Abdominal obesity is strongly associated with Cardiovascular Disease and its Risk Factors in Elderly and very Elderly Community-dwelling Chinese

Scientific Reports

Volumn 6, Issue , 2016, Pages

  Fan, Huimin ^a   Li, Xiaolin ^a   Zheng, Liang ^a   Chen, Xiaoli ^a   Lan, Qin ^a   Wu, Hong ^b   Ding, Xugang ^b   Qian, Dingguang ^b   Shen, Yixin ^a   Yu, Zuoren ^a   Fan, Lieying ^a   Chen, Ming ^a   Tomlinson, Brian ^c   Chan, Paul ^d   Zhang, Yuzhen ^a   Liu, Zhongmin ^a  

^a TONGJI UNIVERSITY SCHOOL OF MEDICINE   (China)

^b Gaohang Community Medical Center   (China)

^c CHINESE UNIVERSITY OF HONG KONG   (Hong Kong)

^d TAIPEI MEDICAL UNIVERSITY   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; CARDIOVASCULAR DISEASES; CHINA; COMPLICATION; FEMALE; HUMAN; MALE; OBESITY; OBESITY, ABDOMINAL; OVERWEIGHT; PREVALENCE; RECEIVER OPERATING CHARACTERISTIC; RISK ASSESSMENT; RISK FACTOR; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; CARDIOVASCULAR DISEASES; CHINA; FEMALE; HUMANS; MALE; OBESITY; OBESITY, ABDOMINAL; OVERWEIGHT; PREVALENCE; RISK ASSESSMENT; RISK FACTORS; ROC CURVE;

EID: 84958999483     PISSN: None     EISSN: 20452322     Source Type: Journal    
DOI: 10.1038/srep21521     Document Type: Article

References (35)

