Association between Abdominal Obesity and Cardiovascular Risk Factors in Adults with Normal Body Mass Index: Based on the Sixth Korea National Health and Nutrition Examination Survey

Kim, Hye Yun; Kim, Jae Kyung; Shin, Gook Gyeon; Han, Jin A; Kim, Jin Wook

doi:10.7570/jomes.2019.28.4.262

Cited by 21 publications

(22 citation statements)

References 17 publications

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“…Furthermore, physical measurement indexes such as waist circumference were significantly decreased in this study. Previous studies asserted that abdominal obesity has been identified as an important risk factor for metabolic syndrome and CVD [49,50]. Also, the other studies have shown that waist circumference was reduced relatively more in women than men [49,51].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies asserted that abdominal obesity has been identified as an important risk factor for metabolic syndrome and CVD [49,50]. Also, the other studies have shown that waist circumference was reduced relatively more in women than men [49,51]. Furthermore, Siu and colleges presented that one year of regular yoga training was effective on the improvement of waist circumference in middle-aged and older adults with metabolic syndromes [52].…”

Section: Discussionmentioning

confidence: 99%

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Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test

Hwang

Kim

2020

Sustainability

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The purpose of this study was to evaluate the effects of a yoga program provided to workers in small businesses to reduce cardiovascular disease (CVD) risk factors. A nonequivalent control group pre/post-test design was used. The experimental group (n = 31) was assigned a yoga program consisting of yoga postures designed for meditation, strengthening, stretching, and balancing, given twice weekly for 12 weeks. The control group (n = 38) was given no other intervention. The mean age was 48.1 years old in the experimental group and 47.7 years old in the control group. Three trained investigators collected the questionnaires and one month after completing the 12-week yoga program, the same questionnaires that were administered at baseline were again administered. Psychosocial variables (depressive symptoms and job stress), health promotion behaviors, and body measurements (weight and waist circumference) were measured for the program evaluation. The yoga program was effective in improving waist circumference (from 81.8 to 79.2, p < 0.001) and diastolic blood pressure (from 81.0 to 79.1, p = 0.004) as compared to the control group. Furthermore, the experimental group’s job stress score decreased from 1.38 to 1.02, but it was not statistically significant (p = 0.240). A yoga program could be a useful intervention for workers with CVD risk factors, but it was not effective in psychological factors such as job stress and depression. A long-term intervention approach is important to confirm the psychosocial effect. Therefore, future research is needed to investigate the long-term outcomes of such interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test

Hwang

Kim

2020

Sustainability

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“…Similarly, PED was an independent risk factor for CKD progression in this study; subjects with PED showed 3.26 times higher risk of CKD progression. CKD shares common risk factors and pathophysiological mechanisms with ASCVD [24][25][26]. The combined risk of ASCVD and CKD was increased 4.12 times by PED at the baseline.…”

Section: Discussionmentioning

confidence: 98%

Peripheral arterial endothelial dysfunction predicts future cardiovascular events in diabetic patients with albuminuria: a prospective cohort study

