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Waist-height ratio is better indicator of cardiovascular risk than body mass index.(Clinical Rounds)
SAN DIEGO -- Waist-to-height ratio is more strongly associated with cardiovascular risk than body mass index (BMI), particularly in middle age, according to a large European study presented at the annual meeting of the Endocrine Society.
Harald J. Schneider, M.D., of the Max Planck Institute of Psychiatry in Munich, and associates in Germany and Austria, examined weight, height, and waist and hip circumference and 18 single or combined cardiovascular risk factors in 48,353 primary care patients.
Waist-to-height ratio was most predictive of risk in the entire cohort in both men and women, followed by waist circumference and body mass index.
Overall cardiovascular risk was highest at or above a waist-to-height ratio of 0.53 for women and at a ratio of 0.55 for men.
When investigators examined specific age groups, they found that waist-to-height ratio was linked most strongly to cardiovascular risk in men aged 35-54 years and women aged 55-64 years. These respective age ranges are considered pivotal for the development of cardiovascular disease in men and women.
"In the other age groups, the BMI had a better association," said Dr. Schneider told this newspaper following the meeting.
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