PROGNOSTIC VALUE OF DIFFERENT OBESITY MARKERS FOR CARDIOVASCULAR RISK ASSESSMENT IN URBAN EMPLOYED MONGOLIANS
https://doi.org/10.15829/1560-4071-2015-4-eng-27-31
Abstract
We assessed the prevalence of obesity and identify obesity-related markers of elevated/high cardiovascular risk among urban employed Mongolians. 1277 railway workers aged 18-63 were investigated. Obesity parameters, blood pressure, lipids and fasting plasma glucose levels were measured. Body composition by bioelectrical impedance method was evaluated. 10-year risk for cardiovascular events was calculated. The results showed that the prevalence of general obesity was 65,4% in men and 68,5% in women. Abdominal obesity was found in 58,5% of men and 76.1% of women. By ROC-analysis we revealed the obesity-related markers with the best diagnostic accuracy for elevated/high cardiovascular risk assessed by the Systematic Coronary Risk Evaluation, Framingham Heart Study and Atherosclerotic Cardiovascular Disease risk algorithms. For men they were waist circumference waist-to-height ratio, for women — the body fat percentage. The optimal cut off values for these predictors and corresponding odds ratios for risk increase were determined.
About the Authors
K. V. Protasov
Irkutsk State Medical Academy of Continuing Education
Russian Federation
doctor of medicine, Pro-rektor for research, professor of Internal diseases and Cardiology Chair, Irkutsk
Competing Interests: Irkutsk State Medical Academy of Continuing Education
Russian Federation
doctor of medicine, Pro-rektor for research, professor of Internal diseases and Cardiology Chair, Irkutsk
Competing Interests: Irkutsk State Medical Academy of Continuing Education
T. Myagmarsuren
Hospital of Ulaanbaatar Railway company
Mongolia
Ulaanbaatar
Mongolia
Ulaanbaatar
References
1. Czernichow S, Kengne AP, Stamatakis E, et al. Body mass index, waist circumference and waist-hip ratio: which is the better discriminator of cardiovascular disease mortality risk?: evidence from an individual-participant meta-analysis of 82864 participants from nine cohort studies. Obes Rev 2011; 12 (9): 680-87.
2. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363:157-63.
3. Fawcett T. An introduction to ROC analysis. Pattern Recognition Letters 2006; 27:861–74.
4. Protasov K, Myagmarsuren T. The prevalence of obesity and its interrelations with cardiovascular risk in Mongolian urban employed population. Siberian Sci Med J 2014; 34 (5):102-09.
5. Shiwaku K, Nogi A, Kitajima K, et al. Prevalence of the Metabolic Syndrome using the Modified ATP III Definitions for Workers in Japan, Korea and Mongolia. J Occup Health 2005; 47:126-35.
6. Li G, de Courten M, Jiao S, Wang Y. Prevalence and characteristics of the metabolic syndrome among adults in Beijing, China. Asia Pac J Clin Nutr 2010; 19 (1):98-102.
7. Otgontuya D Jr, Khor GL, Lye MS, Norhaizan ME. Obesity among Mongolian Adults from Urban and Rural Areas. Malays J Nutr 2009; 15 (2):185-94.
8. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science 1998; 280:1371–74.
9. Osipova IV, Simonova GI, Kalinina IV, et al. Comparative assessment of cardiometabolic risk factor role in high-stress occupations. Cardiovasc Therapy and Prevention 2012; 11 (3):53-7.
10. Osipova IV, Antropova ON, Vorobyeva EN, et al. Total cardiovascular risk assessment in people with high-stress occupation. Cardiovasc Therapy and Prevention 2008; 7 (6):33-7.
11. Peng H, Jiao Y, Zeng Q, et al. Utility of Framingham general cardiovascular disease risk score for predicting 10-year cardiovascular risk in an inner Mongolian population: a prospective cohort study. Int J Cardiol 2014; 172 (1):274-75.
12. Zimmet PZ, Alberti KG. Introduction: globalization and the non-communicable disease epidemic. Obesity (Silver Spring) 2006; 14 (1):1-3.
13. Shiwaku K, Anuurad E, Enkhmaa B, et al. Overweight Japanese with body mass indexes of 23.0-24.9 have higher risks for obesity-associated disorders: a comparison of Japanese and Mongolians. Int J Obes Relat Metab Disord 2004; 28 (1):152-58.
14. Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev 2010; 23 (2):247–69.
15. Batsis JA, Singh S, Lopez-Jimenez F. Anthropometric measurements and survival in older americans: results from the third national health and nutrition examination survey. J Nutr Health Aging 2014; 18 (2):123-30.
Review
For citations:
Protasov K.V., Myagmarsuren T. PROGNOSTIC VALUE OF DIFFERENT OBESITY MARKERS FOR CARDIOVASCULAR RISK ASSESSMENT IN URBAN EMPLOYED MONGOLIANS. Russian Journal of Cardiology. 2015;(4-eng):27-31. https://doi.org/10.15829/1560-4071-2015-4-eng-27-31
Views:
448
Email this article 