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Different anthropometric adiposity measures and their association with cardiovascular disease risk factors

By S.B. van Dijk


Obejectives: To investigate the research question: which anthropometric adiposity measure has the strongest association with cardiovascular disease risk factors (CVD RFs) in Caucasian men and women without a history of cardiovascular disease? Design: Meta analysis Methods: We searched PubMed, Embase, CINAHL and Cochrane for eligible studies. Studies reporting correlations between at least two anthropometric adiposity measures and at least three CVD RFs in Caucasian subjects without a history of cardiovascular disease were considered for inclusion. Body mass index (BMI), waist circumference (WC), waist-to hip ratio (WHR), waist-to height ratio (WHtR) and body fat percentage (BF%) were considered the anthropometric adiposity measures. CVD RFs as described by the National Cholesterol Education Program (NCEP) were included: systolic blood pressure (SBP), diastolic blood pressure (DBP), cholesterol (HDL and LDL), total cholesterol (TC), triglycerides (TG) and fasting glucose (FG). Abstract, full text and data selection were performed by two independent reviewers. Results: Twenty articles were included describing 21,618 males and 24,139 females. We found WC the strongest correlate with all CVD RFs for both men and women, except for HDL and LDL in men. This correlation was significant for SBP (p<0.05) in men and women, and DBP in men. When comparing BMI to WC, the latter showed significant better correlations to CVD RFs except for DBP in women and HDL and TC in men. Conclusions: We recommend the use of WC in the clinic and research studies over other anthropometric adiposity measures, especially compared with BMI, when evaluating CVD RFs

Topics: Geneeskunde, meta analysis, cardiovascular disease risk factors, anthropometric, adiposity
Year: 2010
OAI identifier: oai:dspace.library.uu.nl:1874/178925
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