ArticleBMC public health2008
Prevalence of obesity in primary care using different anthropometric measures--results of the German Metabolic and Cardiovascular Risk Project (GEMCAS).
Article in BMC public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 49 citations in OpenAlex.
- Randomized controlled trial on cardiovascular risk management by practice nurses supported by self-monitoring in primary care.BMC family practice · 2012Trial
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- Effect of a fermented dietary supplement containing chromium and zinc on metabolic control in patients with type 2 diabetes: a randomized, placebo-controlled, double-blind cross-over study.Food & nutrition research · 2016Article
- Impact of different obesity assessment methods after acute coronary syndromes.Arquivos brasileiros de cardiologia · 2014Observational
- A Positive Association between T. gondii Seropositivity and Obesity.Frontiers in public health · 2013Article
- Risk factors for chronic non-communicable diseases at gilgel gibe field research center, southwest ethiopia: population based study.Ethiopian journal of health sciences · 2012Article
- How well do anthropometric indices correlate with cardiovascular risk factors? A cross-sectional study in Croati.Medical science monitor : international medical journal of experimental and clinical research · 2012Article
- Barriers to cardiovascular risk prevention and management in Germany--an analysis of the EURIKA study.Vascular health and risk management · 2012Article
- Need for weight management in Switzerland: findings from National Blood Pressure Week 2009.BMC public health · 2011Article
- Risks of pregnancy and birth in obese primiparous women: an analysis of German perinatal statistics.Archives of gynecology and obstetrics · 2011Article
- Associations among cardiometabolic risk factor clustering, weight status, and cardiovascular disease in an Appalachian population.Journal of clinical hypertension (Greenwich, Conn.) · 2010Article
- Prevalence of ultrasound-diagnosed non-alcoholic fatty liver disease in a hospital cohort and its association with anthropometric, biochemical and sonographic characteristics.International journal of clinical and experimental medicine · 2010Article
- Role of educational level in the relationship between Body Mass Index (BMI) and health-related quality of life (HRQL) among rural Spanish women.BMC public health · 2009Article
- Overweight, obesity and high waist circumference: regional differences in prevalence in primary medical care.Deutsches Arzteblatt international · 2008Article
- Prevalence of obesity and abdominal obesity in Swedish primary care and occupational health clinics.Obesity facts · 2008Article
- Epidemiology of obesity in Tunisia: HSHS4 study (Hammam Sousse Sahloul Heart Study).La Tunisie medicaleArticle
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is one of the greatest challenges in primary health care. The BMI describes fat mass and waist circumference (WC) fat distribution and total metabolic and cardiovascular risk. It was aim of the present study to assess the prevalence of a) overweight and obesity and b) an increased and high WC in adults seeking primary care in Germany and to describe the associations of both measures with cardiovascular risk factors and prognosis.
methodsThis was a point prevalence study with 1,511 primary care physicians and 35,869 adult patients in 2005. Bodyweight, height and waist circumference was measured and blood samples taken to determine the presence of cardiovascular risk factors, including lipids, blood pressure, fasting glucose, low physical activity, smoking and family history of myocardial infarction. We calculated rate ratios stratified for age and gender.
resultsThere was a high prevalence of overweight (45.7% male [95%CI 44.9-46.5]; 30.6% female [95%CI 30.0-31.2]) and obesity (24.7% male [95%CI 24.0-25.4]; 23.3% female [95%CI 22.8-23.9]). 36.4% of male [95%CI 35.6-37.2] and 41.5% of female [95%CI 40.8-42.1] had a high WC (male > 102, female > 88 cm). A high WC in addition to an overweight BMI identified patients with more risk factors (male: mean of 3.93 risk factors (RF) at a WC > 102 cm vs. 2.88 RF in patients < or = 94 cm; female 3.58 RF at a WC > 88 cm vs. 2.41 RF < or = 80 cm).
conclusionThere is a high prevalence of obesity (24.7% of male and 23.3% of female) and, in particular, abdominal obesity (36.4% of male and 41.5% of female) in adults attending a primary care physician in Germany. The determination of the BMI is sufficient to assess risk in normal weight and obese patients, while a high WC identifies high risk patients from within the overweight group.
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