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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 5, Issue.: 9


Gender Differences in Obesity Indices in a 10-Year Risk for Cardiovascular Disease


Tsan Yang1, Chien-An Sun2, Yu-Ching Chou3, Chia-Hsin Lai4, Chun-Chieh Chao5, Chao-Hsien Lee1, Chi Chang6 and Ling-Mei Yang7*

1Department of Health Business Administration, Meiho University, Pingtung, Taiwan.
2Department of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.
3School of Public Health, National Defense Medical Center, Taipei City, Taiwan.
4Department of Physical Therapy, Tzu Hui Institute of Technology, Pingtung, Taiwan.
5Department of Senior Citizen Service Management, Yuh-Ing Junior College of Health Care and Management, Kaohsiung, Taiwan.
6Department of Nursing, Meiho University, Pingtung, Taiwan.
7Department of Nursing, Antai Medical Care Cooperation Antai Tian-Sheng Memorial Hospital, Pingtung, Taiwan.

Article Information
(1) Gaetano Santulli, Columbia University Medical Center, USA.
(1) Anonymous, Israel.
(2) Anonymous, Harvard Medical School, USA.
Complete Peer review History:


Objective: To explore the relationship between gender-specific of obesity indices and the 10-year risk for cardiovascular disease (CVD) among elderly population in southern Taiwan.
Methods: Data were collected from Pingtung County in southern Taiwan through a health screening program, carried out from March 2007 to May 2008.The following obesity indices were included: (1) body mass index (BMI); (2) waist circumference (WC); (3) waist-to-hip ratio (WHR); (4) waist-height ratio (WHtR). The present study used the risk assessment tool of the Framingham Heart Study and adopted ≦10% as low risk, 11~20% as moderate risk, and >20% as high risk for CVD. Multiple logistic regression was used to predict the risk indices of obesity causing 10-year risk for CVD.
Results: A total of 831 participants were recruited in the screen program. The prevalence of the obesity indices was as follow: BMI 21.3%; WC 14.6%; WHR 47.1%; and WHtR 65.2%. A total of 118participants were found to have 10-year CVD risk groupings>20%, a prevalence rate of 14.2%. The 10-year risk for CVD is higher in men; subjects≧65 years old in both genders have a higher prevalence of moderate and high risk for CVD. After using multiple logistic regression, the results showed that men who are abnormal in WHR, WHtR, have higher moderate and high 10-year risk for CVD; In this study, men didn't find this risk in BMI and WC. Women on all four obesity indices are not the predictive factors of 10-year risk for CVD.
Conclusions: The predictive factors of 10-year risk for CVD were found in WHR and WHtR of men.

Keywords :

Obesity indices; cardiovascular disease; waist-to-hip ratio; waist-height ratio.

Full Article - PDF    Page 1121-1130 Article Metrics

DOI : 10.9734/BJMMR/2015/14015

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