Cardiometabolic Risk Factor in Obese and Normal Weight Individuals in Community Dwelling Men

Area of Science:

• Cardiology
• Metabolic Health
• Public Health

Background:

• Cardiometabolic risk factors (CRFs) are crucial indicators of cardiovascular and metabolic health.
• Assessing CRFs using body mass index (BMI) and waist circumference (WC) is vital for population health.
• Understanding risk stratification in community-dwelling adult men is essential for preventive strategies.

Purpose of the Study:

• To investigate cardiometabolic risk factors in community-dwelling men.
• To analyze CRFs based on combined BMI and WC categories.
• To identify specific risk profiles associated with different BMI and WC combinations.

Main Methods:

• Cross-sectional study of 867 men aged 20-71 years.
• Categorization into four groups based on BMI (<25 kg/m² vs. >25 kg/m²) and WC (<90 cm vs. >90 cm).
• Analysis of odds ratios (ORs) for hypertriglyceridemia and high blood glucose in relation to BMI and WC groups.

Main Results:

• Normal weight men (BMI < 25 kg/m²) with high WC (>90 cm) showed significantly higher ORs for hypertriglyceridemia (3.8) and high blood glucose (3.2).
• The group with normal BMI and high WC had a more than 4 times higher probability of having one CRF compared to the reference group (normal BMI, normal WC).
• General obesity (high BMI, normal WC) presented approximately twice the risk of CRFs compared to the reference group.

Conclusions:

• Normal weight with high waist circumference is significantly associated with the highest cardiometabolic risk in adult men.
• Follow-up screening for individuals with high WC, especially those with normal weight, is recommended for early detection and prevention of cardiometabolic diseases.
• This highlights the importance of waist circumference as a key indicator of cardiometabolic risk, even in the absence of general obesity.