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Waist-hip ratio is the dominant risk factor predicting cardiovascular death in Australia.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Welborn, Timothy Alexander Dhaliwal, Satvinder Singh Bennett, Stanley A. |
| Copyright Year | 2003 |
| Abstract | OBJECTIVE To evaluate clinical measures of obesity for their ability to predict death from cardiovascular disease (CVD) and coronary heart disease (CHD), in parallel with conventional cardiovascular risk factors. DESIGN, PARTICIPANTS AND SETTING Cross-sectional analysis of an age- and sex-stratified sample of 9206 adults aged 20-69 years from Australian capital cities (1989 Australian Risk Factor Prevalence Survey). Blood pressure, fasting serum lipid levels, smoking, history of heart disease or diabetes, and obesity as measured by body mass index (BMI), waist circumference and waist-hip ratio were recorded. These data were linked with the National Death Index to determine causes of death of the 473 survey subjects who had died to 31 December 2000. MAIN OUTCOME MEASURES Hazard ratios for the risk factors predicting CVD mortality and CHD mortality. RESULTS Of the modifiable risk factors, obesity, as measured by waist-hip ratio, is a dominant, independent, predictive variable for CVD and CHD deaths in Australian men and women. Self-reported angina/myocardial infarction in both sexes, and cigarette smoking in women, are also independent risk factors. CONCLUSIONS Obesity assessed by waist-hip ratio is a better predictor of CVD and CHD mortality than waist circumference, which, in turn, is a better predictor than BMI. The recognition of central obesity is clinically important, as lifestyle intervention is likely to provide significant health benefits. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.mja.com.au/system/files/issues/179_11_011203/wel10182_fm-1.pdf |
| Alternate Webpage(s) | http://www.mja.com.au/public/issues/179_11_011203/wel10182_fm-1.pdf |
| PubMed reference number | 14636121v1 |
| Volume Number | 179 |
| Issue Number | 11-12 |
| Journal | The Medical journal of Australia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Angina Pectoris Body mass index Cardiovascular Diseases Cessation of life Choline Dehydrogenase, Mitochondrial Cigarette smoking behavior Common Variable Immunodeficiency Coronary heart disease Diabetes Mellitus Heart Diseases Hip structure Lewy Body Disease Myocardial Infarction Obesity Sixty Nine Smoke Sudden infant death syndrome Waist Circumference Waist-Hip Ratio benefit |
| Content Type | Text |
| Resource Type | Article |
