Publication: Abdominal obesity and coronary heart disease in Thai men
Issued Date
2007-04-01
Resource Type
ISSN
1930739X
19307381
19307381
Other identifier(s)
2-s2.0-34248360744
Rights
Mahidol University
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SCOPUS
Bibliographic Citation
Obesity. Vol.15, No.4 (2007), 1036-1042
Suggested Citation
Wichai Aekplakorn, Varapat Pakpeankitwatana, Crystal Man Ying Lee, Mark Woodward, Federica Barzi, Sukit Yamwong, Nongnuj Unkurapinun, Piyamitr Sritara Abdominal obesity and coronary heart disease in Thai men. Obesity. Vol.15, No.4 (2007), 1036-1042. doi:10.1038/oby.2007.604 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/24222
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Title
Abdominal obesity and coronary heart disease in Thai men
Abstract
Objective: To determine the association of four simple anthropometric indices with coronary heart disease (CHD) in Thai men, and to determine the optimal cut-off points for each index in the prediction of CHD. Research Methods and Procedures: This is a cohort study with 17 years of follow-up. A total of 2536 male employees from the Electricity Generating Authority of Thailand 35 to 59 years of age at baseline were included in the study. Height, weight, waist circumference, and hip circumference were measured to generate BMI, waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR). Cox regression models were used to estimate hazard ratios by thirds of each index. Receiver operating characteristic curves were used to assess discrimination of CHD. Results: WHtR was most strongly associated with CHD events in Thai men. The age-adjusted hazard ratio for those in the highest, compared with the lowest, third was 2.89 (1.37, 6.11). Although WHtR had the largest area under the receiver operating characteristic curve (AUC) with the optimal cut-off estimated to be 0.51 (sensitivity, 55%; specificity, 61%), no statistically significant difference (p > 0.10) was found between the AUC for WHtR and that for the other three indices. Conclusion: WHtR is, marginally, the best of the four indices considered to predict CHD events in Thai men. Copyright © 2007 NAASO.