Relation of generalized and central obesity to cardiovascular risk factors and prevalent coronary heart disease in a sample of American Indians: The Strong Heart Study

International Journal of Obesity

Volumn 24, Issue 7, 2000, Pages 849-860

  Gray, R S ^a   Fabsitz, R R ^b   Cowan, L D ^c   Lee, E T ^c   Welty, T K ^d   Jablonski, K A ^a   Howard, B V ^a  

^a MEDSTAR RESEARCH INSTITUTE   (United States)

^b NATIONAL HEART LUNG AND BLOOD INSTITUTE   (United States)

^c UNIVERSITY OF OKLAHOMA   (United States)

^d Aberdeen Tribal Chairmen's Hlth B   (United States)

Author keywords

Coronary heart disease; Indian; North American; Obesity

Indexed keywords

ALBUMIN; FIBRINOGEN; GLUCOSE; HEMOGLOBIN A1C; INSULIN; LIPOPROTEIN;

ADULT; AGED; AMERICAN INDIAN; ANTHROPOMETRY; ARTICLE; BLOOD PRESSURE MEASUREMENT; BODY FAT; BODY MASS; CARDIOVASCULAR RISK; DIABETES MELLITUS; ELECTROCARDIOGRAM; FEMALE; FIBRINOGEN BLOOD LEVEL; GENDER; GLUCOSE BLOOD LEVEL; HUMAN; INSULIN BLOOD LEVEL; ISCHEMIC HEART DISEASE; LIPOPROTEIN BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; METABOLISM; OBESITY; PHYSICAL EXAMINATION; PRIORITY JOURNAL; UNITED STATES; URINALYSIS;

EID: 0033936953     PISSN: 03070565     EISSN: None     Source Type: Journal    
DOI: 10.1038/sj.ijo.0801243     Document Type: Article

References (70)

