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Published on: February 2, 2017
Different anthropometric adiposity measures and their association with cardiovascular disease risk factors: a
S B van Dijk1, T Takken, E C Prinsen
1School of Clinical Health Sciences, Department of Physical Therapy Science, Utrecht University, Utrecht, the Netherlands, s.b.vandijk@kpnmail.nl.
Insights
Waist circumference is the best measure for assessing cardiovascular disease risk factors in Caucasian adults. This anthropometric adiposity measure shows stronger correlations with risk factors than body mass index (BMI).
Area of Science:
- Cardiovascular Disease Research
- Anthropometry and Public Health
Background:
- Cardiovascular disease (CVD) risk assessment relies on various anthropometric measures.
- Identifying the most effective measure for predicting CVD risk factors is crucial for clinical practice and research.
Purpose of the Study:
- To determine which anthropometric adiposity measure most strongly correlates with cardiovascular disease risk factors.
- To compare the efficacy of different measures, including body mass index (BMI) and waist circumference, in Caucasian men and women without prior CVD.
Main Methods:
- Systematic review and meta-analysis of published studies.
- Included studies reporting correlations between anthropometric measures (BMI, waist circumference, waist-to-hip ratio, waist-to-height ratio, body fat percentage) and CVD risk factors (blood pressure, HDL cholesterol, triglycerides, fasting glucose).
- Data selection and analysis performed by two independent reviewers.
Main Results:
- Analysis of 20 articles involving over 45,000 subjects.
- Waist circumference demonstrated the strongest correlation with most CVD risk factors in both sexes.
- Waist circumference showed superior correlation to CVD risk factors compared to BMI, with few exceptions.
Conclusions:
- Waist circumference is recommended as the preferred anthropometric measure for evaluating CVD risk factors in clinical and research settings.
- This recommendation is particularly emphasized when comparing it to body mass index (BMI).
Objectives:
To investigate which anthropometric adiposity measure has the strongest association with cardiovascular disease (CVD) risk factors in Caucasian men and women without a history of CVD.
Design:
Systematic review and meta-analysis.
Methods:
We searched databases for studies reporting correlations between anthropometric adiposity measures and CVD risk factors in Caucasian subjects without a history of CVD. Body mass index (BMI), waist circumference, waist-to-hip ratio, waist-to-height ratio and body fat percentage were considered the anthropometric adiposity measures. Primary CVD risk factors were: systolic blood pressure, diastolic blood pressure, high density lipoprotein (HDL) cholesterol, triglycerides and fasting glucose. Two independent reviewers performed abstract, full text and data selection.
Results:
Twenty articles were included describing 21,618 males and 24,139 females. Waist circumference had the strongest correlation with all CVD risk factors for both men and women, except for HDL and LDL in men. When comparing BMI with waist circumference, the latter showed significantly better correlations to CVD risk factors, except for diastolic blood pressure in women and HDL and total cholesterol in men.
Conclusions:
We recommend the use of waist circumference in clinical and research studies above other anthropometric adiposity measures, especially compared with BMI, when evaluating CVD risk factors.
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