scholarly journals Waist-to-height ratio is a better discriminator of cardiovascular disease than other anthropometric indicators in Kurdish adults

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yahya Pasdar ◽  
Shima Moradi ◽  
Jalal Moludi ◽  
Somaiyeh Saiedi ◽  
Mehdi Moradinazar ◽  
...  

Abstract It has been suggested that abdominal obesity might be a better cardiovascular diseases (CVDs) discriminator than overall obesity. The most appropriate obesity measures for estimating CVD events in Kurdish populations have not been well-recognized. The objective of the present study was, therefore, to determine the cutoff points of BMI, waist circumference (WC), waist-to-hip ratio (WHR), and waist to height ratio (WHtR) as the diagnostic cut-offs to discriminate the prevalent cardiovascular diseases. The data collected from Ravansar Non-Communicable Disease (RaNCD) cohort, the first Kurdish population-based study, was analyzed. The information related to BMI, WC, WHR and WHtR of 10,065 adult participants in the age range of 35–65 was analyzed in this study. Receiver operating characteristic (ROC) analyses were conducted to evaluate the optimum cut-off values and to predict the incidence of cardiac events. The results showed that WHtR had the largest areas under the ROC curve for cardiac events in both male and female participants, and this was followed by WHR, WC, and BMI. The optimal cut-off values for determining the cardiac events in the Kurdish population were BMI = 27.02 kg/m2 for men and BMI = 27.60 kg/m2 for women, WC = 96.05 cm in men and 99.5 cm for women, WHRs = 0.96 in both sexes, and WHtR = 0.56 for men and 0.65 for women. The current study, therefore, showed that WHtR might serve as a better index of prevalent cardiac event than BMI, WHR and WC.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hye Jin Lee ◽  
Young Suk Shim ◽  
Jong Seo Yoon ◽  
Hwal Rim Jeong ◽  
Min Jae Kang ◽  
...  

AbstractThis study was performed to evaluate the waist-to-height ratio (WHtR) distribution and assess its relationship with cardiometabolic risk in children and adolescents. A total of 8091 subjects aged 10–18 years were included from a nationally representative survey. Participants were classified into three groups: (1) < 85th, (2) ≥ 85th and < 95th, and (3) ≥ 95th percentile of WHtR. The WHtR distribution varied with sex and age. Whereas WHtR decreased from age 10–15 years in boys and from age 10–12 years in girls, it slightly increased thereafter. Compared to the < 85th percentile group, the WHtR ≥ 85th and < 95th percentile group had an odds ratio (OR) of 1.2 for elevated blood pressure (BP), 1.89 for elevated triglycerides (TGs), 1.47 for reduced high-density lipoprotein cholesterol (HDL-C) and 4.82 for metabolic syndrome (MetS). The ≥ 95th percentile group had an OR of 1.4 for elevated BP, 2.54 for elevated glucose, 2.22 for elevated TGs, 1.74 for reduced HDL-C, and 9.45 for MetS compared to the < 85th percentile group. Our results suggest that sex- and age-specific WHtR percentiles can be used as a simple clinical measurement to estimate cardiometabolic risk.


2021 ◽  
Author(s):  
Mohammad Reza Nowroozi ◽  
Erfan Amini ◽  
Ehsan Mosa Farkhani ◽  
Ali Nowroozi ◽  
Mohsen Ayati ◽  
...  

Abstract Background: Bladder cancer is one of the most common cancers worldwide and its incidence and mortality rates vary globally due to genetic variation, population age and exposure to risk factors. In the present study we aim to report national and subnational incidence of bladder cancer in Iran between 2003 and 2015.Methods: This population-based study investigate the age-standardized incidence rates (ASRs) of bladder cancer between 2003 and 2015 in Iran and its 32 provinces using last updated data from national cancer registry system of non-communicable disease center of Iran Ministry of Health, and Medical Education. Results: ASR of bladder cancer increased from 8.35 in 2003 to 13.57 in 2015 in men. ASR of bladder cancer also showed a mild increase in females, 2.12 in 2003 versus 2.86 in 2015.Conclusion: In conclusion, we observed an increasing trend of bladder cancer incidence in Iran, highlighting the disease as a potentially major health problem in the future. Therefore, it is necessary for health organizations to implement effective educational, preventive and therapeutic programs in the country to prevent further increase of disease burden.


BMJ ◽  
2018 ◽  
pp. k1046 ◽  
Author(s):  
Silvia Stringhini ◽  
Cristian Carmeli ◽  
Markus Jokela ◽  
Mauricio Avendaño ◽  
Cathal McCrory ◽  
...  

2015 ◽  
Vol 7 (6) ◽  
pp. 503-511 ◽  
Author(s):  
Maliheh Dadgarmoghaddam ◽  
Mohammad Khajedaluee ◽  
Majid Khadem-Rezaiyan ◽  
Shabnam Niroumand ◽  
Maryam Abrishami ◽  
...  

Author(s):  
Jessica McCormack ◽  
Patrick Rawstorne ◽  
Mohamud Sheikh

The Global Burden of Disease (GBD) study, 2010, confirmed that the world's population is living longer and we are now less likely than a decade earlier to die from an infectious disease but also more likely to live our twilight years with morbidity (Murray et al., 2012). We will also most likely die from a chronic non-communicable disease (NCD) such as cardiovascular diseases, cancers, respiratory diseases, and diabetes (Beaglehole, et al., 2008). However this brief glimpse at the trends in the health of the world's population obscures massive inequalities in the burden of disease as well as variations across the globe. In this piece, we will revisit primary health care, both at its dawn, its contribution to developing nations, and the ills it struggled through over the years. Cuba and Thailand are the key examples of developing nations that have experienced the contribution of primary health care more than most other countries.


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