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

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

dc.contributor.author	Guasch-Ferré, Marta	es_ES
dc.contributor.author	Bulló, Mònica	es_ES
dc.contributor.author	Martínez-González, Miguel Ángel	es_ES
dc.contributor.author	Corella, Dolores	es_ES
dc.contributor.author	Estruch, Ramón	es_ES
dc.contributor.author	Covas, María-Isabel	es_ES
dc.contributor.author	Arós, Fernando	es_ES
dc.contributor.author	Wärnberg, Julia	es_ES
dc.contributor.author	Fiol, Miquel	es_ES
dc.contributor.author	Lapetra, José	es_ES
dc.contributor.author	Muñoz, Miguel Ángel	es_ES
dc.contributor.author	Serra-Majem, Lluís	es_ES
dc.contributor.author	Pintó, Xavier	es_ES
dc.contributor.author	Babio, Nancy	es_ES
dc.contributor.author	Díaz-López, Andrés	es_ES
dc.contributor.author	Salas-Salvadó, Jordi	es_ES
dc.date.accessioned	2015-06-19T10:18:00Z
dc.date.available	2015-06-19T10:18:00Z
dc.date.issued	2012	es_ES
dc.identifier.citation	PLoS ONE Vol. 7 Issue 8:	es_ES
dc.identifier.uri	http://hdl.handle.net/10550/44547
dc.description.abstract	IntroductionSeveral anthropometric measurements have been associated with cardiovascular disease, type-2 diabetes mellitus and other cardiovascular risk conditions, such as hypertension or metabolic syndrome. Waist-to-height-ratio has been proposed as a useful tool for assessing abdominal obesity, correcting other measurements for the height of the individual. We compared the ability of several anthropometric measurements to predict the presence of type-2 diabetes, hyperglycemia, hypertension, atherogenic dyslipidemia or metabolic syndrome.Materials and MethodsIn our cross-sectional analyses we included 7447 Spanish individuals at high cardiovascular risk, men aged 55–80 years and women aged 60–80 years, from the PREDIMED study. Logistic regression models were fitted to evaluate the odds ratio of presenting each cardiovascular risk factor according to various anthropometric measures. The areas under the receiver-operating characteristic curve (AUC) were used to compare the predictive ability of these measurements.ResultsIn this relatively homogeneous cohort with 48.6% of type-2 diabetic individuals, the great majority of the studied anthropometric parameters were significantly and positively associated with the cardiovascular risk factors. No association was found between BMI and body weight and diabetes mellitus. The AUCs for the waist-to-height ratio and waist circumference were significantly higher than the AUCs for BMI or weight for type-2 diabetes, hyperglycemia, atherogenic dyslipidemia and metabolic syndrome. Conversely, BMI was the strongest predictor of hypertension.ConclusionsWe concluded that measures of abdominal obesity showed higher discriminative ability for diabetes mellitus, high fasting plasma glucose, atherogenic dyslipidemia and metabolic syndrome than BMI or weight in a large cohort of elderly Mediterranean individuals at high cardiovascular risk. No significant differences were found between the predictive abilities of waist-to-height ratio and waist circumference on the metabolic disease.	es_ES
dc.title	Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk	es_ES
dc.type	journal article	es_ES
dc.identifier.doi	10.1371/journal.pone.0043275	es_ES
dc.identifier.idgrec	081757	es_ES