1. 1 Lew EA, Garfinkel L. Variations in mortality by weight among 750,000 men and women. J Chronic Dis 1979; 32: 563-576.
2. 2 Feinleib M. Epidemiology of obesity in relation to health hazards. Ann Intern Med 1985; 103: 1019-1024.
3. 3 Barrett-Connor E. Obesity, atherosclerosis, and coronary artery disease. Ann Intern Med 1985; 103: 1010-1019.
4. 4 Manson JE, Stampfer MJ, Hennekens CH, Willett WC. Body weight and longevity. JAMA 1987; 257: 353-358.
5. 5 Jarret RJ, Shipley MJ, Rose G. Weight and mortality in the Whitehall Study. BMJ Clin Res Ed 1982; 285: 535-537.
6. 6 Garrison RJ, Feinlieb M, Castelli WP, McNamara PM. Cigarette smoking as a confounder of the relationship between relative weight and long-term mortality: the Framingham Heart Study. JAMA 1983; 249: 2199-2203.
7. 7 Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. J Chronic Dis 1972; 25: 329-343.
8. 8 Chapman JM, Coulson AH, Clark VA, Borun ER. The differential effect of serum cholesterol, blood pressure, and weight on the incidence of myocardial infarction and angina pectoris. J Chronic Dis 1971; 23: 631-645.
9. 9 Rabkin SW, Mathewson FAL, Ping-Hwa H. Relation of body weight to development of ischaemic heart disease in a cohort of young North American men after a 26-year observation period. The Manitoba Study. Am J Cardiol 1977; 39: 452-458.
10. 10 Pooling Project Research Group. Relationship of blood pressure, serum cholesterol, smoking habit, relative weight, and ECG abnormalities to incidence of major coronary events: final report of the pooling project. J Chronic Dis 1978; 31: 201-306.
11. 11 Stokes J III, Garrison RJ, Kannel WB. The independent contributions of various indices of obesity to the 22-year incidence of coronary heart disease: the Framingham Heart Study. In Vague J et al (eds). Metabolic complications of human obesities. Elsevier: Amsterdam, 1985, p 49.
12. 12 Tuomilehto J, Salonen JT, Marti B, Jalkanen L, Puska P, Nissinen A, Wolf E. Body weight and risk of myocardial infarction and death in the adult population of eastern Finland. BMJ Clin Res Edn 1987; 295: 623-627.
13. 13 Larsson B, Svardsudd K, Welin L, Wilhelmsen L, Bjorntorp P, Tibblin G. Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: a 13-year follow up of participants in the study of men born in 1913. BMJ Clin Res Ed 1984; 288: 1401-1404.
14. 14 Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjostrom L. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12-year follow-up of participants in the population study of women in Gothenburg, Sweden. BMJ Clin Res Ed 1984; 289: 1257-1261.
15. 15 Ducimetiere P, Richard J, Cambien F. The pattern of subcutaneous fat distribution in middle-aged men and the risk of coronary heart disease: the Paris Prospective Study. Int J Obes 1986; 10: 229-240.
16. 16 Donahue RP, Abbott RD, Bloom E, Reed DM, Yano K. Central obesity and coronary heart disease in men. Lancet 1987; 1: 821-824.
17. 17 Despres JP, Moorjani S, Lupien PJ, Tremblay A, Nadeau A, Bouchard C. Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease. Arteriosclerosis 1990; 10: 497-511.
18. 18 Filipovsky J, Ducimetiere P, Darne B, Richard JL. Abdominal body mass distribution and elevated blood pressure are associated with increased risk of death from cardiovascular diseases and cancer in middle-aged men. The results of a 15-to 20-year follow-up in the Paris Prospective Study 1. Int J Obes 1993; 17: 197-203.
19. 19 Kissebah AH, Vydelingum N, Murray R, Evans DJ, Hartz AJ, Kalkhoff RK, Adams PW. Relation of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 1982; 54: 254-260.
20. 20 Kalkhoff RK, Hartz AH, Rupley D, Kissebah AH, Kelber S. Relationship of body fat distribution to blood pressure, carbohydrate tolerance, and plasma lipids in healthy obese women. J Lab Clin Med 1983; 102: 621-627.
21. 21 Evans DJ, Hoffman RG, Kalkhoff RK, Kissebah AH. Relationship of body fat topography to insulin sensitivity and metabolic profiles in premenopausal women. Metab Clin Exp 1984; 33: 68-75.
22. 22 Gillum RF. The association of body-fat distribution with hypertension, hypertensive heart disease, coronary heart disease, diabetes and cardiovascular risk factors in men and women aged 18-79 years. J Chronic Dis 1987; 40: 421-428.
23. 23 Peiris AN, Struve MF, Mueller RA, Lee MB, Kissebah AH. Glucose metabolism in obesity: influence of body fat distribution. J Clin Endocrinol Metab 1988; 67: 760-767.
24. 24 Abate N, Garg A, Peshock RM, Stray-Gundersen J, Grundy SM. Relationships of generalized and regional adiposity to insulin sensitivity in men. J Clin Invest 1995; 96: 88-98.
