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Abdominal obesity is strongly associated with Cardiovascular Disease and its Risk Factors in Elderly and very Elderly Community-dwelling Chinese

Scientific reports, 2016-02, Vol.6 (1), p.21521-21521, Article 21521 [Peer Reviewed Journal]

Copyright Nature Publishing Group Feb 2016 ;Copyright © 2016, Macmillan Publishers Limited 2016 Macmillan Publishers Limited ;ISSN: 2045-2322 ;EISSN: 2045-2322 ;DOI: 10.1038/srep21521 ;PMID: 26882876

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Title:
Abdominal obesity is strongly associated with Cardiovascular Disease and its Risk Factors in Elderly and very Elderly Community-dwelling Chinese
Author: Fan, Huimin ; Li, Xiaolin ; Zheng, Liang ; Chen, Xiaoli ; Lan, Qin ; Wu, Hong ; Ding, Xugang ; Qian, Dingguang ; Shen, Yixin ; Yu, Zuoren ; Fan, Lieying ; Chen, Ming ; Tomlinson, Brian ; Chan, Paul ; Zhang, Yuzhen ; Liu, Zhongmin
Subjects: Abdomen ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Arteriosclerosis ; Body mass ; Body mass index ; Body weight ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - epidemiology ; China - epidemiology ; Female ; Geriatrics ; Humans ; Male ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity, Abdominal - complications ; Obesity, Abdominal - epidemiology ; Overweight - complications ; Overweight - epidemiology ; Physical activity ; Prevalence ; Risk Assessment ; Risk Factors ; ROC Curve ; Triglycerides
Is Part Of: Scientific reports, 2016-02, Vol.6 (1), p.21521-21521, Article 21521
Description: Obesity is usually considered to predispose to atherosclerotic cardiovascular disease (ASCVD) but milder degrees of obesity or overweight may be protective in some elderly populations. We examined the relationships between general and abdominal obesity indices with ASCVD and its risk factors in elderly (aged ≥ 65 years) Shanghai community residents Among the 3950 participants, 21.5% had ASCVD, 56.2% had body mass index (BMI) ≥ 24 kg/m2, 50.1% had high waist circumference (WC) and 77.1% had waist-to-height ratio (WHtR) ≥ 0.50. WHtR increased with age in both men and women whereas WC increased with age only in women and BMI decreased with age only in men. The optimal WHtR cut-off value to predict the risk of ASCVD determined by receiver operating characteristic analysis was WHtR ≥ 0.53 with a prevalence of 55.8%. Having abdominal obesity was significantly associated with prevalent ASCVD with WHtR ≥ 0.53 having a higher value for the odds ratio than high WC, whereas high BMI was not associated. All three indices predicted high glucose, triglycerides and hsCRP levels but only the WHtR ≥ 0.53 showed a significant association with physical activity. Abdominal obesity indices, but not BMI, predicted prevalent ASCVD and its risk factors in this elderly Chinese population.
Publisher: England: Nature Publishing Group
Language: English
Identifier: ISSN: 2045-2322
EISSN: 2045-2322
DOI: 10.1038/srep21521
PMID: 26882876
Source: MEDLINE
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals

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Abdominal obesity is strongly associated with Cardiovascular Disease and its Risk Factors in Elderly and very Elderly Community-dwelling Chinese

Copyright Nature Publishing Group Feb 2016 ;Copyright © 2016, Macmillan Publishers Limited 2016 Macmillan Publishers Limited ;ISSN: 2045-2322 ;EISSN: 2045-2322 ;DOI: 10.1038/srep21521 ;PMID: 26882876

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