The correlation between waist-hip ratio and achieving therapeutic lipid goals in Taiwan
Journal
Acta Cardiologica Sinica
Journal Volume
35
Journal Issue
6
Date Issued
2019
Author(s)
Tsai, H.-S.
Tseng, W.-K.
Yin, W.-H.
Hsuan, C.-F.
Huang, L.-C.
Lin, T.-H.
Chang, K.-C.
Li, Y.-H.
Yeh, H.-I.
Chen, J.-W.
Abstract
© 2019, Republic of China Society of Cardiology. All rights reserved. Background: Body mass index (BMI), waist circumference (WC) and waist-hip ratio (WHR) are all simple anthropometric tools used to categorize obesity status. This study aimed to determine associations between different anthropometric indices and the attainment of therapeutic lipid goals in patients with atherosclerotic cardiovascular disease (CVD) undergoing secondary prevention. Methods: Between 2010 and 2014, this multi-center study enrolled 5718 patients undergoing secondary prevention for CVD. At study enrollment, total cholesterol, high-density lipoprotein protein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglyceride (TG) were recorded. This cross-sectional study analyzed these three anthropometric obesity indices and correlations with achieving therapeutic lipid goals. Results: Among the 5718 patients, multivariate analysis revealed that those with higher BMI or WC tended not to meet their HDL-C and TG therapeutic goals. However, neither BMI nor WC showed a relationship with achieving the LDL-C target. The patients with an elevated WHR (± 0.98 for males and ± 0.97 for females) were less likely to achieve all three lipid target values, including LDL-C (p = 0.05), HDL-C (p < 0.001) and TG (p < 0.001). Conclusions: Among Taiwanese patients undergoing secondary prevention for CVD, the higher the WHR the lower the likelihood of achieving the lipid therapeutic goals.
Subjects
Body mass index | Lipid | Obesity
Body mass index; Lipid; Obesity
SDGs
Other Subjects
atorvastatin; fluindostatin; high density lipoprotein cholesterol; lipid; low density lipoprotein cholesterol; mevinolin; pravastatin; rosuvastatin; simvastatin; adult; aged; angiography; anthropometry; Article; blood biochemistry; body mass; coronary artery atherosclerosis; coronary artery obstruction; correlation analysis; cross-sectional study; female; human; hypertension; liver function; major clinical study; male; multicenter study; multivariate analysis; non insulin dependent diabetes mellitus; obesity; observational study; prevalence; prospective study; Taiwan; total cholesterol level; triacylglycerol blood level; waist circumference; waist hip ratio
Type
journal article