Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults

Qibin Qi, Garrett Strizich, David B. Hanna, Rebeca E. Giacinto, Sheila F. Castañeda, Daniela Sotres-Alvarez, Amber Pirzada, Maria Llabre, Neil Schneiderman, Larissa M. Avilés-Santa, Robert C. Kaplan

Research output: Contribution to journalArticle

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Abstract

Objective US Hispanics/Latinos have high prevalence of obesity and related comorbidities. We compared overall and central obesity measures in associations with cardiometabolic outcomes among US Hispanics/Latinos. Methods Multivariable regression assessed cross-sectional relationships of six obesity measures with cardiometabolic outcomes among 16,415 Hispanics/Latinos aged 18-74 years. Results BMI was moderately correlated with waist-to-hip ratio (WHR; women, r = 0.37; men, r = 0.58) and highly correlated with other obesity measures (r ≥ 0.87) (P <0.0001). All measures of obesity were correlated with unfavorable levels of glycemic traits, blood pressure, and lipids, with similar r-estimates for each obesity measure (P <0.05). Multivariable-adjusted prevalence ratios (PRs) for diabetes (women, 6.7 [3.9, 11.5]; men, 3.9 [2.2, 6.9]), hypertension (women, 2.4 [1.9, 3.1]; men, 2.5 [1.9, 3.4]), and dyslipidemia (women, 2.1 [1.8, 2.4]; men, 2.2 [1.9, 2.6]) were highest for individuals characterized as overweight/obese (BMI ≥ 25 kg/m2) and with abnormal WHR (women ≥0.85; men, ≥0.90), compared with those with normal BMI and WHR (P <0.0001). Among normal-weight individuals, abnormal WHR was associated with increased cardiometabolic condition prevalence (P <0.05), particularly diabetes (women, PR = 4.0 [2.2, 7.1]; men, PR = 3.0 [1.6, 5.7]). Conclusions Obesity measures were associated with cardiometabolic risk factors to a similar degree in US Hispanics/Latinos. WHR is useful to identify individuals with normal BMI at increased cardiometabolic risk.

Original languageEnglish (US)
Pages (from-to)1920-1928
Number of pages9
JournalObesity
Volume23
Issue number9
DOIs
StatePublished - Sep 1 2015

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Abdominal Obesity
Hispanic Americans
Obesity
Waist-Hip Ratio
Dyslipidemias
Comorbidity
Blood Pressure
Hypertension
Lipids
Weights and Measures

ASJC Scopus subject areas

  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Qi, Q., Strizich, G., Hanna, D. B., Giacinto, R. E., Castañeda, S. F., Sotres-Alvarez, D., ... Kaplan, R. C. (2015). Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults. Obesity, 23(9), 1920-1928. https://doi.org/10.1002/oby.21176

Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults. / Qi, Qibin; Strizich, Garrett; Hanna, David B.; Giacinto, Rebeca E.; Castañeda, Sheila F.; Sotres-Alvarez, Daniela; Pirzada, Amber; Llabre, Maria; Schneiderman, Neil; Avilés-Santa, Larissa M.; Kaplan, Robert C.

In: Obesity, Vol. 23, No. 9, 01.09.2015, p. 1920-1928.