25. 25 Di Fronzo RA, Ferrannini MD. Insulin resistance. A multi-faceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 1991; 14: 173-194.
26. 26 Wienpahl J, Ragland DR, Sidney S. Body mass index and 15-year mortality in a cohort of black men and women. J Clin Epidemiol 1990; 43: 949-960.
27. 27 Stevens J, Keil JE, Rust PF, Tyroler HA, Davis CE, Gazes PC. Body mass index and body girths as predictors of mortality in black and white women. Arch Intern Med 1992; 152: 1257-1262.
28. 28 Durazo-Arvizu R, Cooper RS, Luke A, Prewitt TE, Liao Y, McGee DL. Relative weight and mortality in US blacks and whites: findings from representative national population samples. Ann Epidemiol 1997; 7: 383-395.
29. 29 Haffner SM, D'Agostino R, Saad MF, Revers M, Mykhanen L, Selby J, Howard G, Savage PJ, Hamman RF, Wagenknecht LE, Bergman RN. Increased insulin resistance and insulin secretion in non-diabetic African Americans and Hispanics compared with non-Hispanic Whites. Diabetes 1996; 45: 742-748.
30. 30 Karter AJ, Mayer-Davis EJ, Selby JV, D'Agostino RB Jr, Haffner SM, Sholinsky P, Bergman R, Saad MF, Hamman RF. Insulin sensitivity and abdominal obesity in African American, Hispanic, and non-Hispanic white men and women. The Insulin Resistance and Atherosclerosis Study. Diabetes 1996; 45: 1547-1555.
31. 31 Masuda T, Imai K, Komiya S. Relationship of anthropometric indices of body fat to cardiovascular risk in Japanese women. Ann Physiol Anthropol 1993; 12: 135-144.
32. 32 Woo J, Ho SC, Chan SG, Sham A, Yuen YK, Masarei JL. Lipid profile in the Chinese elderlies: comparison with younger age groups and relationship with some cardiovascular risk factors and presence of diseases. Cardiology 1993; 83: 407-414.
33. 33 Ko GT, Chan JC, Woo J, Lau E, Yeung VT, Chow CC, Wai HP, So WY, Cockram CS. Simple anthropometric indices and cardiovascular risk factors in Chinese. Int J Obes 1997; 21: 995-1001.
34. 34 Pettitt DJ, Lisse JR, Knowler WC, Bennett PH. Mortality as a function of obesity and diabetes mellitus. Am J Epidemiol 1982; 115: 359-366.
35. 35 Lee ET, Welty TK, Fabsitz RR, Cowan LD, Le NA, Oopik AJ, Cucchiara AJ, Savage PJ, Howard BV. The Strong Heart Study - a study of cardiovascular disease in American Indians: design and methods. Am J Epidemiol 1990; 132: 1141-1155.
36. 36 Howard BV, Welty TK, Fabsitz RR, Cowan LD, Oopik AJ, Le NA, Yeh J, Savage PJ, Lee ET. Risk factors for coronary heart disease in diabetic and nondiabetic Native Americans: the Strong Heart Study. Diabetes 1992; 41: 4-11.
37. 37 Stoddart M, Jarvis B, Blake B, Fabsitz RR, Howard BV, Lee ET, Welty TK. Recruitment of American Indians in epidemiologic research - the Strong Heart Study. Proceedings of the 121st Annual Meeting of the American Public Health Association, San Francisco, CA, October 1993.
38. 38 Krauss RM, Burke DJ. Identification of multiple subclasses of plasma low density lipoproteins in normal humans. J Lipid Res 1982; 23: 97-104.
39. 39 Morgan C, Lazarow A. Immunoassay of insulin: two antibody system. Plasma insulin levels in normal, subdiabetic and diabetic rats. Diabetes 1963; 12: 115-126.
40. 40 von Clauss A. Gerinnungsyphysiologische schnellmethode zur Bestimmung des Fibrinogens. Acta Haematol 1957; 27: 237-246.
41. 41 Little RR, England JD, Wiedmeyer HM, McKenzie EM, Mitra R, Erhart PM, Durham JB, Goldstein DE. Interlaboratory standardization of glycated hemoglobin determinations. Clin Chem 1986; 32: 358-360.
42. 42 Vasquez B, Flock EV, Savage PJ, Nagulesparan M, Bennion LJ, Baird HR, Bennett PH. Sustained reduction of proteinuria in type 2 (non-insulin-dependent) diabetes following diet-induced reduction of hyperglycaemia. Diabetologia 1984; 26: 127-133.
43. 43 Chasson AL, Grady HJ, Standley MA. Determination of creatinine by means of automatic chemical analysis. Tech Bull Regist Met Technol 1960; 30: 207-312.
44. 44 Prineas RJ, Crow RS, Blackburn H. The Minnesota code manual of electrocardiographic findings John Wright PSC: Littleton, MA 1982.
45. 45 Bennett PH, Nelson RG, Knowler WC et al. Urine albumin/ creatinine ratio estimates albumin excretion and predicts nephropathy in type II (non-insulin-dependent) diabetes. (Abstract). Diabetologia 1990; 33: A147.
46. 46 Rose GA, Blackburn H. Cardiovascular survey methods, 2nd edn. (monograph series no. 56 G). World Health Organization: Geneva, 1982.
47. 47 WHO Expert Committee on Diabetes Mellitus, second report (Technical Report Series no. 646). World Health Organization: Geneva, 1980.
