J Korean Med Sci.  2005 Feb;20(1):7-12. 10.3346/jkms.2005.20.1.7.

Does Waist Indicate Dyslipidemia better than BMI in Korean Adult Population?

• Jeong SK
• Seo MW
• Kim YH
• Kweon SS
• Nam HS

• KMID: 1781716
• DOI: http://doi.org/10.3346/jkms.2005.20.1.7

Abstract

Obesity is an independent and modifiable risk factor for cardiovascular disease, and known as a core of the metabolic syndrome. Obesity has been largely diagnosed based upon anthrompometric measurements like waist circumference (WC) and body mass index (BMI). We sought to determine associations between anthropometric measurements and dyslipidemia in a community adult sample composed of 1,032 community residents (356 men, 676 women) aged 50 yr and over in Namwon, Korea. Blood tests for lipid profiles, including total cholesterol (TC) and HDL cholesterol (HDL) were performed, and dyslipidemia was defined as TC/HDL greater than 4. Anthropometric measurements included WC, waist-to-height ratio (WHtR), waist-to-hip ratio, and BMI. All anthropometric measures were categorized into quartiles and evaluated for associations with dyslipidemia. TC/HDL showed the significant associations with the anthropometric measures, independently of potential confounders. In women, increases of obesity indexes by quartile analyses showed linear increases of odds ratios for dyslipidemia (p values <0.01 by trend test). In men, except BMI, same patterns of association were noted. WC and WHtR were significantly associated with dyslipidemia in Korean adult population. As a simple and non-invasive method for a detection of obesity and dyslipidemia, anthropometric measurements could be efficiently used in clinical and epidemiologic fields.

Keyword

Anthropometry; Waist Circumference; Body Mass Index; Hyperlipidemia; Population

MeSH Terms

Adult
Age Factors
Aged
Body Composition
Body Mass Index
Body Size
Cardiovascular Diseases/pathology
Cholesterol/metabolism
Female
Humans
Hyperlipidemia/*pathology
Korea
Lipids/metabolism
Lipoproteins, HDL Cholesterol/metabolism
Male
Middle Aged
Obesity
Odds Ratio
Research Support, Non-U.S. Gov't
Risk Factors
Waist-Hip Ratio

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