Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.

The discriminatory capability of different adiposity indices for atherosclerosis and lipid abnormalities remains uncertain. This study aimed to identify the best adiposity index for predicting early atherosclerosis and abnormal lipid profiles among anthropometric parameters and body fat measures in...

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Main Authors: Zhe-qing Zhang, Li-ping He, Xiao-yan Xie, Wen-hua Ling, Juan Deng, Yi-xiang Su, Yu-ming Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4121270?pdf=render
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author Zhe-qing Zhang
Li-ping He
Xiao-yan Xie
Wen-hua Ling
Juan Deng
Yi-xiang Su
Yu-ming Chen
author_facet Zhe-qing Zhang
Li-ping He
Xiao-yan Xie
Wen-hua Ling
Juan Deng
Yi-xiang Su
Yu-ming Chen
author_sort Zhe-qing Zhang
collection DOAJ
description The discriminatory capability of different adiposity indices for atherosclerosis and lipid abnormalities remains uncertain. This study aimed to identify the best adiposity index for predicting early atherosclerosis and abnormal lipid profiles among anthropometric parameters and body fat measures in middle-aged and elderly Chinese.A total of 2,063 women and 814 men (57.6±5.2 y) were recruited for this community-based cross-sectional study. Body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) were assessed. Body fat mass and its percentage values for the whole body and trunk were measured by bioelectrical impedance analysis (BIA). The intima-media thicknesses (IMTs) of the common carotid arteries (CCA), internal carotid arteries (ICA) and bifurcation (BIF) were determined via B-mode ultrasound. The fasting lipid profiles were assessed.With per SD increase of adiposity indices, the magnitude of the changes of IMT values and lipid profiles was more substantial for WC, WHR and WHtR in both genders. A multivariate logistic regression analysis indicated that WC, WHR and WHtR were more sensitive in predicting the presence of intima-media thickening at the three segments as well as the lipids disturbances in women and men. In general, BIA-derived measures have no added predictive value for IMT-thickening as opposed to those three traditional abdominal measures.Our findings suggest that abdominal anthropometric measures including WC, WHR and WHtR are sensitive for discriminating carotid atherosclerosis and lipids abnormalities. WC is the best index because of its simplicity in routine use.
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spelling doaj.art-2ca869fcbd7f4b2d8a4825571abbcf852022-12-22T03:16:15ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0198e10436110.1371/journal.pone.0104361Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.Zhe-qing ZhangLi-ping HeXiao-yan XieWen-hua LingJuan DengYi-xiang SuYu-ming ChenThe discriminatory capability of different adiposity indices for atherosclerosis and lipid abnormalities remains uncertain. This study aimed to identify the best adiposity index for predicting early atherosclerosis and abnormal lipid profiles among anthropometric parameters and body fat measures in middle-aged and elderly Chinese.A total of 2,063 women and 814 men (57.6±5.2 y) were recruited for this community-based cross-sectional study. Body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) were assessed. Body fat mass and its percentage values for the whole body and trunk were measured by bioelectrical impedance analysis (BIA). The intima-media thicknesses (IMTs) of the common carotid arteries (CCA), internal carotid arteries (ICA) and bifurcation (BIF) were determined via B-mode ultrasound. The fasting lipid profiles were assessed.With per SD increase of adiposity indices, the magnitude of the changes of IMT values and lipid profiles was more substantial for WC, WHR and WHtR in both genders. A multivariate logistic regression analysis indicated that WC, WHR and WHtR were more sensitive in predicting the presence of intima-media thickening at the three segments as well as the lipids disturbances in women and men. In general, BIA-derived measures have no added predictive value for IMT-thickening as opposed to those three traditional abdominal measures.Our findings suggest that abdominal anthropometric measures including WC, WHR and WHtR are sensitive for discriminating carotid atherosclerosis and lipids abnormalities. WC is the best index because of its simplicity in routine use.http://europepmc.org/articles/PMC4121270?pdf=render
spellingShingle Zhe-qing Zhang
Li-ping He
Xiao-yan Xie
Wen-hua Ling
Juan Deng
Yi-xiang Su
Yu-ming Chen
Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
PLoS ONE
title Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
title_full Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
title_fullStr Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
title_full_unstemmed Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
title_short Association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in Chinese adults.
title_sort association of simple anthropometric indices and body fat with early atherosclerosis and lipid profiles in chinese adults
url http://europepmc.org/articles/PMC4121270?pdf=render
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