48. 48 National Institutes of Health, National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. US Department of Health and Human Services, Public Health Service, NIH, NHLBI, June 1998.
49. 49 Knowler WC, Pettit DJ, Savage PJ, Bennett PH. Diabetes incidence in Pima Indians: contributions of obesity and parental diabetes. Am J Epidemiol 1981; 113: 144-156.
50. 50 Welty TK. Health implications of obesity in American Indians and Alaska Natives. Am J Clin Nutr 1991; 53 (Suppl): 1616S-1620S.
51. 51 Smalley KJ, Knerr AN, Kendrick ZV, Collier JA, Owen OE. Reassessment of body mass indices. Am J Clin Nutr 1990; 52: 405-408.
52. 52 Ravussin R, Valencia ME, Esparza J, Bennett PH, Schultz LO. Effects of a traditional lifestyle on obesity in Pima Indians. Diabetes Care 1994; 17: 1067-1074.
53. 53 Welty TK, Lee ET, Yeh J, Cowan LD, Go O, Fabsitz RR, Le NA, Oopik AJ, Robbins DC, Howard BV. Cardiovascular disease risk factors among American Indians. The Strong Heart Study. Am J Epidemiol 1995; 142: 269-287.
54. 54 Colditz GA, Willett WC, Stampfer MJ, Manson JE, Hennekens CH, Arky RA, Speizer FE. Weight as a risk factor for clinical diabetes in women. Am J Epidemiol 1990; 132: 501-513.
55. 55 Chan JM, Stampfer MJ, Rimm EB, Willett WC, Colditz GA. Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care 1994; 17: 961-969.
56. 56 Haffner SM, Mitchell BD, Stern MP, Hazuda HP, Patterson JK. Public health significance of upper body adiposity for non-insulin-dependent diabetes mellitus in Mexican Americans. Int J Obes 1992; 16: 177-184.
57. 57 Lipton RB, Liao Y, Cao G, Cooper RS, McGee D. Determinants of incident non-insulin-dependent diabetes mellitus among blacks and whites in a national sample. The NHANES I Epidemiologic Follow-up Study. Am J Epidemiol 1993; 138: 826-839.
58. 58 O'Dea K, White NG, Sinclair AJ. An investigation of nutrition-related risk factors in an isolated Aboriginal community in Northern Australia: advantages of a traditional orientated life-style. Med J Austral 1988; 148: 177-180.
59. 59 Dowse GK, Zimmet PZ, Gareeboo H, Alberti K, Tuomilehto J, Finch CF, Chitson P, Tulsidas H. Abdominal obesity and physical inactivity as risk factors for NIDDM and impaired glucose tolerance in Indian, Creole, and Chinese Mauritians. Diabetes Care 1991; 14: 271-272.
60. 60 Knowler WC, Pettit DJ, Saad MF, Charles MA, Nelson RG, Howard BV, Bogardus C, Bennett PH. Obesity in the Pima Indians: its magnitude and relationship with diabetes. Am J Clin Nutr 1991; 53: 1543S-1551S.
61. 61 Kissebah AH, Peiris AN, Evans DJ. Biology of regional body fat distribution: relationship to non-insulin-dependent diabetes mellitus. Diabetes Metab Rev 1989; 5: 83-109.
62. 62 Haffner SM, Stern MP, Hazuda H, Rosenthal M, Knapp A. The role of behavioral variables and fat patterning in explaining ethnic differences in serum lipids and lipoproteins. Am J Epidemiol 1986; 123: 830-839.
63. 63 Dowling HJ, Pi-Sunyer X. Race-dependent health risks of upper body obesity. Diabetes 1993; 42: 537-543.
64. 64 Chan JCN, Cheung JCK, Lau EMC, Wooa J, Chan AYW, Swaminathan RS, Cockrama CS. The metabolic syndrome in Hong Kong Chinese. The interrelationships among its components analyzed by structural equation modelling. Diabetes Care 1996; 19: 953-959.
65. 65 Schmidt MI, Watson RL, Duncan BB, Metcalf P, Brancati FFL, Sharrett AR, Davis CE, Heiss G. Clustering of dyslipidemia, hyperuricemia, diabetes, and hypertension and its association with fasting insulin and central and overall obesity in a general population. Atherosclerosis Risk and Communities Study Investigators. Metabolism 1996; 45: 699-706.
66. 66 Avellone G, Di Garbo V, Cordova R, Raneli G, De Simone R, Bompiani G. Coagulation, fibrinolysis and haemorheology in premenopausal obese women with different body fat distribution. Thromb Res 1994; 75: 223-231.
67. 67 Mitchell BD, Williams-Blangero S, Chakraborty R, Valdez R, Hazuda HP, Haffner SM, Stern MP. A comparison of three methods for assessing Amerindian admixture in Mexican Americans. Ethn Dis 1993; 3: 22-31.
68. 68 Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T. Smoking cessation and severity of weight gain in a national cohort. N Engl J Med 1991; 324: 739-745.
69. 69 De Fronzo RA, Bonadonna RC, Ferrannini E. Pathogenesis of NIDDM: a balanced overview. Diabetes Care 1992; 15: 318-368.
70. 70 Howard BV, Lee ET, Cowan LD, Fabsitz RR, Howard WJ, Oopik AJ, Robbins DC, Savage PJ, Yeh JL, Welty TK. Coronary heart disease prevalence and its relation to risk factors in American Indians: the Strong Heart Study. Am J Epidemiol 1995; 142: 254-268.