Waist circumference as a determinant of hypertension and diabetes in Brazilian women: a population-based study

To evaluate the role of central adiposity, as evaluated by the measurement of waist circumference (WC), as an independent risk factor for hypertension and type 2 diabetes mellitus in the setting of a developing country. Population-based, cross-sectional study. A medium-sized town in southern Brazil....

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Bibliographic Details
Published in:Public health nutrition 2004-08, Vol.7 (5), p.629-635
Main Authors: Olinto, MTA, Nacul, LC, Gigante, DP, Costa, JSD, Menezes, AMB, Macedo, S
Format: Article
Language:English
Subjects:
abdominal fat
Adipose Tissue
Adult
age
Age Factors
Aged
Body fat
Body mass index
Body Weights and Measures - methods
Brazil - epidemiology
Cross-Sectional Studies
developing countries
Diabetes mellitus
Diabetes Mellitus, Type 2 - epidemiology
disease prevalence
Educational Status
epidemiological studies
Female
human nutrition
Humans
Hypertension
Hypertension - epidemiology
Middle Aged
Multivariate Analysis
noninsulin-dependent diabetes mellitus
obesity
Odds Ratio
Population studies
Population-based studies
Population-based study
Predictive Value of Tests
Prevalence
Reproducibility of Results
Risk Factors
sociodemographic characteristics
Waist circumference
women
Womens health
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Summary:To evaluate the role of central adiposity, as evaluated by the measurement of waist circumference (WC), as an independent risk factor for hypertension and type 2 diabetes mellitus in the setting of a developing country. Population-based, cross-sectional study. A medium-sized town in southern Brazil. One thousand and ninety-five non-pregnant women, 20 to 69 years old, recruited by cluster random sampling between 1999 and 2000. Their mean WC was 85.3 cm (standard deviation 13.9 cm) and 23.3% (n=255) were obese (body mass index >30 kg m(-2)). The prevalence of hypertension and diabetes was 25.6% (n=280) and 6.2% (n=68), respectively. The risks of hypertension and diabetes were directly related to WC measurement. Women with WC>80 cm had increased risk of hypertension (odds ratio (OR)=6.2, P
ISSN:1368-9800
1475-2727
DOI:10.1079/PHN2003582