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Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway ; International Research Competence Centre, Northern State Medical University, Arkhangelsk, Russian Federation ; Department of Hospital Therapy and Endocrinology, Northern State Medical University, Arkhangelsk, Russian Federation.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway; Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden. (Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0002-4583-9315
Department of Hospital Therapy and Endocrinology, Northern State Medical University, Arkhangelsk, Russian Federation.
Scientific Research Institute of Internal and Preventive Medicine, Branch of Federal Research Centre Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Russian Federation ; Department of Therapy, Hematology and Transfusiology, Novosibirsk State Medical University, Novosibirsk, Russian Federation.
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2024 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 83, no 1, article id 2386783Article in journal (Refereed) Published
Abstract [en]

The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35–69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men–for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men. 

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024. Vol. 83, no 1, article id 2386783
Keywords [en]
anthropometric index, cardiometabolic disorder, fat mass index, Obesity prevalence, Russia, waist-to-height ratio, Adult, Aged, Anthropometry, Body Mass Index, Diabetes Mellitus, Female, Humans, Hypercholesterolemia, Hypertension, Male, Middle Aged, Obesity, Prevalence, Risk Factors, body mass, epidemiology, human, risk factor, Russian Federation
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cardiology and Cardiovascular Disease Other Clinical Medicine
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-24427DOI: 10.1080/22423982.2024.2386783ISI: 001285332800001PubMedID: 39106414Scopus ID: 2-s2.0-85200828436OAI: oai:DiVA.org:his-24427DiVA, id: diva2:1889182
Funder
Wellcome trust, 100217
Note

CC BY-NC 4.0

© 2024 UiT The Arctic University of Norway, Tromsø, Norway. Published by Informa UK Limited, trading as Taylor & Francis Group.

Correspondence Address: K. Kholmatova; Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, PO Box 6050, Stakkevollan, N-9037, Norway; email: kamila.k.kholmatova@uit.no

The KYH study was part of the International Project on Cardiovascular Disease in Russia (IPCDR). It was funded by the Wellcome Trust through a Strategic Award [100217], UiT The Arctic University of Norway, Norwegian Institute of Public Health, and the Norwegian Ministry of Health and Social Affairs. SM was supported by the Russian Academy of Sciences, State Target # FWNR-2024-0002.

Available from: 2024-08-15 Created: 2024-08-15 Last updated: 2025-02-10Bibliographically approved

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Krettek, Alexandra

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