Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus

Filipino-American women cardiovascular study

Cynthia A. Battie, Nancy Hart, Irma B. Ancheta, Rene Flores, Goutham Rao, Latha Palaniappan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The relative ability of three obesity indices to predict hypertension (HTN) and diabetes (DM) and the validity of using Asian-specific thresholds of these indices were examined in Filipino-American women (FAW). Filipino-American women (n = 382), 40–65 years of age were screened for hypertension (HTN) and diabetes (DM) in four major US cities. Body mass index (BMI), waist circumference (WC) and waist circumference to height ratio (WHtR) were measured. ROC analyses determined that the three obesity measurements were similar in predicting HTN and DM (AUC: 0.6–0.7). The universal WC threshold of ≥ 35 in. missed 13% of the hypertensive patients and 12% of the diabetic patients. The Asian WC threshold of ≥ 31.5 in. increased detection of HTN and DM but with a high rate of false positives. The traditional BMI ≥ 25 kg/m2 threshold missed 35% of those with hypertension and 24% of those with diabetes. The Asian BMI threshold improved detection but resulted in a high rate of false positives. The suggested WHtR cut-off of ≥ 0.5 missed only 1% of those with HTN and 0% of those with DM. The three obesity measurements had similar but modest ability to predict HTN and DM in FAW. Using Asian-specific thresholds increased accuracy but with a high rate of false positives. Whether FAW, especially at older ages, should be encouraged to reach these lower thresholds needs further investigation because of the high false positive rates.

Original languageEnglish (US)
Pages (from-to)608-613
Number of pages6
JournalPreventive Medicine Reports
Volume4
DOIs
StatePublished - Dec 1 2016

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Asian Americans
Waist Circumference
Diabetes Mellitus
Body Mass Index
Hypertension
Obesity
Waist-Height Ratio
ROC Curve
Area Under Curve

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Public Health, Environmental and Occupational Health

Cite this

Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus : Filipino-American women cardiovascular study. / Battie, Cynthia A.; Hart, Nancy; Ancheta, Irma B.; Flores, Rene; Rao, Goutham; Palaniappan, Latha.

In: Preventive Medicine Reports, Vol. 4, 01.12.2016, p. 608-613.

Research output: Contribution to journalArticle

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