Interethnic differences in the accuracy of anthropometric indicators of obesity in screening for high risk of coronary heart disease

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dc.contributor.author Herrera, Víctor M.
dc.contributor.author Casas, J. P.
dc.contributor.author Miranda, J. J.
dc.contributor.author Perel, Pablo
dc.contributor.author Pichardo, Rafael
dc.contributor.author González, Angel
dc.contributor.author Sánchez, José R.
dc.contributor.author Ferreccio, Catterina
dc.contributor.author Aguilera, X.
dc.contributor.author Silva, Eglé
dc.contributor.author Oróstegui, Myriam
dc.contributor.author Gómez, L. F.
dc.contributor.author Chirinos, J. A.
dc.contributor.author Medina Lezama, Josefina
dc.contributor.author Pérez, Cynthia M.
dc.contributor.author Suárez, Erick
dc.contributor.author Ortiz, Ana P.
dc.contributor.author Rosero-Bixby, Luis
dc.contributor.author Schapochnik, Noberto
dc.contributor.author Ortiz, Zulma
dc.contributor.author Ferrante, Daniel
dc.contributor.author Díaz, M.
dc.contributor.author Bautista, L. E.
dc.date.accessioned 2016-07-13T19:26:25Z
dc.date.available 2016-07-13T19:26:25Z
dc.date.issued 2009
dc.identifier.uri http://biblioteca.ccp.ucr.ac.cr/handle/123456789/1187
dc.description.abstract Obesity is a recognized risk factor for the development of cardiovascular diseases and for allcause mortality among ethnic groups in the United States.1,2 Also among Latin Americans, that is, Hispanics living in their country of origin, obesity doubles the risk of coronary heart disease (CHD)3 and seems to contribute to an excess of 18 to 49% in the risk of coronary events.4 In view of the large impact of obesity on cardiovascular risk, anthropometric indicators of obesity are commonly used as a tool to identify individuals and populations at high risk of cardiovascular events. Body mass index (BMI) is a measure of overall obesity, whereas waist circumference (WC) and waist-to-hip ratio (WHR) are used as indicators of abdominal obesity. Although these obesity indicators have been independently associated with CHD incidence and mortality in different populations,5-7 several investigators and public health organizations have recently questioned whether cut points derived from Whites from Europe and the United States are appropriate for use in other populations.8-10 For instance, the World Health Organization (WHO) has recently suggested lowering BMI action cut points to 23 and 27.5 kg/m2 for Asians, 8 and the International Diabetes Federation’s guidelines for assessing metabolic syndrome recommends the use of South Asian’s WC cut points for Latin Americans and makes no recommendation for cut points among Blacks from the United States.11 In this study we used data from six Latin-American countries and from the United States National Health and Nutrition Examination Survey (NHANES) to compare the accuracy of BMI, WC and WHR, that is, their ability to correctly classify individuals as having a high or a low risk of CHD. We also estimated ethnic and gender-specific optimal cut points for these anthropometric indicators when they are used in screening for high risk of CHD es
dc.language.iso en es
dc.publisher Macmillan Publishers Limited es
dc.rights Atribución-NoComercial-CompartirIgual 3.0 Costa Rica *
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/cr/ *
dc.subject Obesidad es
dc.subject Enfermedades es
dc.subject Enfermedades cardiovasculares es
dc.subject Indicadores es
dc.title Interethnic differences in the accuracy of anthropometric indicators of obesity in screening for high risk of coronary heart disease es
dc.title.alternative International Journal of Obesity, 33 (5) es
dc.type Article es


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