1. Finucane, M. M. et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet 377, 557-567 (2011).
2. Nguyen, H. N., Fujiyoshi, A., Abbott, R. D., Miura, K. Epidemiology of cardiovascular risk factors in Asian countries. Circ. J. 77, 2851-2859 (2013).
3. Chen, Z. et al. Body mass index and mortality in China: a 15-year prospective study of 220 000 men. Int. J. Epidemiol. 41, 472-481 (2012).
4. Juonala, M. et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N. Engl. J. Med. 365, 1876-1885 (2011).
5. Lao, X. Q. et al. Overall obesity is leveling-off while abdominal obesity continues to rise in a Chinese population experiencing rapid economic development: analysis of serial cross-sectional health survey data 2002-2010. Int J Obes (Lond) 39, 288-294 (2015).
6. Derraik, J. G., de Bock, M., Hofman, P. L., Cutfield, W. S. Increasing BMI is associated with a progressive reduction in physical quality of life among overweight middle-aged men. Sci. Rep. 4, 3677 (2014).
7. Lisko, I. et al. Body mass index, waist circumference, and waist-to-hip ratio as predictors of mortality in nonagenarians: the Vitality 90+ Study. J. Gerontol. A Biol. Sci. Med. Sci. 66, 1244-1250 (2011).
8. Thomas, G. N. et al. Impact of sex-specific body composition on cardiovascular risk factors: the Hong Kong Cardiovascular Risk Factor Study. Metabolism 55, 563-569 (2006).
9. Schneider, H. J. et al. The predictive value of different measures of obesity for incident cardiovascular events and mortality. J. Clin. Endocrinol. Metab. 95, 1777-1785 (2010).
10. Ge, W. et al. Association between anthropometric measures of obesity and subclinical atherosclerosis in Bangladesh. Atherosclerosis 232, 234-241 (2014).
11. Guasch-Ferre, M. et al. Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. PLoS One 7, e43275 (2012).
12. Cai, L., Liu, A., Zhang, Y., Wang, P. Waist-to-height ratio and cardiovascular risk factors among Chinese adults in Beijing. PLoS One 8, e69298 (2013).
13. Reis, J. P. et al. Excess body mass index-and waist circumference-years and incident cardiovascular disease: The CARDIA study. Obesity (Silver Spring) 23, 879-885 (2015).
14. Hou, X. et al. Impact of waist circumference and body mass index on risk of cardiometabolic disorder and cardiovascular disease in Chinese adults: a national diabetes and metabolic disorders survey. PLoS One 8, e57319 (2013).
15. Zeng, Q. et al. Optimal cut-off values of BMI, waist circumference and waist:height ratio for defining obesity in Chinese adults. Br. J. Nutr. 112, 1735-1744 (2014).
16. Lam, B. C., Koh, G. C., Chen, C., Wong, M. T., Fallows, S. J. Comparison of Body Mass Index (BMI), Body Adiposity Index (BAI), Waist Circumference (WC), Waist-To-Hip Ratio (WHR) and Waist-To-Height Ratio (WHtR) as predictors of cardiovascular disease risk factors in an adult population in Singapore. PLoS One 10, e0122985 (2015).
17. Costanzo, P. et al. The obesity paradox in type 2 diabetes mellitus: relationship of body mass index to prognosis: a cohort study. Ann. Intern. Med. 162, 610-618 (2015).
18. Suemoto, C. K., Lebrao, M. L., Duarte, Y. A., Danaei, G. Effects of Body Mass Index, Abdominal Obesity, and Type 2 Diabetes on Mortality in Community-Dwelling Elderly in Sao Paulo, Brazil: Analysis of Prospective Data From the SABE Study. J. Gerontol. A Biol. Sci. Med. Sci. 70, 503-510 (2015).
19. Shil Hong, E. et al. Counterintuitive relationship between visceral fat and all-cause mortality in an elderly Asian population. Obesity (Silver Spring) 23, 220-227 (2015).
20. Wu, C. Y. et al. Association of body mass index with all-cause and cardiovascular disease mortality in the elderly. PLoS One 9, e102589 (2014).
21. Johnston, S. S. et al. Retrospective study of adherence to glucagon-like peptide-1 receptor agonist therapy in patients with type 2 diabetes mellitus in the United States. Adv. Ther. 31, 1119-1133 (2014).
22. Chatterji, S. et al. The health of aging populations in China and India. Health Aff. (Millwood) 27, 1052-1063 (2008).
23. Luepker, R. V., E. A., McKeigue, P., Reddy, K. S. Cardiovascular Survey Methods. 3rd ed. Geneva, Switzerland: World Health Organization. (2004).
24. He, Y. et al. BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals. Diabetes Care 30, 2128-2134 (2007)
25. Ashwell, M., Gibson, S. A proposal for a primary screening tool: 'Keep your waist circumference to less than half your height'. BMC. Med. 12, 207 (2014).
26. Browning, L. M., Hsieh, S. D., Ashwell, M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr. Res. Rev. 23, 247-269 (2010).
27. Stone, N. J. et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J. Am. Coll. Cardiol. 63, 2889-2934 (2014).
28. Wu, Y. et al. Estimation of 10-year risk of fatal and nonfatal ischemic cardiovascular diseases in Chinese adults. Circulation 114, 2217-2225 (2006).
29. Wildman, R. P. et al. Trends in overweight and obesity in Chinese adults: between 1991 and 1999-2000. Obesity (Silver Spring) 16, 1448-1453 (2008).
30. Cornier, M. A. et al. Assessing adiposity: a scientific statement from the American Heart Association. Circulation 124, 1996-2019 (2011).
31. Michalakis, K. et al. Obesity in the ageing man. Metabolism 62, 1341-1349 (2013).
32. Zamboni, M. et al. Health consequences of obesity in the elderly: a review of four unresolved questions. Int. J. Obes. (Lond) 29, 1011-1029 (2005).
33. Auyeung, T. W. et al. Effects of height loss on morbidity and mortality in 3145 community-dwelling Chinese older women and men: a 5-year prospective study. Age Ageing 39, 699-704 (2010).
34. Schooling, C. M. et al. Obesity, physical activity, and mortality in a prospective chinese elderly cohort. Arch. Intern. Med. 166, 1498-1504 (2006).
35. Nicklas, B. J. et al. Lifestyle intervention of hypocaloric dieting and walking reduces abdominal obesity and improves coronary heart disease risk factors in obese, postmenopausal, African-American and Caucasian women. J. Gerontol. A Biol. Sci. Med. Sci. 58, 181-189 (2003).