Association of abdominal obesity and systolic blood pressure indices with cardiovascular disease risk prediction among community-dwelling older adults

Abstract

<b>Background:</b> Excess adiposity is an established risk factor for cardiovascular disease (CVD), therefore the early screening indies with predicted CVD risk is more useful for older adults. The current study evaluated the associations between anthropometric, body composition and dietary indices and elevated 10-year CVD risk in older people.<br /> <b>Methods:</b> This research, which involved 55 to 94-year-olds living in the community. Standard techniques were used to determine anthropometric factors and body composition indicators. The risk prediction chart created by World Health Organization and International Society of Hypertension was used to calculate the CVD risk score. Odds ratio (OR) and 95% confidence interval (CI) were determined.<br /> <b>Results:</b> CVD risk prediction was positively correlated with the anthropometric and body composition parameters. After controlling for confounding variables, the logistic regression analysis revealed that waist circumference (OR=16.34; 95% CI: 7.22, 36.98; <i>p</i><0.001), systolic blood pressure (BP) (OR=9.53; 95% CI: 4.52, 20.07; <i>p</i><0.001), and visceral adipose tissue percentage (OR=5.47; 95% CI: 2.98, 10.01; <i>p</i><0.001) were correlated with cardiovascular risk prediction.<br /> <b>Conclusions:</b> Abdominal obesity and increase of systolic BP were associated to increased risk for CVD. Additionally, a positive association between the risk factors for CVD (%visceral adipose tissue) and diet (cholesterol consumption) was established.

Framingham risk scores for determination the 10-year risk of cardiovascular disease in participants with and without the metabolic syndrome: results of the Fasa Persian cohort study

“…In a prospective study by Ma et al a strong positive association was reported between mean SBP and CVD risk [34]. Duangjai et al, showed that higher SBP and DBP was associated with a strong positive association with CVD risk prediction score [35]. The study by Liszka et al also found a positive association between BP and risk of CVDs [36], including arteriosclerotic disease, congestive heart failure Fig.…”

“…The results showed that in people with MetS, measures of central obesity showed no association with 10-year risk of CVD, however, it is likely that the impact of central obesity on CVD risk at least partly is mediated through lipids, elevated BP, and blood glucose, and the current study may have over-adjusted by including intermediate factors in the multiple model. Duangjai et al, showed that there was a strong positive association between WC and CVD risk prediction score [35]. Also, body mass index (BMI) has a strong association with higher prevalence of CVD independent of MetS [41].…”