ArticleBMC cardiovascular disorders2022
Is waist-to-height ratio the best predictive indicator of cardiovascular disease incidence in hypertensive adults? A cohort study.
Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Obesity-Related Anthropometric Indicators and Erectile Dysfunction: A Systematic Review.Archives of sexual behavior · 2025Pooled it
- Mendelian randomization studies of lifestyle-related risk factors for stroke: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Six anthropometric indicators and their associations with myocardial infarction and death in Swedish automotive industry male workers followed for 28 years.BMC public health · 2026Article
- Body composition phenotypes are key predictors of cardiovascular-kidney-metabolic multimorbidity and long-term mortality: insights from a population-based cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Predictive Effects of Waist Circumference-Related Anthropometric Measures on Body Mass Index in South African University Students.International journal of environmental research and public health · 2026Article
- Association between cumulative exposure to cardiometabolic index and risk of heart failure: a prospective cohort study.ESC heart failure · 2026Article
- Article
- Comparison of novel and traditional anthropometric indices: which is the best indicator of frailty in older adults?Aging clinical and experimental research · 2025Article
- Can Clinical Biomarkers Guide Optimal Therapeutic Selection in Type 2 Diabetes Mellitus? A Scoping Review.Current atherosclerosis reports · 2025Article
- Waist-to-height ratio and coronary artery calcium incidence: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).Lancet regional health. Americas · 2025Article
- Association between cardiometabolic index and coronary artery calcification in young and middle-aged adults with coronary heart disease.BMC cardiovascular disorders · 2025Article
- Waist-height index curves of Colombian adultsBiomedica : revista del Instituto Nacional de Salud · 2025Article
- Evaluating the potential of waist-to-BMI ratio, a body shape index, and other anthropometric parameters in predicting cardiovascular disease mortality: evidence from NHANES III.BMC public health · 2025Article
- Examining the Relationship Between Anthropometric and Body Composition measures with Coronary Heart Disease Events: The Multi-Ethnic Study of Atherosclerosis.European journal of preventive cardiology · 2025Article
- Diabetes is the missing link between cardiometabolic index and gallstones: a large cross-sectional study.Scientific reports · 2025Article
- Article
- Alcohol and Cannabis Use Associated with Cardiometabolic Biomarkers among "All of Us" Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Sex differences in hypertension incidence and risk factors: a population-based cohort study in Southern Iran.BMC public health · 2024Article
- Neck circumference, waist-to-height ratio, Chinese visceral adiposity index and incident heart failure.Nutrition journal · 2024Article
- Waist-to-height ratio and body fat percentage as risk factors for ischemic cardiovascular disease: a prospective cohort study from UK Biobank.The American journal of clinical nutrition · 2024Article
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular disease (CVD) brings high mortality and economic burden to patients, especially in rural areas. Simple, low-cost abdominal adiposity measures may help identify individuals with increased CVD risk. It is unclear that which obesity indices is the best to predict CVD in hypertensive people.
methodsNortheast China Rural Cardiovascular Health Study (NCRCHS) is a prospective cohort study in a general population in Northeast China. The study examined the cardiovascular health from 2013 to 2015, and follow-up captured the CVD incidence in 2018. Baseline waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip (WHR)and body mass index (BMI) were calculated and analyzed in relation to the CVD incidence.
resultsA total of 4244 hypertensive adults without pre-existing CVD at baseline were included in this analysis (age 35-92 years; 2108 men). Over a median follow-up of 4.66 years, a total of 290 CVD cases (6.83%) were documented during the follow-up. Baseline WHtR showed a significant positive association with CVD incidence, even after adjusting for age, sex, diabetes, drinking, smoking, SBP, DBP, Triglyceride, HDL-C, LDL-C, and TC (Hazard Ratios per SD of WHtR ranging from 1.03 to 1.31, p = 0.017). Reclassification and discrimination analyses indicated WHtR addition could improve the conventional model for predicting adverse outcomes within 4 years. Moreover, WHtR predicted the CVD incidence better than other obesity indices (BMI, WC, WHR).
conclusionThese findings support a positive association between WHtR and CVD incidence in CVD-free hypertensive adults. WHtR can be used to predict CVD incidence in hypertensive adults.
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