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Waist circumference in coronary heart disease versus type-two diabetes

Shi, Wendan; Neubeck, Lis; Gallagher, Robyn


Wendan Shi

Robyn Gallagher


Obesity-related chronic illness is an international health issue. Waist
circumference can assess central adiposity, which is strongly
associated with cardiovascular disease and type two diabetes
mellitus. Aim: This study evaluates the effectiveness of waist
circumference in comparison to body mass index as measured at
different locations in adults with cardiovascular disease or type two
diabetes mellitus, and responsiveness of these measures to weight
change. Results: All measures were significantly correlated with body
mass index (r>0.80), with the strongest correlations measured at
midline between lowest rib and top of iliac crest in females (r=0.89),
and measured at widest level for males (r=0.83). All sites were
accurate in detecting high cardiovascular disease risk (AUC>0.80).
The site most responsive to weight change was at midline in females
and at narrowest level in males. Conclusion: A general protocol for
waist circumference should be established for assessing visceral fat,
predicting cardiovascular disease risks and monitoring weight change.


Shi, W., Neubeck, L., & Gallagher, R. (2016). Waist circumference in coronary heart disease versus type-two diabetes. British Journal of Cardiac Nursing, 11(4), 173-178.

Journal Article Type Article
Acceptance Date Mar 7, 2016
Online Publication Date Mar 31, 2016
Publication Date 2016-03
Deposit Date Oct 25, 2016
Journal British Journal of Cardiac Nursing
Print ISSN 1749-6403
Electronic ISSN 2052-2207
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 11
Issue 4
Pages 173-178
Keywords Body mass index (BMI), central adiposity, coronary heart disease, diabetes, waist circumference,
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