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    Waist measurement better than BMI for predicting the risk of disease


    Posted by .(JavaScript must be enabled to view this email address)
    Monday, July 12, 2004 10:30 am Email this article
    Since the risk of diseases associated with obesity are associated with belly fat, and not fat on the hips and thighs, taking a waist measurement is a better indication of risk than is body mass index (BMI) according to a new paper from Germany. Women: Waist Measurement Greater Than 31 Inches Indicates Elevated Risk

    A woman’s has an elevated risk of cardiovascular disease and death if her waist measurement of more than 31 inches.

    Men: Waist Measurement Greater Than 37 Inches Indicates Elevated Risk

    For men, a waist measurement of more than 37 inches indicates an elevated risk of cardiovascular disease and death.

    Obesity Increase Blood Volume and Left Ventricular Hypertrophy

    Obesity increases the risk of cardiovascular problems by increasing blood volume and left ventricular hypertrophy according to Voller et al (2004).

    Left Ventricular Hypertrophy Increases the Risk of Heart Attack, Stroke and Death

    Left ventricular hypertrophy, an enlargement of the left side of the heart, is a powerful predictor of the amount of disease and death from heart attack, stroke, and congestive heart failure according Ghali et al (1998) and Koren et al (1993).

    Left ventricular hypertrophy is thought to be the heart’s way of adapting to increased blood pressure and increased stress on the walls of the heart.

    Left Ventricular Hypertrophy: 16% of Whites, 21% of American Indians, 33-43% of Blacks

    Left ventricular??hypertrophy is a common disorder, occurring in 16 percent of Whites, 21 percent of American Indians and 33 to 43 percent of Blacks according to Gardin et al (1995) and Arnett et al (1994).

    Concentric Hypertrophy Twice As Common Among Obese

    Concentric hypertrophy is twice as common in obese patients as in the normal weight patients. Concentric hypertrophy as a small left ventricular cavity but a thick left ventricular wall caused by a pressure overload.

    Cholesterol and Triglyceride Problems 4-6 Times More Common Among Obese

    Elevated cholesterol or triglyceride levels are 4 to 6 times more common among people who are obese.

    Diabetes 3 Times More Common Among Obese

    Diabetes is 3 times more common among people who are obese. The risk continues to rise the heavier a person becomes.

    REFERENCE

    Voller H, Schmailzl K, Bjarnason-Wehrens B. [obesity and cardiovascular diseases-theoretical background and therapeutic consequences]. Z Kardiol. 2004 Jul, 93(7):503-13.

    AUTHOR’S CORRESPONDENCE

    H. Voller
    Klinik am See
    Fachklinik fur kardiovaskulare Erkrankungen
    Kardiologie, Seebad 84
    15562, Rudersdorf/Berlin, Germany
    .(JavaScript must be enabled to view this email address)

    OTHER REFERENCES

    Arnett D, Rautaharju P, Crow R, Folsom A, Ekelund L, Hutchinson R, Tyroler H, Heiss G. Black-white differences in electrocardiographic left ventricular mass and its association with blood pressure (the aric study). atherosclerosis risk in communities. Am J Cardiol. 1994 Aug 1, 74(3):247-52.

    Gardin J, Wagenknecht L, Anton-Culver H, Flack J, Gidding S, Kurosaki T, Wong N, Manolio T. Relationship of cardiovascular risk factors to echocardiographic left ventricular mass in healthy young black and white adult men and women. the cardia study. coronary artery risk development in young adults. Circulation. 1995 Aug 1, 92(3):380-87.

    Ghali J, Liao Y, Cooper R. Influence of left ventricular geometric patterns on prognosis in patients with or without coronary artery disease. J Am Coll Cardiol. 1998 Jun, 31(7):1635-40.

    Koren M, Mensah G, Blake J, Laragh J, Devereux R. Comparison of left ventricular mass and geometry in black and white patients with essential hypertension. Am J Hypertens. 1993 Oct, 6(10):815-23.

     

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