Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia

The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass ind...

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Main Authors: Kamila Kholmatova, Alexandra Krettek, Irina V. Dvoryashina, Sofia Malyutina, Alexander V. Kudryavtsev
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Circumpolar Health
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Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2024.2386783
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author Kamila Kholmatova
Alexandra Krettek
Irina V. Dvoryashina
Sofia Malyutina
Alexander V. Kudryavtsev
author_facet Kamila Kholmatova
Alexandra Krettek
Irina V. Dvoryashina
Sofia Malyutina
Alexander V. Kudryavtsev
author_sort Kamila Kholmatova
collection DOAJ
description The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35–69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men – for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men.
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spelling doaj-art-fee34cef20f545e89448aa715e4922fe2024-11-29T19:53:25ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2386783Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemiaKamila Kholmatova0Alexandra Krettek1Irina V. Dvoryashina2Sofia Malyutina3Alexander V. Kudryavtsev4Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, NorwayDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, NorwayDepartment of Hospital Therapy and Endocrinology, Northern State Medical University, Arkhangelsk, RussiaScientific Research Institute of Internal and Preventive Medicine, Branch of Federal Research Centre Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, RussiaDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, NorwayThe anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35–69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men – for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men.https://www.tandfonline.com/doi/10.1080/22423982.2024.2386783Obesity prevalenceanthropometric indexwaist-to-height ratiofat mass indexcardiometabolic disorderRussia
spellingShingle Kamila Kholmatova
Alexandra Krettek
Irina V. Dvoryashina
Sofia Malyutina
Alexander V. Kudryavtsev
Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
International Journal of Circumpolar Health
Obesity prevalence
anthropometric index
waist-to-height ratio
fat mass index
cardiometabolic disorder
Russia
title Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
title_full Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
title_fullStr Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
title_full_unstemmed Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
title_short Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
title_sort assessing the prevalence of obesity in a russian adult population by six indices and their associations with hypertension diabetes mellitus and hypercholesterolaemia
topic Obesity prevalence
anthropometric index
waist-to-height ratio
fat mass index
cardiometabolic disorder
Russia
url https://www.tandfonline.com/doi/10.1080/22423982.2024.2386783
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