J Korean Acad Fundam Nurs.
2013 Aug;20(3):248-258.
Association of Waist Circumference with Risk Factors for Coronary Artery Diseases in Women Patients with Chest Pain
- Affiliations
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- 1Kidney Center, Chonnam National University Hospital, Gwangju, Korea.
- 2Department of Nursing, University of Nambu, Korea. chosh@nambu.ac.kr
Abstract
- PURPOSE
The purpose of this study was to compare the associations of body mass index (BMI) and waist circumference (WC) with coronary artery diseases (CAD) in women patients with chest pain. METHOD: BMI, WC, and flow-mediated vasodilation (FMD) were measured for 162 women patients with chest pain whose mean age was 54.9+/-9.2 years. CAD was diagnosed by coronary angiography.
RESULTS
In comparing BMI and WC, WC was found to be more strongly associated with cardiovascular risk factors. For example, correlations with the high density lipoprotein cholesterol were r=-.266, p=.001 (WC) vs. r=-.131, p=.104 (BMI), and for homocystein, r=.378, p<.001 (WC) vs. r=.150, p=.068 (BMI). Obstructive CAD develops more frequently in women patients with abdominal obesity than in patients without abdominal obesity.
CONCLUSION
The results of the study indicate that WC is a better index of adiposity than BMI.
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