Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia

• Published in: International Journal of Circumpolar Health
• Main Authors: Kholmatova, Kamila, Krettek, Alexandra, Dvoryashina, Irina V., Malyutina, Sofia, Kudryavtsev, Alexander V.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Högskolan i Skövde, Institutionen för hälsovetenskaper 2024
• Subjects: anthropometric index; cardiometabolic disorder; fat mass index; Obesity prevalence; Russia; waist-to-height ratio; Adult; Aged; Anthropometry; Body Mass Index; Diabetes Mellitus; Female; Humans; Hypercholesterolemia; Hypertension; Male; Middle Aged; Obesity; Prevalence; Risk Factors; body mass; epidemiology; human; risk factor; Russian Federation; Public Health; Global Health; Social Medicine and Epidemiology; Folkhälsovetenskap; global hälsa; socialmedicin och epidemiologi; Cardiac and Cardiovascular Systems; Kardiologi; Other Clinical Medicine; Annan klinisk medicin; Circumpolar Health; International Journal of Circumpolar Health; Arctic University of Norway
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-24427; https://doi.org/10.1080/22423982.2024.2386783

The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35–69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men–for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men. CC BY-NC 4.0 © 2024 UiT The Arctic University of Norway, Tromsø, Norway. Published by Informa UK Limited, trading as Taylor & Francis Group. Correspondence Address: K. Kholmatova; Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, PO Box 6050, Stakkevollan, N-9037, Norway; email: [e-mail] The KYH study was part of the International Project on Cardiovascular Disease in Russia (IPCDR). It was funded by the Wellcome Trust through a Strategic Award [100217], UiT The Arctic University of Norway, Norwegian Institute of Public Health, and the Norwegian Ministry of Health and Social Affairs. SM was ...