Anthropometric indices and their relationship with cardiometabolic risk factors in a sample of Turkish adults Journal Article


Authors: Can, A. S.; Bersot, T. P.; Gonen, M.
Article Title: Anthropometric indices and their relationship with cardiometabolic risk factors in a sample of Turkish adults
Abstract: Objective: To identify the best anthropometric index that predicts cardiometabolic risk factors. Design and setting: Cross-sectional study in Turkey, in 2003. Subjects: Turkish men and women aged 18 years and over (n 1692) were examined. Body weight, height, waist and hip circumferences, blood pressure, total cholesterol, HDL cholesterol, TAG, glucose and insulin were measured. Metabolic syndrome score was calculated as the sum of modified National Cholesterol Education Program Adult Treatment Panel III criteria, excluding waist circumference. Insulin resistance was estimated by homeostasis model assessment (HOMA-IR). Results: BMI, waist:hip ratio (WHpR), waist:height ratio (WHtR), waist circumference (WC) and hip circumference (HC) were significantly correlated with each other. Partial correlation coefficients between systolic blood pressure, HDL cholesterol, TAG levels or HOMA-IR and BMI, WC or WHtR were similar and higher than correlation coefficients of WHpR and HC. The association of anthropometric indices with metabolic syndrome score and Framingham risk score was highest for WHtR. Areas under the receiver-operating characteristic curves showed that WHtR was the best anthropometric index that discriminated between the presence and absence of hypertension, diabetes and metabolic syndrome, whereas WHpR was better for dyslipidaemia. Conclusions: WHtR was the best anthropometric index for predicting most cardiometabolic risk factors. WC and BMI ranked second for their predictive capability of cardiometabolic risk, followed by WHpR and HC. © The Authors 2008.
Keywords: adult; controlled study; middle aged; major clinical study; area under the curve; hypertension; follow up; methodology; follow-up studies; lipid; risk factors; body weight; risk factor; risk assessment; blood; body mass; waist hip ratio; body mass index; waist-hip ratio; cardiovascular disease; cardiovascular risk; cardiovascular diseases; diabetes mellitus; scoring system; insulin; glucose blood level; anthropometry; cardiovascular risk factors; waist:height ratio; antidiabetic agent; antihypertensive agent; antilipemic agent; cholesterol; glucose; high density lipoprotein cholesterol; low density lipoprotein cholesterol; oral antidiabetic agent; triacylglycerol; body height; cholesterol blood level; diastolic blood pressure; dyslipidemia; insulin blood level; insulin resistance; metabolic syndrome x; systolic blood pressure; triacylglycerol blood level; turkey (republic); waist circumference; blood pressure; body size; cross-sectional study; area under curve; blood glucose; cross-sectional studies; diabetes complications; dyslipidemias; lipids; turkey
Journal Title: Public Health Nutrition
Volume: 12
Issue: 4
ISSN: 1368-9800
Publisher: Cambridge University Press  
Date Published: 2009-04-01
Start Page: 538
End Page: 546
Language: English
DOI: 10.1017/s1368980008002474
PUBMED: 18489811
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "CODEN: PHNUF" - "Source: Scopus"
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  1. Mithat Gonen
    832 Gonen