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Heart Disease Is Associated With Anthropometric Indices and Change in Body Size Perception Over the Life Course: The Golestan Cohort Study Publisher Pubmed



Garg VP1 ; Vedanthan R1 ; Islami F1, 2 ; Pourshams A2 ; Poutschi H2 ; Khademi H2, 3 ; Naeimi M4 ; Malekshah AFT2 ; Jafari E2 ; Salahi R4 ; Kamangar F2, 5 ; Etemadi A6 ; Pharoah PD7 ; Abnet CC6 Show All Authors
Authors
  1. Garg VP1
  2. Vedanthan R1
  3. Islami F1, 2
  4. Pourshams A2
  5. Poutschi H2
  6. Khademi H2, 3
  7. Naeimi M4
  8. Malekshah AFT2
  9. Jafari E2
  10. Salahi R4
  11. Kamangar F2, 5
  12. Etemadi A6
  13. Pharoah PD7
  14. Abnet CC6
  15. Brennan P3
  16. Dawsey SM6
  17. Fuster V1, 8
  18. Boffetta P1, 9
  19. Malekzadeh R2
Show Affiliations
Authors Affiliations
  1. 1. Icahn School of Medicine at Mount Sinai, New York, NY, United States
  2. 2. Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. International Agency for Research on Cancer, Lyon, France
  4. 4. Department of Internal Medicine, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
  5. 5. Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, Baltimore, MD, United States
  6. 6. Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States
  7. 7. Departments of Oncology and Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom
  8. 8. Centro Nacional de Investigaciones Cardiovasculares, Calle de Melchor Fernandez Almagro, Madrid, Spain
  9. 9. International Prevention Research Institute, Lyon, France

Source: Global Heart Published:2015


Abstract

Background Cardiovascular disease and obesity are now becoming leading causes of morbidity and mortality in low- and middle-income countries. Objectives We investigated the relationship between prevalent heart disease (HD) and current anthropometric indices and body size perception over time from adolescence to adulthood in Iran. Methods We present a cross-sectional analysis of baseline data from a prospective study of adults in Golestan Province, Iran. Demographics, cardiac history, and current anthropometric indices—body mass index, waist circumference, and waist to hip ratio—were recorded. Body size perception for ages 15 years, 30 years, and at the time of interview was assessed via pictograms. Associations of these factors and temporal change in perceived body size with HD were evaluated using multivariable logistic regression models. Results Complete data were available for 50,044 participants; 6.1% of which reported having HD. Higher body mass index, waist circumference, and waist to hip ratio were associated with HD (p < 0.001). Men had a U-shaped relationship between HD and body size perception at younger ages. For change in body size perception, men and women demonstrated a U-shaped relationship with prevalent HD from adolescence to early adulthood, but a J-shaped pattern from early to late adulthood. Conclusions HD was associated with anthropometric indices and change in body size perception over time for men and women in Iran. Due to the increasing prevalence of overweight and obesity in low- and middle-income countries, interventions focused on decreasing the cumulative burden of risk factors throughout the life course may be an important component of cardiovascular risk reduction. © 2015 World Heart Federation (Geneva)
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