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Waist circumference (WC) & Waist:Hip Ratio (WHR) predict hypertension and diabetes risk better than Body Mass Index (BMI) among Filipinos
Author(s) -
Acuin Cecilia,
Duante Charmaine
Publication year - 2013
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.27.1_supplement.1055.19
Subject(s) - medicine , dyslipidemia , body mass index , waist , diabetes mellitus , obesity , anthropometry , odds ratio , environmental health , waist–hip ratio , demography , gerontology , endocrinology , sociology
Data from the 1998–2008 Philippine National Nutrition and Health Surveys (NNHeS) were analyzed to establish trends in the prevalence of hypertension and diabetes, and of their risk factors. The NNHeS are nationally representative surveys conducted every 5 years and include anthropometric, biochemical and clinical assessments of adults ≥ 20 years old. Prevalences of hypertension, diabetes, dyslipidemia, obesity, high BMI, high WC, high WHR, smoking and alcohol intake are increasing, as are intake of high energy‐dense foods. Having a high WC increases the odds of having hypertension 3‐fold, and of diabetes 7‐fold among males. For females, a high WHR will increase the odds of hypertension by 1.5 times, and of diabetes by almost 6 times. WC and WHR predict hypertension and hyperglycemia better than BMI with significantly higher areas under the curve particularly for females, and may be useful for screening individuals in resource‐constrained settings. Preventive measures for these chronic disease conditions are urgently needed as they threaten to overwhelm a health system set up to address infectious and maternal and child health conditions. Grant Funding Source : WHO