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Anthropometric indices for predicting cardiovascular risk factors: Ellisras longitudinal study
Author(s) -
Sebati Betty,
Monyeki Kotsedi,
Kemper Han Cornelis Geraad,
Sekgala Machoene Derrick,
Mphekgwana Peter
Publication year - 2019
Publication title -
american journal of human biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.559
H-Index - 81
eISSN - 1520-6300
pISSN - 1042-0533
DOI - 10.1002/ajhb.23293
Subject(s) - anthropometry , waist , medicine , body mass index , logistic regression , waist to height ratio , demography , receiver operating characteristic , obesity , stepwise regression , waist–hip ratio , blood pressure , circumference , mathematics , geometry , sociology
Abstract Objectives The aim of the study was to determine which anthropometric indices can best predict the presence of common cardiovascular risk factors among young adults in the rural village of Ellisras in the Limpopo Province, South Africa. Methods A total of 624 young adults (306 males and 318 females) aged 18 to 29 years took part in this cross‐sectional study. Anthropometrics were measured according to the standard procedures. Blood pressure and blood parameters were collected and measured. The stepwise logistic regression was used to determine anthropometric indices that can predict the presence of common cardiovascular risk factors and a receiver‐operating characteristic (ROC) curve was plotted to assess discrimination abilities of anthropometric indices for cardiovascular risk factors. Results The waist‐to‐hip ratio (WHR) in multivariable adjusted models was not found to be associated with cardiovascular risk factors compared to body mass index (BMI), waist circumference (WC), and waist‐to‐height ratio (WHtR). The area below the ROC curve for the abovementioned indices was above 0.62. Conclusions The central obesity indices, WC and WHtR, are better predictors of dyslipedemia and hypercholesterolemia, whereas BMI was a better predictor of hypertension among young adults living in rural South Africa between the ages of 18 and 29 years.