Open AccessAnthropometric indicators of obesity for identifying cardiometabolic risk factors in a rural B angladeshi population
Author(s) -
Bhowmik Bishwajit,
Munir Sanjida B,
Diep Lien M,
Siddiquee Tasnima,
Habib Samira H,
Samad Mohammad A,
Azad Khan Abul Kalam,
Hussain Akhtar
Publication year - 2013
Publication title -
journal of diabetes investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.089
H-Index - 50
eISSN - 2040-1124
pISSN - 2040-1116
DOI - 10.1111/jdi.12053
Subject(s) - medicine , dyslipidemia , waist , anthropometry , body mass index , obesity , metabolic syndrome , odds ratio , population , waist–hip ratio , receiver operating characteristic , cross sectional study , diabetes mellitus , demography , endocrinology , environmental health , pathology , sociology
Aims/Introduction The aim of the present study was to evaluate the predictive ability of body mass index ( BMI ), waist circumference ( WC ), waist‐to‐hip ratio ( WHR ), waist‐to‐height ratio ( WH tR) and body fat percentages ( BF %) for the presence of cardiometabolic risk factors, namely type 2 diabetes ( DM ), hypertension ( HTN ), dyslipidemia and metabolic syndrome ( MS ). Materials and Methods A total of 2293 subjects aged ≥20 years from rural Bangladesh were randomly selected in a population‐based, cross‐sectional survey. The association of anthropometric indicators with cardiometabolic risk conditions was assessed by using receiver operating characteristic curve analysis and adjusted odds ratios ( OR s) for DM , HTN , dyslipidemia and MS . Results Area under the curve cut‐off values showed that the association of WHR , BF % and WC was higher than that for other indices for DM , HTN and MS , respectively, for both sexes, and WH tR for men and WHR for women for dyslipidemia. The OR s were highest for WHR for DM and WC for MS for both sexes, and WH tR for men and WC for women for HTN and dyslipidemia, respectively. The optimal cut‐off values for obesity for the present study in men and women showed BMI s of 22 and 22.8 kg/m 2 , WHR s of 0.93 and 0.87, WH tRs of 0.52 and 0.54, BF % of 21.4 and 32.4%, and WC s of 82 and 81 cm, except for MS , which were 90 for men and 80 for women. Conclusions Compared with BMI , measures of central obesity, particularly WHR , WC , WH tR and BF %, showed a better association with obesity‐related cardiometabolic risk factors for both sexes.