3
References cited37

Objective To determine the best anthropometric measurement among waist: height ratio (WHtR), BMI, waist:hip ratio (WHR) and waist circumference (WC) associated with high CHD risk in adults and to define the optimal cut-off point for WHtR. Design Population-based cross-sectional study. Setting Balcova, Izmir, Turkey. Subjects Individuals ( n 10 878) who participated in the baseline survey of the Heart of Balcova Project. For each participant, 10-year coronary event risk (Framingham risk score) was calculated using data on age, sex, smoking status, blood pressure, serum lipids and diabetes status. Participants who had risk higher than 10 % were defined as ‘medium or high risk’. Results Among the participants, 67·7 % were female, 38·2 % were obese, 24·5 % had high blood pressure, 9·2 % had diabetes, 1·5 % had undiagnosed diabetes (≥126 mg/dl), 22·0 % had high total cholesterol and 45·9 % had low HDL-cholesterol. According to Framingham risk score, 32·7 % of them had a risk score higher than 10 %. Those who had medium or high risk had significantly higher mean BMI, WHtR, WHR and WC compared with those at low risk. According to receiver-operating characteristic curves, WHtR was the best and BMI was the worst indicator of CHD risk for both sexes. For both men and women, 0·55 was the optimal cut-off point for WHtR for CHD risk. Conclusions BMI should not be used alone for evaluating obesity when estimating cardiometabolic risks. WHtR was found to be a successful measurement for determining cardiovascular risks. A cut-off point of ‘0·5’ can be used for categorizing WHtR in order to target people at high CHD risk for preventive actions

Body mass index · Cardiology · Index (typography · Statistics · Turkish · Waist · Waist-to-height ratio · Computer Science · Diabetes, Cardiovascular Risks, and Lipoproteins · Health Promotion and Cardiovascular Prevention · Liver Disease Diagnosis and Treatment · Mathematics · Medicine · Internal Medicine

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Unique citing works3
Citations per year0,33
Citation span2017 - 2022 (6)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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