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Waist circumference and the risk of hypertension and diabetes among Filipino women
Author(s) -
Carba Delia,
Bas Isabelita,
Avila Josephine,
Lee Nanette,
Adair Linda S.
Publication year - 2010
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.24.1_supplement.737.2
Subject(s) - medicine , waist , odds ratio , overweight , confounding , diabetes mellitus , logistic regression , circumference , demography , odds , obesity , risk factor , obstetrics , endocrinology , geometry , mathematics , sociology
We examined waist circumference (WC) as a risk factor for having hypertension (HTN) only, diabetes (DM) only or both HTN and DM, and assessed whether the associations vary according to overweight status (OW=BMI>=25 kg/m2). We used data from 1,871 women (ages 35–68 yr) in the Cebu Longitudinal Health and Nutrition Survey in 2005. Mean WC was 81 cm, 42 % were OW; 21% had HTN only, 9% had DM only and 7% had both HTN and DM. OW status did not modify the association between WC and HTN only but was a significant modifier of the associations of WC with DM only, and with both DM and HTN (Likelihood Ratio test p<0.10). Stratified by OW status, multinomial logistic regression analyses adjusted for age and other potential confounders showed that, each cm increase in WC increased the odds of HTN only by 5% (OR (95%CI:) 1.05 (1.03–1.07)) for non‐OW women and 4% (1.04 (1.02–1.06)) for OW women. The odds of DM increased by 9% (1.09 (1.06–1.13)) and 3% (1.03 (1.00–1.07)) for non‐OW and OW women, respectively. For every cm increase in WC, the odds of having both HTN and DM increased by 16% (1.16 (1.11–1.22) among non‐OW women vs. 8% (1.08 (1.05–1.11)) for OW women. Maternal age and sodium intake showed positive associations with HTN in non‐OW women only. The risk associated with abdominal obesity is higher for having DM than HTN and varies by OW status. NIH 5 R01 HL085144‐03 and 1R01TW008288‐01.