Cardio-metabolic disturbances are more correlated with waist-hip ratio (WHR) than body mass index (BMI) in patients with coronary vascular disease.

OBJECTIVE

To evaluate the correlation of body mass index, waist circumference, hip circumference and waist-hip ratio with coronary vascular diseases in patients with ischaemic heart disease.

METHODS

The cross-sectional study was conducted at Al Yarmouk Teaching Hospital, Baghdad, Iraq, from March to October, 2016, and comprised patients with ischaemic heart disease. Biochemical parameters measured following overnight fasting included fasting blood glucose, total cholesterol, triglyceride and high density lipoprotein and low density lipoprotein. Anthropometric measurements included height, weight, body mass index, waist circumference, hip circumference and waist-hip ratio. Also measured were blood pressure and electrocardiography reading. Data was analysed using SPSS 21.

RESULTS

Of the 100 patients, 59(59%) were males with a mean age of 60.7}7.27 years, and 41(41%) were females with a mean age of 59.4}8.8 (p>0.05). BMI values were also non-significant between the genders (p>0.05). Waist-hip ratio and hypertension were high in males compared to females (p<0.05), while coronary vascular disease was high in females compared to males(p<0.05).There was non-significant difference in terms of fasting blood glucose, high density lipoprotein and uric acid (p>0.05), But there was significant difference in total cholesterol, triglycerides and low density lipoprotein(p<0.05).Waist-hip ratio was more significantly correlated than body mass index with all metabolic and cardiovascular disorders (p<0.05), while high body mass index was correlated only with hypertension and diabetes.

CONCLUSIONS

Waist-hip ratio was found to be more correlated with coronary vascular disease and cardio-metabolic profile than body mass index in patients with ischaemic heart disease.