Koo

Chung

Moon

2020

Cardiovasc Diabetol

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Background: Reactive hyperemia-peripheral arterial tonometry (RH-PAT) is a noninvasive and simple test for evaluating the endothelial function. There has been sparse evidence on the usefulness of the RH-PAT index (RHI) in predicting future cardiovascular diseases among diabetic patients. Methods: Asymptomatic diabetic patients with albuminuria were selected; their medical history and laboratory findings were evaluated every 3 to 4 months, respectively. The primary outcome was a composite of three-point major adverse cardiovascular events (3-point MACE): death from cardiovascular causes, acute coronary events, or nonfatal stroke. On the contrary, secondary outcomes included a composite of 3-point MACE, hospitalization for heart failure, or chronic kidney disease (CKD) progression. RHI was measured using the Endo-PAT2000 at the baseline. RHI < 1.67 was considered to indicate peripheral endothelial dysfunction (PED). Results: In total, 149 subjects were included (mean age, 61.8 ± 9.2 years; duration of diabetes was 12 years). During the follow-up period (median, 49.7 months), of the 149 subjects, primary outcomes were detected in 12 (1 [2.3%] and 11 [10.5%] of those without and with PED, respectively). The presence of PED in baseline measurements significantly increased both primary and secondary outcomes, following adjustment for age, sex, hypertension, glycated hemoglobin, low-density lipoprotein cholesterol, triglyceride, systolic blood pressure, baseline estimated glomerular filtration rate, overt proteinuria, duration of diabetes, premedical history of ischemic events, anti-platelet agents, and smoking history (hazard ratio [HR]: 10.95; 95% confidence interval CI 1.00-119.91 for the primary outcome; HR, 4.12; 95% CI 1.37-12.41 for secondary outcome). In addition, PED could predict secondary outcomes independent of the risk score according to the American College of Cardiology/American Heart Association (HR: 3.24; 95% CI 1.14-9.17). Conclusions: PED can independently predict future cardiovascular events among diabetic patients with albuminuria.

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“…It was reported that AO with normal BMI was associated with cardiovascular diseases, and was related to dyslipidemia in women. [20] Another South Korean study showed that general obesity without AO was not associated with a higher risk of cardiovascular diseases. [21] Another major nding of this study was that women with maternal AO history have a higher risk of developing AO.…”

Section: Discussionmentioning

confidence: 99%

Sex differences in heritable and environmental risk of abdominal obesity: family-based study and case-control study of rural adults in China

Feng

et al. 2021

Preprint

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Background: Abdominal obesity (AO) has shown a dramatic increase trend in the past decades. But there were few studies on sex differences in the risk of AO, especially the heritable risk. This study aimed to investigate the sex differences of AO risk in China rural areas.Methods: A family-based study coupled with the Henan Rural Cohort was carried out, including 1,533 people and 39,259 people, respectively. Questionnaires were applied in including included demographics, dietary intake and physical activity. Combined family-based study with the Henan Rural Cohort, sex differences in heritable risk of AO was analyzed among rural people. Chi-square test was applied to study the heritable risk of AO. Environmental factors for AO were assessed in couple case-control study. Logistic regression analysis was carried out to assess the association of lifestyles with AO.Results: Women had higher risk to develop AO than men in Henan Rural Cohort (OR: 3.070, 95% CI: 2.943, 3.203, P<0.001). The female first-degree relatives were more susceptible to AO than those in the Henan Rural Cohort (OR: 1.854, 95% CI: 1.318, 2.608, P<0.001). Moreover, female offspring had higher risk to develop AO than male offspring when their mothers suffered from AO (OR: 1.797, 95% CI: 1.111, 2.907, P=0.016), and this risk increased if their grandmothers suffered from AO (OR: 6.750, 95% CI: 1.667, 27.336, P=0.007). In addition, low physical activity increased the risk to develop AO for women when compared with their husbands (OR: 2.253, 95% CI: 1.283, 3.957, P=0.005). Conclusion: This study indicated females are heritably susceptible to AO than men, especially for those who have maternal family history and reinforce the benefits of increasing physical activity for protecting females from suffering from AO. Proactive action based on maternal family history is a cost-effective strategy for the prevention of AO, although larger family-based studies are required to verify the conclusion.

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Association between Abdominal Obesity and Cardiovascular Risk Factors in Adults with Normal Body Mass Index: Based on the Sixth Korea National Health and Nutrition Examination Survey

Cited by 21 publications

References 17 publications

Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test

Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test

Peripheral arterial endothelial dysfunction predicts future cardiovascular events in diabetic patients with albuminuria: a prospective cohort study

Sex differences in heritable and environmental risk of abdominal obesity: family-based study and case-control study of rural adults in China

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