title: Different degrees of overweight: anthropometric indices in patients with coronary heart disease.
abstract: OBJECTIVE
  Obesity is a risk factor for all-cause mortality. The obesity incidence depends on different definitions. Among patients with high-risk coronary heart disease (HRCA), we have studied differences in obesity incidence, according to different anthropometric indices.
  
  
  RESULTS
  Based on the definitions of the International Guidelines Committees for body mass index (BMI), waist circumference (WCF), and waist-hip ratio (WHR), we have classified 487 CAD patients into 3 groups: normal (group 1), overweight (group 2), and obese patients (group 3). Among men, obesity criteria BMI, WCF and WHR were positive in 17.5%, 14.2%, and 66.4% of the subjects. Among male subjects < 65 years, the incidence of HRCA (%), for the 3 groups (normal, overweight, obese) were for BMI (2.4, 21.5, 28.9, P = 0.005); WCF (17.9, 12.1, 37.9, P = 0.012); WHR (0, 15.4, 30.4, P = 0.024). In male subjects > 65 years, for the HRCA incidence (%), only WHR showed a significant difference between the 3 groups (0, 15.4, 30.4, P = 0.024). Among women, 30.6%, 63.6%, and 87.6% were obese by the BMI, WCF, and WHR criteria, respectively. We did not find any significant differences in the HRCA distribution between age groups and degrees of obesity.
  
  
  CONCLUSIONS
  HRCA distribution varied among obese male patients. According to the different methods of measurement, obesity percentages varied from 4- to 5-fold among men and 3-fold among women. In our view,WHR measurement is the method of choice for the determination of obesity among patients with CAD.
authors: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chiayi School, Chang Gung Institute of Technology, Taiwan.
authors: Shih-Tai
authors: ST
authors: Chang
authors: Chi-Ming
authors: CM
authors: Chu
authors: Pi-Chi
authors: PC
authors: Lin
authors: Kuo-Li
authors: KL
authors: Pan
authors: Hui-Wen
authors: HW
authors: Cheng
authors: Teng-Yao
authors: TY
authors: Yang
authors: Chang-Min
authors: CM
authors: Chung
authors: Jen-Te
authors: JT
authors: Hsu
mesh_terms: D000328:Adult; D000368:Aged; D000886:Anthropometry; D015992:Body Mass Index; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000145:classification* / Q000150:complications; D050177:Overweight / Q000145:classification* / Q000150:complications; D012016:Reference Values; D012307:Risk Factors; D013624:Taiwan / Q000453:epidemiology; D055105:Waist Circumference; D049629:Waist-Hip Ratio; D055815:Young Adult