Waist circumference, waist-hip ratio and BMI and their correlation with cardiovascular risk factors in Australian adults

Dalton, M., Cameron, A. J., Zimmet, P. Z., Shaw, J. E., Jolley, D., Dunstan, D. W. and Welborn, T. A.. 2003, Waist circumference, waist-hip ratio and BMI and their correlation with cardiovascular risk factors in Australian adults, Journal of internal medicine, vol. 254, no. 6, pp. 555-563.

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Title Waist circumference, waist-hip ratio and BMI and their correlation with cardiovascular risk factors in Australian adults
Author(s) Dalton, M.
Cameron, A. J.
Zimmet, P. Z.
Shaw, J. E.
Jolley, D.
Dunstan, D. W.
Welborn, T. A..
Journal name Journal of internal medicine
Volume number 254
Issue number 6
Start page 555
End page 563
Publisher Blackwell Scientific Publications
Place of publication Oxford, England
Publication date 2003-12
ISSN 0954-6820
1365-2796
Keyword(s) body mass index
body size
obesity
waist circumference
waist–hip ratio
Summary Objectives. To compare body mass index (BMI), waist circumference and waist–hip ratio (WHR) as indices of obesity and assess the respective associations with type 2 diabetes, hypertension and dyslipidaemia.

Design and setting. A national sample of 11 247 Australians aged ≥25 years was examined in 2000 in a cross-sectional survey.

Main outcome measures. The examination included a fasting blood sample, standard 2-h 75-g oral glucose tolerance test, blood pressure measurements and questionnaires to assess treatment for dyslipidaemia and hypertension. BMI, waist circumference and WHR were measured to assess overweight and obesity.

Results. The prevalence of obesity amongst Australian adults defined by BMI, waist circumference and WHR was 20.8, 30.5 and 15.8% respectively. The unadjusted odds ratio for the fourth vs. first quartile of each obesity measurement showed that WHR had the strongest relationship with type 2 diabetes, dyslipidaemia (women only) and hypertension. Following adjustment for age, however, there was little difference between the three measures of obesity, with the possible exceptions of hypertension in women, where BMI had a stronger association, and dyslipidaemia in women and type 2 diabetes in men, where WHR was marginally superior.

Conclusions. Waist circumference, BMI and WHR identified different proportions of the population, as measured by both prevalence of obesity and cardiovascular disease (CVD) risk factors. Whilst WHR had the strongest correlations with CVD risk factors before adjustment for age, the three obesity measures performed similarly after adjustment for age. Given the difficulty of using age-adjusted associations in the clinical setting, these results suggest that given appropriate cut-off points, WHR is the most useful measure of obesity to use to identify individuals with CVD risk factors.
Language eng
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2003, Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30020813

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