Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension

Recent estimates indicate that two billion people are overweight or obese and hence are at increased risk of cardiovascular disease and its comorbidities. However, this may be an underestimate of the true extent of the problem, as the current method used to define overweight may lack sensitivity, pa...

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Main Authors: Huxley, Rachel, James, W., Barzi, F., Patel, J., Lear, S., Suriyawongpaisal, P., Janus, E., Caterson, I., Zimmet, P., Prabhakaran, D., Reddy, S., Woodward, M.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2008
Online Access:http://hdl.handle.net/20.500.11937/39921
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author Huxley, Rachel
James, W.
Barzi, F.
Patel, J.
Lear, S.
Suriyawongpaisal, P.
Janus, E.
Caterson, I.
Zimmet, P.
Prabhakaran, D.
Reddy, S.
Woodward, M.
author_facet Huxley, Rachel
James, W.
Barzi, F.
Patel, J.
Lear, S.
Suriyawongpaisal, P.
Janus, E.
Caterson, I.
Zimmet, P.
Prabhakaran, D.
Reddy, S.
Woodward, M.
author_sort Huxley, Rachel
building Curtin Institutional Repository
collection Online Access
description Recent estimates indicate that two billion people are overweight or obese and hence are at increased risk of cardiovascular disease and its comorbidities. However, this may be an underestimate of the true extent of the problem, as the current method used to define overweight may lack sensitivity, particularly in some ethnic groups where there may be an underestimate of risk. Measures of central obesity may be more strongly associated with cardiovascular risk, but there has been no systematic attempt to compare the strength and nature of the associations between different measures of overweight with cardiovascular risk across ethnic groups. Data from the Obesity in Asia Collaboration, comprising 21 cross-sectional studies in the Asia-Pacific region with information on more than 263 000 individuals, indicate that measures of central obesity, in particular, waist circumference (WC), are better discriminators of prevalent diabetes and hypertension in Asians and Caucasians, and are more strongly associated with prevalent diabetes (but not hypertension), compared with body mass index (BMI). For any given level of BMI, WC or waist : hip ratio, the absolute risk of diabetes or hypertension tended to be higher among Asians compared with Caucasians, supporting the use of lower anthropometric cut-points to indicate overweight among Asians. © 2007 The Authors.
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spelling curtin-20.500.11937-399212017-09-13T15:07:50Z Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension Huxley, Rachel James, W. Barzi, F. Patel, J. Lear, S. Suriyawongpaisal, P. Janus, E. Caterson, I. Zimmet, P. Prabhakaran, D. Reddy, S. Woodward, M. Recent estimates indicate that two billion people are overweight or obese and hence are at increased risk of cardiovascular disease and its comorbidities. However, this may be an underestimate of the true extent of the problem, as the current method used to define overweight may lack sensitivity, particularly in some ethnic groups where there may be an underestimate of risk. Measures of central obesity may be more strongly associated with cardiovascular risk, but there has been no systematic attempt to compare the strength and nature of the associations between different measures of overweight with cardiovascular risk across ethnic groups. Data from the Obesity in Asia Collaboration, comprising 21 cross-sectional studies in the Asia-Pacific region with information on more than 263 000 individuals, indicate that measures of central obesity, in particular, waist circumference (WC), are better discriminators of prevalent diabetes and hypertension in Asians and Caucasians, and are more strongly associated with prevalent diabetes (but not hypertension), compared with body mass index (BMI). For any given level of BMI, WC or waist : hip ratio, the absolute risk of diabetes or hypertension tended to be higher among Asians compared with Caucasians, supporting the use of lower anthropometric cut-points to indicate overweight among Asians. © 2007 The Authors. 2008 Journal Article http://hdl.handle.net/20.500.11937/39921 10.1111/j.1467-789X.2007.00439.x Wiley-Blackwell Publishing Ltd. restricted
spellingShingle Huxley, Rachel
James, W.
Barzi, F.
Patel, J.
Lear, S.
Suriyawongpaisal, P.
Janus, E.
Caterson, I.
Zimmet, P.
Prabhakaran, D.
Reddy, S.
Woodward, M.
Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title_full Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title_fullStr Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title_full_unstemmed Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title_short Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
title_sort ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension
url http://hdl.handle.net/20.500.11937/39921