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Association between adiposity indices and cardiometabolic risk factors in Puerto Ricans
Author(s) -
Palacios Cristina,
Perez Cynthia M,
Guzman Manuel,
Ortiz Ana P,
Ayala Alelí,
Suárez Erick
Publication year - 2011
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.25.1_supplement.982.13
Subject(s) - medicine , body mass index , abdominal obesity , waist , waist to height ratio , obesity , odds ratio , endocrinology , blood pressure , population , waist–hip ratio , environmental health
The most appropriate adiposity index for assessing cardiometabolic risk remains controversial. Our objective was to compare the general adiposity index (Body Mass Index, BMI) with the abdominal obesity indices (waist circumference, WC; waist to hip ratio, WHR; and waist to height ratio, WHtR) to examine the best predictor of cardiometabolic risk factors in a representative sample of 859 Puerto Rican adults. Logistic regression model (Prevalence Odds Ratio, POR) and partial correlations (controlling for age and sex) were calculated between obesity indices and blood pressure, HDL cholesterol, non‐HDL cholesterol, LDL cholesterol, triglycerides, fasting blood glucose, glycosylated hemoglobin, high‐sensitive C reactive protein (hs‐CRP), fibrinogen and plasminogen activator inhibitor‐1 (PAI‐1). All obesity indices significantly correlated with the cardiometabolic risk factors. WHtR had the highest POR for high blood pressure, hs‐CRP, fibrinogen, and PAI‐1; WC had the highest POR for low HDL and high non‐HDL, LDL and fasting blood glucose; WHR had the highest POR for high triglycerides and glycosylated hemoglobin; and BMI had the lowest POR for most risk factors. In conclusion, general and abdominal adiposity are both associated to cardiometabolic risk in this population, although WC, WHR and WHtR appear to be slightly better predictors. Funding: MSD & RCMI Grants G12RR03051 and P20RR011126.