Abstract
Introduction
Obesity is a known risk factor for the development of myocardial infarction. The indices that are popularly used to express obesity are- Body mass index (BMI), waist-hip ratio, and waist circumference. The latter two are indicators of body fat distribution and has found to predict cardiometabolic risk independent of the BMI in both men and women.[1-7]
This study aims to compare the association of BMI, waist- hip ratio and waist circumference with myocardial infarction.
References
- Lapidus l et al. Distribution of adipose tissue and risk of cardiovascular disease and death: A 12 year follow up of participants in the population study of women in Gothenburg, Sweden. British Medical Journal. 1984;289: 1257-61.
- SEidell JC, Cigolini M, Charzweska J, Ellisinger BM and di Biase. Fat distribution in European women: A comparison of anthropometric measurements in relation to cardiovascular risk factors. International Journal of epidemiology. 1990; 19: 303-308.
- Kannel WB et al. Regional Obesity and risk of cardiovascular disease; The Framingham study. Journal of clinical epidemiology. 1991;44: 183-190.
- Hauner H et al. Body fat distribution in men with angiographically confirmed coronary artery disease. Atherosclerosis. 1990: 85: 203-10.
- Wellborn TA, Dhaliwal SS, Bennett SA. Waist Hip ratio is the dominant risk factor predicting cardiovascular risk in Australia. The Medical Journal OfAustralia. 179: 580-85.
- Leitzmann MF et al. waist Circumference as compared with body mass index in predicting mortality from specific causes. Plos one;2011: 6 e 18582.
- Klein S et al. Waist Circumference and cardiometabolic risk: A consensus statement from shaping Americas health: Association for weight management and obesity prevention and the American Diabetes Association. Obesity( Silver Spring Md). 2007;15:1061-7.
- Amani R, Noorizadeh M, Rahm,anian S, Afzali N and Haghighizadeh MH. Nutritional related cardiovascular risk in patients with coronary artery disease in Iran: A case control study. Nutrition Journal. 2010;9:70.
- WHO waist circumference and waist hip ratio: Report of a WHO Expert Consultation. (Geneva , 2008).
- Yusuf S et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries, the INTERHEART study. A case control study. Lancet. 2004;364:937-952.
- Pais P et al. Risk factors for acute myocardial infarction in Indians: A case control study. Lancet.1996;348: 358-63.
- De Koning L, Merchant AT, Pogue J and Anand SS. Waist Circumference and waist hip ratio as predictors of cardiovascular events: meta regression analysis of prospective studies. European Heart Journal. 2007;28: 850-856.
Corresponding Author
Dr Arathi N
Assistant Professor, Department of Medicine, Government TD Medical College, Vandanam PO, Alappuzha: 688005
Mobile: 9446724558, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.87
