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Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis.

Abstract：

OBJECTIVE:To determine which simple index of overweight and obesity is the best discriminator of cardiovascular risk factors. STUDY DESIGN AND SETTING:This is a meta-analysis of published literature. MEDLINE was searched. Studies that used receiver-operating characteristics (ROC) curve analysis and published area under the ROC curves (AUC) for overweight and obesity indices with hypertension, type-2 diabetes, and/or dyslipidemia were included. The AUC for each of the four indices, with each risk factor, was pooled using a random-effects model; male and female data were analyzed separately. RESULTS:Ten studies met the inclusion criteria. Body mass index (BMI) was the poorest discriminator for cardiovascular risk factors. Waist-to-height ratio (WHtR) was the best discriminator for hypertension, diabetes, and dyslipidemia in both sexes; its pooled AUC (95% confidence intervals) ranged from 0.67 (0.64, 0.69) to 0.73 (0.70, 0.75) and from 0.68 (0.63, 0.72) to 0.76 (0.70, 0.81) in males and females, respectively. CONCLUSION:Statistical evidence supports the superiority of measures of centralized obesity, especially WHtR, over BMI, for detecting cardiovascular risk factors in both men and women.

journal_name

J Clin Epidemiol

journal_title

Journal of clinical epidemiology

authors

Lee CM,Huxley RR,Wildman RP,Woodward M

doi

10.1016/j.jclinepi.2007.08.012

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

646-53

issue

7

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(07)00322-8

journal_volume

61

pub_type

杂志文章,meta分析,评审

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