title: Central adiposity and subclinical cardiovascular disease in police officers.
abstract: Given the associations between obesity and cardiovascular disease (CVD), we evaluated a related but less well-established association between waist circumference and brachial artery reactivity (BAR), a functional measurement of subclinical CVD, where lower levels indicate dysfunction. Regression models examined trends in mean BAR across waist circumference tertiles in police officers, a high-stress occupational group with increased risk for CVD. Mean BAR decreased across increasing waist tertiles among men, but not women, and this association was stronger among officers who consumed more alcohol. Larger waist circumference may be associated with lower BAR, providing an opportunity for intervention prior to disease development.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA ; Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
authors.forename: Penelope
authors.initials: P
authors.lastname: Baughman
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
authors.forename: Desta
authors.initials: D
authors.lastname: Fekedulegn
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Andrew
authors.affiliation: The University of Chicago Comprehensive Cancer Center, The University of Chicago, Chicago, IL 60637, USA.
authors.forename: Parveen Nedra
authors.initials: PN
authors.lastname: Joseph
authors.affiliation: Department of Social and Preventive Medicine, School of Public Health and Health Professions, The State University of New York at Buffalo, Buffalo, NY 14214, USA.
authors.forename: Joan M
authors.initials: JM
authors.lastname: Dorn
authors.affiliation: Department of Social and Preventive Medicine, School of Public Health and Health Professions, The State University of New York at Buffalo, Buffalo, NY 14214, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Violanti
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
authors.forename: Cecil M
authors.initials: CM
authors.lastname: Burchfiel