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Waist circumference and cardiovascular risk factors among overweight and obese rural older adults: gender differences
Author(s) -
Bailey Regan L,
Mitchell Diane C,
Hartman Terryl J,
Jensen Gordon L,
Still Christopher D,
SmiciklasWright Helen
Publication year - 2007
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.21.6.a1071-a
Subject(s) - medicine , waist , overweight , anthropometry , obesity , odds ratio , demography , risk factor , circumference , geometry , mathematics , sociology
Overweight and obese patients are at a greater risk for CVD. The purpose of this study was to explore how weight status relates to cardiovascular risk factors in older adults in the Geisinger Rural Aging Study (114 male, 158 female mean age 78. 5). Anthropometric and health data, along with a fasting blood sample were collected during a clinic visit. Dietary data was collected using 4, 24‐hour recalls. Waist circumference risk (WCR) was determined using established guidelines (>88 cm for females, >102 cm for males); 56% of participants were considered “at risk”. More females than males were at WCR (63% vs. 37%, p < 0.05). Females at WCR were more likely to have elevated C‐reactive protein (OR 2.4, 95% CI: 1.1–5.3); but, had a reduced risk of total cholesterol above 200 mg/dL (OR 0.36, 95% CI:0.18–0.69) even in models including saturated fat and statin drug use. WCR males were more likely to have HDL concentrations lower than 40 mg/dL (OR 3.9, 95% CI: 1.3–11.5). Both males and females at WCR had increased odds of having triglyceride concentrations > 150 mg/dL (OR 2.5 95% CI: 1.0–6.0 m, OR 3.6 95% CI: 1.6–7.9 f, respectively). No differences were noted for intakes of dietary fat. These results indicate that WCR is related to increases in CVD risk factors in both genders, but that a differential gender profile exists for specific risk factors. Supported in part by USDA # 58‐1950‐6019, NIH R21AG023179‐01A1 and NIA training grant #T32AG00048