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Article: BMI compared with central obesity indicators in relation to diabetes and hypertension in Asians

TitleBMI compared with central obesity indicators in relation to diabetes and hypertension in Asians
Authors
Issue Date2008
PublisherNorth American Association for the Study of Obesity. The Journal's web site is located at http://www.obesityresearch.org
Citation
Obesity, 2008, v. 16 n. 7, p. 1622-1635 How to Cite?
AbstractObjective: To compare BMI with waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR) in association with diabetes or hypertension. Methods and Procedures: Cross-sectional data from 16 cohorts from the DECODA (Diabetes Epidemiology: Collaborative Analysis of Diagnostic criteria in Asia) study, comprising 9,095 men and 11,732 women, aged 35-74 years, of different ethnicities were included in this meta-analysis. Results: Age-adjusted odds ratios (ORs) for diabetes in men (women) for 1 s.d. increase in BMI, WC, WHR, and WSR were 1.52 (1.59), 1.54 (1.70), 1.53 (1.50), and 1.62 (1.70), respectively; and the corresponding ORs for hypertension were 1.68 (1.55), 1.66 (1.51), 1.45 (1.28), and 1.63 (1.50). Paired homogeneity tests (BMI with each of the three) adjusted for age and cohort showed that diabetes had stronger association with WSR than BMI (P = 0.001) in men but with WC and WSR than BMI (both P < 0.05) in women. Hypertension had stronger association with BMI than WHR in men (P < 0.001) and had the strongest with BMI than the others (WHR P < 0.001; WSR P < 0.01; and WC P < 0.05) in women. Areas under the receiver operating characteristic (ROC) curves adjusted for age and cohort were slightly larger for diabetes for WSR 0.735 (0.748) in men (women) and WC 0.749 (women only) than BMI 0.725 (0.742) while for hypertension larger for BMI 0.760 (0.766) than WHR 0.748 (0.751), but their 95% CIs were all overlapped. Discussion: WSR was stronger than BMI in association with diabetes, but these indicators were equally strongly associated with hypertension in Asians. © 2008 The Obesity Society.
Persistent Identifierhttp://hdl.handle.net/10722/60268
ISSN
2015 Impact Factor: 3.614
2015 SCImago Journal Rankings: 2.016
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNyamdorj, Ren_HK
dc.contributor.authorQiao, Qen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorTuomilehto, Jen_HK
dc.contributor.authorHo, SYen_HK
dc.contributor.authorPitkäniemi, Jen_HK
dc.contributor.authorNakagami, Ten_HK
dc.contributor.authorMohan, Ven_HK
dc.contributor.authorJanus, EDen_HK
dc.contributor.authorFerreira, SRGen_HK
dc.date.accessioned2010-05-31T04:07:14Z-
dc.date.available2010-05-31T04:07:14Z-
dc.date.issued2008en_HK
dc.identifier.citationObesity, 2008, v. 16 n. 7, p. 1622-1635en_HK
dc.identifier.issn1930-7381en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60268-
dc.description.abstractObjective: To compare BMI with waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR) in association with diabetes or hypertension. Methods and Procedures: Cross-sectional data from 16 cohorts from the DECODA (Diabetes Epidemiology: Collaborative Analysis of Diagnostic criteria in Asia) study, comprising 9,095 men and 11,732 women, aged 35-74 years, of different ethnicities were included in this meta-analysis. Results: Age-adjusted odds ratios (ORs) for diabetes in men (women) for 1 s.d. increase in BMI, WC, WHR, and WSR were 1.52 (1.59), 1.54 (1.70), 1.53 (1.50), and 1.62 (1.70), respectively; and the corresponding ORs for hypertension were 1.68 (1.55), 1.66 (1.51), 1.45 (1.28), and 1.63 (1.50). Paired homogeneity tests (BMI with each of the three) adjusted for age and cohort showed that diabetes had stronger association with WSR than BMI (P = 0.001) in men but with WC and WSR than BMI (both P < 0.05) in women. Hypertension had stronger association with BMI than WHR in men (P < 0.001) and had the strongest with BMI than the others (WHR P < 0.001; WSR P < 0.01; and WC P < 0.05) in women. Areas under the receiver operating characteristic (ROC) curves adjusted for age and cohort were slightly larger for diabetes for WSR 0.735 (0.748) in men (women) and WC 0.749 (women only) than BMI 0.725 (0.742) while for hypertension larger for BMI 0.760 (0.766) than WHR 0.748 (0.751), but their 95% CIs were all overlapped. Discussion: WSR was stronger than BMI in association with diabetes, but these indicators were equally strongly associated with hypertension in Asians. © 2008 The Obesity Society.en_HK
dc.languageengen_HK
dc.publisherNorth American Association for the Study of Obesity. The Journal's web site is located at http://www.obesityresearch.orgen_HK
dc.relation.ispartofObesityen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAsia - epidemiologyen_HK
dc.subject.meshAsian Continental Ancestry Group - statistics & numerical dataen_HK
dc.subject.meshBody Heighten_HK
dc.subject.meshBody Mass Indexen_HK
dc.subject.meshCross-Sectional Studiesen_HK
dc.subject.meshDiabetes Mellitus - ethnology - etiology - physiopathologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Status Indicatorsen_HK
dc.subject.meshHumansen_HK
dc.subject.meshHypertension - ethnology - etiology - physiopathologyen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshObesity - complications - ethnology - physiopathologyen_HK
dc.subject.meshOdds Ratioen_HK
dc.subject.meshROC Curveen_HK
dc.subject.meshRisk Assessmenten_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshWaist-Hip Ratioen_HK
dc.titleBMI compared with central obesity indicators in relation to diabetes and hypertension in Asiansen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailHo, SY:syho@hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityHo, SY=rp00427en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1038/oby.2008.73en_HK
dc.identifier.pmid18421260-
dc.identifier.scopuseid_2-s2.0-46249128582en_HK
dc.identifier.hkuros148591en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-46249128582&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue7en_HK
dc.identifier.spage1622en_HK
dc.identifier.epage1635en_HK
dc.identifier.isiWOS:000257325300024-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridNyamdorj, R=16507436500en_HK
dc.identifier.scopusauthoridQiao, Q=7005824706en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridTuomilehto, J=36012823000en_HK
dc.identifier.scopusauthoridHo, SY=7403716884en_HK
dc.identifier.scopusauthoridPitkäniemi, J=7003339839en_HK
dc.identifier.scopusauthoridNakagami, T=7006023112en_HK
dc.identifier.scopusauthoridMohan, V=35509595400en_HK
dc.identifier.scopusauthoridJanus, ED=7006936536en_HK
dc.identifier.scopusauthoridFerreira, SRG=35474881800en_HK

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