Alshamiri Mostafa Q, Mohd A Habbab Faisal, Al-Qahtani Saad Saeed, Alghalayini Khalil Abdullah, Al-Qattan Omar Mohammed, El-Shaer Fayez
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Cardiol Res Pract. 2020 Mar 16;2020:4250793. doi: 10.1155/2020/4250793. eCollection 2020.
This study aims to study the efficiency of the Waist-to-Height Ratio (WHtR) for determining coronary artery disease. It compares the frequency of abnormal WHtR, as a proxy for abdominal obesity, to that of body mass index (BMI) and waist circumference (WC). It also relates the findings to other cardiometabolic risk factors in University Hospital patients. A cross-sectional study design was used, where a sample of 200 patients (142 males and 58 females) who attended the adult cardiac clinic were purposively included. BMI, WC, and WHtR were measured, where frequencies of WHtR were compared to those of BMI and WC. The findings were related to the history of coronary artery disease (CAD) and history of cardiometabolic risk factors, including diabetes mellitus (DM), hypertension (HTN), and hyperlipidemia. Majority of the male patients were older, taller, and had a lower BMI value. It also showed that the prevalence of dyslipidemia and CAD was higher in male patients. No significant difference between both genders was noticed for weight, WC, WHtR, hypertension, or DM. BMI was least associated with high-risk cardiac population in both males and females (39.4% and 60.3%), followed by WC (84.5% and 96.6%, respectively). WHtR showed the highest association with gender (male 98.6% and females 98.3%). These findings were noticed in patients with all risk factors. WHtR is superior to BMI and WC for determining the elevated risk of diabetes, hypertension, dyslipidemia, and CAD in a single university institute. The role of WHtR in both normal and diseased Saudi population should be delineated.
本研究旨在探讨腰高比（WHtR）用于判定冠状动脉疾病的效能。它将作为腹型肥胖指标的异常WHtR的出现频率与体重指数（BMI）和腰围（WC）的出现频率进行比较。研究还将这些结果与大学医院患者的其他心脏代谢危险因素相关联。采用横断面研究设计，特意纳入了200名就诊于成人心脏科门诊的患者样本（142名男性和58名女性）。测量了BMI、WC和WHtR，并将WHtR的出现频率与BMI和WC的出现频率进行比较。研究结果与冠状动脉疾病（CAD）病史以及包括糖尿病（DM）、高血压（HTN）和高脂血症在内的心脏代谢危险因素病史相关。大多数男性患者年龄较大、身高较高且BMI值较低。研究还表明，男性患者中血脂异常和CAD的患病率较高。在体重、WC、WHtR、高血压或DM方面，未发现两性之间存在显著差异。在男性和女性中，BMI与高危心脏人群的关联最小（分别为39.4%和60.3%），其次是WC（分别为84.5%和96.6%）。WHtR与性别关联最高（男性为98.6%，女性为98.3%）。在所有具有危险因素的患者中均观察到了这些结果。在一所大学机构中，对于判定糖尿病、高血压、血脂异常和CAD的风险升高，WHtR优于BMI和WC。应明确WHtR在沙特正常人群和患病人群中的作用。
