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Association of Anthropometric Indices With Cardiovascular Disease Risk Factors Among Adults: A Study in Iran Publisher Pubmed



Tabary M1 ; Cheraghian B2 ; Mohammadi Z3 ; Rahimi Z4 ; Naderian MR5, 6 ; Danehchin L7 ; Paridar Y8 ; Abolnejadian F9, 10 ; Noori M11 ; Mard SA12 ; Masoudi S3 ; Araghi F13 ; Shayesteh AA14 ; Poustchi H3
Authors
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Authors Affiliations
  1. 1. Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Biostatistics and Epidemiology, School of Public Health, Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  3. 3. Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Shariati Hospital, Digestive Diseases Research Institute, North Kargar Street, Tehran, 1411713135, Iran
  4. 4. Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  5. 5. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Cardiovascular Research Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Behbahan Faculty of Medical Sciences, Behbahan, Iran
  8. 8. School of Medicine, Dezful University of Medical Sciences, Dezful, Iran
  9. 9. Clinical Allergy Immunology and Allergy Shoshtar, Faculty of Medical Sciences, Shoshtar, Iran
  10. 10. Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  11. 11. Abadan Faculty of Medical Sciences, Abadan, Iran
  12. 12. Alimentary Tract Research Center, Physiology Research Center, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  13. 13. Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  14. 14. Alimentary Tract Research Center, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Source: European Journal of Cardiovascular Nursing Published:2021


Abstract

Aims Cardiovascular diseases (CVDs) are the leading cause of death in the world. Many modifiable risk factors have been reported to synergistically act in the development of CVDs. We aimed to compare the predictive power of anthropometric indices, as well as to provide the best cut-off point for these indicators in a large population of Iranian people for the prediction of CVDs and CVD risk factors. Methods and results All the data used in the present study were obtained from Khuzestan comprehensive health study (KCHS). Anthropometric indices, including BMI (body mass index), WC (waist circumference), HC (hip circumference), WHR (waist-to-hip ratio), WHtR (waist-to-height ratio), ABSI (a body shape index), as well as CVD risk factors [dyslipidaemia, abnormal blood pressure (BP), and hyperglycaemia] were recorded among 30 429 participants. WHtR had the highest adjusted odds ratios amongst anthropometric indices for all the risk factors and CVDs. WC had the highest predictive power for dyslipidaemia and hyperglycaemia [area under the curve (AUC) = 0.622, 0.563; specificity 61%, 59%; sensitivity 69%, 60%; cut-off point 87.95, 92.95 cm, respectively], while WHtR had the highest discriminatory power for abnormal BP (AUC = 0.585; specificity 60%; sensitivity 65%; cut-off point 0.575) and WHR tended to be the best predictor of CVDs (AUC = 0.527; specificity 58%; sensitivity 64%; cut-off point 0.915). Conclusion In this study, we depicted a picture of the Iranian population in terms of anthropometric measurement and its association with CVD risk factors and CVDs. Different anthropometric indices showed different predictive power for CVD risk factors in the Iranian population. © 2021 SAGE Publications Inc.. All rights reserved.
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