Research output: Contribution to journalArticle

Qi, Q, Strizich, G, Hanna, DB, Giacinto, RE, Castañeda, SF, Sotres-Alvarez, D, Pirzada, A, Llabre, M, Schneiderman, N, Avilés-Santa, LM & Kaplan, RC 2015, 'Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults', Obesity, vol. 23, no. 9, pp. 1920-1928. https://doi.org/10.1002/oby.21176
Qi Q, Strizich G, Hanna DB, Giacinto RE, Castañeda SF, Sotres-Alvarez D et al. Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults. Obesity. 2015 Sep 1;23(9):1920-1928. https://doi.org/10.1002/oby.21176
Qi, Qibin ; Strizich, Garrett ; Hanna, David B. ; Giacinto, Rebeca E. ; Castañeda, Sheila F. ; Sotres-Alvarez, Daniela ; Pirzada, Amber ; Llabre, Maria ; Schneiderman, Neil ; Avilés-Santa, Larissa M. ; Kaplan, Robert C. / Comparing measures of overall and central obesity in relation to cardiometabolic risk factors among US Hispanic/Latino adults. In: Obesity. 2015 ; Vol. 23, No. 9. pp. 1920-1928.
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abstract = "Objective US Hispanics/Latinos have high prevalence of obesity and related comorbidities. We compared overall and central obesity measures in associations with cardiometabolic outcomes among US Hispanics/Latinos. Methods Multivariable regression assessed cross-sectional relationships of six obesity measures with cardiometabolic outcomes among 16,415 Hispanics/Latinos aged 18-74 years. Results BMI was moderately correlated with waist-to-hip ratio (WHR; women, r = 0.37; men, r = 0.58) and highly correlated with other obesity measures (r ≥ 0.87) (P <0.0001). All measures of obesity were correlated with unfavorable levels of glycemic traits, blood pressure, and lipids, with similar r-estimates for each obesity measure (P <0.05). Multivariable-adjusted prevalence ratios (PRs) for diabetes (women, 6.7 [3.9, 11.5]; men, 3.9 [2.2, 6.9]), hypertension (women, 2.4 [1.9, 3.1]; men, 2.5 [1.9, 3.4]), and dyslipidemia (women, 2.1 [1.8, 2.4]; men, 2.2 [1.9, 2.6]) were highest for individuals characterized as overweight/obese (BMI ≥ 25 kg/m2) and with abnormal WHR (women ≥0.85; men, ≥0.90), compared with those with normal BMI and WHR (P <0.0001). Among normal-weight individuals, abnormal WHR was associated with increased cardiometabolic condition prevalence (P <0.05), particularly diabetes (women, PR = 4.0 [2.2, 7.1]; men, PR = 3.0 [1.6, 5.7]). Conclusions Obesity measures were associated with cardiometabolic risk factors to a similar degree in US Hispanics/Latinos. WHR is useful to identify individuals with normal BMI at increased cardiometabolic risk.",
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AU - Castañeda, Sheila F.

AU - Sotres-Alvarez, Daniela

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AB - Objective US Hispanics/Latinos have high prevalence of obesity and related comorbidities. We compared overall and central obesity measures in associations with cardiometabolic outcomes among US Hispanics/Latinos. Methods Multivariable regression assessed cross-sectional relationships of six obesity measures with cardiometabolic outcomes among 16,415 Hispanics/Latinos aged 18-74 years. Results BMI was moderately correlated with waist-to-hip ratio (WHR; women, r = 0.37; men, r = 0.58) and highly correlated with other obesity measures (r ≥ 0.87) (P <0.0001). All measures of obesity were correlated with unfavorable levels of glycemic traits, blood pressure, and lipids, with similar r-estimates for each obesity measure (P <0.05). Multivariable-adjusted prevalence ratios (PRs) for diabetes (women, 6.7 [3.9, 11.5]; men, 3.9 [2.2, 6.9]), hypertension (women, 2.4 [1.9, 3.1]; men, 2.5 [1.9, 3.4]), and dyslipidemia (women, 2.1 [1.8, 2.4]; men, 2.2 [1.9, 2.6]) were highest for individuals characterized as overweight/obese (BMI ≥ 25 kg/m2) and with abnormal WHR (women ≥0.85; men, ≥0.90), compared with those with normal BMI and WHR (P <0.0001). Among normal-weight individuals, abnormal WHR was associated with increased cardiometabolic condition prevalence (P <0.05), particularly diabetes (women, PR = 4.0 [2.2, 7.1]; men, PR = 3.0 [1.6, 5.7]). Conclusions Obesity measures were associated with cardiometabolic risk factors to a similar degree in US Hispanics/Latinos. WHR is useful to identify individuals with normal BMI at increased cardiometabolic risk.

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