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Revista Brasileira de Epidemiologia
On-line version ISSN 1980-5497
PITANGA, Francisco José Gondim and LESSA, Ines. Association of anthropometric indicators of obesity with coronary risk in adults in the city of Salvador, Bahia, Brazil. Rev. bras. epidemiol. [online]. 2007, vol.10, n.2, pp. 239-248. ISSN 1980-5497. http://dx.doi.org/10.1590/S1415-790X2007000200011.
OBJECTIVE: To determine the association between the many anthropometric indicators of obesity and high coronary risk (HCR). METHODS: This is a cross-sectional study. Its population comprised 968 adults, 30-74 years of age, of which 391 (40.4%) were men. Logistic regression analysis was used and the Odds Ratio (OR) was calculated between the conicity index (C index), body mass index (BMI), waist-to-hip ratio (WHR), waist circumference (WC), and HCR. A 95% confidence interval was utilized. RESULTS: The OR between obesity indicators and HCR, adjusted by age, in men were: a) WHR - 5.81 (3.00-11.23), b) C index - 5.52 (2.94-10.36), c) WC - 4.37 (2.31-8.26), d) BMI - 3.04 (1.62-5.73). In women 30-49 years old and 50-74 years old the OR adjusted by age, respectively, were: a) WHR - 7.85 (2.15-28.69) and 1.81 (0.98-3.36), b) BMI - 7.28 (1.61-32.97) and 1.09 (0.61-1.96), c) C index - 6.88 (1.89 -25.11) and 2.89 (1.58-5.27), d) WC - 6.41 (2.09-19.65) and 1.38 (0.77-2.50). CONCLUSION: Both in men and women, 30-49 years old, all obesity indicators are strongly associated with HCR. However, WHR and C index were found to be the most effective in male individuals, while C index was the best indicator in women from 50 to 74 years of age.
Keywords : Anthropometric Indices Of Obesity; Coronary Risk; Abdominal Obesity.