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Abdominal obesity indicators such as WC, WHR, WSR and WHHR, are stronger predictors for CVD mortality than general obesity indicator of BMI.
HRs per standard deviation increase of each obesity indicator in relation to CVD mortality has been formally compared by paired homogeneity test which is a Wald test of the linear hypothesis of the Cox model regression coefficients, performed to test the null hypothesis of equality of the effect sizes.
Similar results were recorded using waist circumference as obesity indicator.
The second model was otherwise identical to the first model but also included the third obesity indicator.
The first model included age, sex, education, smoking, alcohol consumption, physical exercise, and one obesity indicator at a time.
The abdominal obesity index (WC), rather than the overall obesity indicator (BMI), was related to central arterial stiffness, independent of age, sex, blood pressure, glucose and lipids, while the overall obesity indicator (BMI), rather than the abdominal obesity indicator (WC), was independently correlated with central hemodynamics.
Similar(46)
The prediction was stronger with abdominal obesity indicators than with BMI or ABSI (P<0.05 for all paired homogeneity tests).
Moreover, increased risk of CVD mortality in relation to abdominal obesity indicators was independent of BMI levels (Table 4).
It appears sound to recommend the use of abdominal obesity indicators, including WC, WHR, WSR and WHHR, to assess risk of CVD mortality instead of BMI in Europeans.
Abdominal obesity indicators of WC, WHR, WSR and WHHR, are stronger predictors for CVD mortality than BMI and ABSI, and the prediction is independent of BMI levels.
In conclusion, abdominal obesity indicators of WC, WHR, WSR and WHHR are stronger predictors for CVD mortality than BMI and ABSI, and independent of the BMI levels.
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