Measures of adiposity and cardiovascular disease risk factors, New York City health and nutrition examination survey, 2004

R. Charon Gwynn, Magdalena Berger, Renu K. Garg, Elizabeth Waddell, Robyn Philburn, Lorna E. Thorpe

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Introduction Body mass index (BMI) and indicators of central adiposity have been associated with cardiovascular disease (CVD) risk factors, but ambiguity remains about which measure optimally predicts CVD risk and is best suited for different racial/ethnic groups. We sought to characterize excess adiposity among New York City adults and assess the potential associations between multiple adiposity indicators and CVD risk factors, by race/ethnicity. Methods The New York City Health and Nutrition Examination Survey (NYC HANES) is a population-based survey of noninstitutionalized New York City adult residents aged 20 years or older. We compared the prevalence of obesity (BMI ≥30 kg/m2), elevated waist circumference (>102 cm for men, >88 cm for women), and elevated waist-to-height ratio (≥0.5) for participants in the 2004 NYC HANES (n = 1,912) and the 2003-2004 National Health and Nutrition Examination Survey (n = 4,075). Logistic regression was used to assess potential associations between each of these indicators of excess adiposity and CVD risk factors (diabetes, impaired fasting glucose, hypertension, and hypercholesterolemia), overall and by race/ethnicity. Results The prevalence of obesity among NYC HANES participants was 26% and of elevated waist circumference was 46%, both significantly lower than national estimates (31% and 52%, respectively), whereas the prevalence of elevated waist-to-height ratio was higher (82% vs 79%). Most measures of excess adiposity were significantly associated with all CVD risk factors. No single measure of excess adiposity emerged as most consistently predictive of CVD risk in the general population or by race/ethnicity. Conclusion New York City has a lower prevalence of obesity and elevated waist circumference but a higher prevalence of elevated waist-to-height ratio than found nationally. Further investigation into the optimal adiposity measure to predict CVD risk across racial/ethnic populations may be warranted.

Original languageEnglish (US)
Article numberA56
JournalPreventing Chronic Disease
Volume8
Issue number3
StatePublished - May 1 2011
Externally publishedYes

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Nutrition Surveys
Adiposity
Cardiovascular Diseases
Health
Waist Circumference
Obesity
Body Mass Index
Population
Hypercholesterolemia
Ethnic Groups
Fasting
Logistic Models
Hypertension
Glucose
Waist-Height Ratio

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Measures of adiposity and cardiovascular disease risk factors, New York City health and nutrition examination survey, 2004. / Gwynn, R. Charon; Berger, Magdalena; Garg, Renu K.; Waddell, Elizabeth; Philburn, Robyn; Thorpe, Lorna E.

In: Preventing Chronic Disease, Vol. 8, No. 3, A56, 01.05.2011.

Research output: Contribution to journalArticle

Gwynn, R. Charon ; Berger, Magdalena ; Garg, Renu K. ; Waddell, Elizabeth ; Philburn, Robyn ; Thorpe, Lorna E. / Measures of adiposity and cardiovascular disease risk factors, New York City health and nutrition examination survey, 2004. In: Preventing Chronic Disease. 2011 ; Vol. 8, No. 3.
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