Body mass index and waist/height ratio for prediction of severity of coronary artery disease

Sabah, Khandker Md Nurus; Chowdhury, Abdul Wadud; Khan, HI Luftur Rahman; Hasan, Atm Hasibul; Haque, Sabrina; Ali, Shomsher; Kawser, Shamima; Alam, Nur; Amin, Gaffar; Mahabub, S M Ear E

doi:10.1186/1756-0500-7-246

Cited by 36 publications

(35 citation statements)

References 24 publications

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“…In Bangladesh, almost all of the studies reported an overwhelming majority of male patients. [17][18][19] Females were found to be more obese than male in the current study as well as in the other studies. [20][21] In comparison with Europeans, the mean stature of Bangladeshi counterparts is 1.3 cm to 11.8 cm shorter.…”

Section: Discussionsupporting

confidence: 69%

Association of Body Mass Index with In-Hospital Left Ventricular Failure after Percutaneous Coronary Interventions

et al. 2018

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Abstract:Background: Obesity is an independent cardiovascular risk factor. The most common anthropometric measurement used to quantify obesity is body mass index (BMI). Percutaneous coronary intervention (PCI) is associated with various types of complications. The relationship between BMI and in-hospital complications particularly left ventricular failure (LVF) after PCI has not been thoroughly investigated, especially in Bangladesh. Methods:This cross sectional observational study was conducted at National Institute of Cardiovascular Diseases, on total 100 patients who underwent PCI with two equally divided groups on the basis of BMI of Asian ethnicity: Group I (BMI < 23 kg/m2) and Group II (BMI e" 23.0 kg/m2). In-hospital LVF after PCI were observed and recorded. Results:The mean BMI of study population was 23.9 ± 1.9 kg/m 2 . The sum of occurrence of adverse in-hospital outcomes was 14.0%. Complications were significantly (p < 0.01) higher in Group I than Group II. Among all adverse in-hospital outcomes, only acute left ventricular failure was found to be statistically significant between groups (p < 0.01). The difference of mean duration of hospital stay after PCI was higher in Group-I which was statistically significant (p < 0.01). Diabetes mellitus and dyslipidemia were found to be the independent predictors for developing adverse inhospital outcome (OR= 1.68 and 1.46; 95% CI = 1.25 -2.24 and 1.16 -1.83; p = 0.018 and 0.040, respectively). BMI was inversely associated with in-hospital outcomes after PCI (OR = 0.95; 95% CI = 0.91 -0.98; p = 0.007).Conclusion: BMI is inversely associated with in-hospital LVF after PCI. The underweight and normal weight people are at greater risk to experience in-hospital LVF than overweight and obese people following PCI.

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Section: Discussionsupporting

confidence: 69%

Association of Body Mass Index with In-Hospital Left Ventricular Failure after Percutaneous Coronary Interventions

et al. 2018

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“…In Bangladesh, almost all of the studies reported an overwhelming majority of male patients. [17][18][19] Females were found to be more obese than male in the current study as well as in the other studies. [20][21] In comparison with Europeans, the mean stature In-hospital adverse outcomes after PCI was significantly higher in Group I.…”

Section: Discussionsupporting

confidence: 69%

Impact of Body Mass Index on In-Hospital Outcomes after Percutaneous Coronary Interventions

et al. 2017

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Background: Obesity, measured on the basis of body mass index (BMI), is an independent cardiovascular risk factor. However, some studies have reported the obesity paradox after percutaneous coronary intervention (PCI). The relationship between BMI and clinical outcomes after PCI has not been thoroughly investigated, especially in Bangladesh.Method: This cross sectional observational study was conducted at National Institute of Cardiovascular Diseases, on total 100 patients who underwent PCI with two equally divided groups on the basis of BMI of Asian ethnicity: Group I (BMI < 23 kg/m2) and Group II (BMI e 23.0 kg/m2). In-hospital outcomes were observed and recorded after PCI.Results: The mean BMI of study population was 23.9 ± 1.9 kg/m2. The sum of occurrence of adverse in-hospital outcomes was 14.0%. Complications were significantly (p < 0.01) higher in Group I than Group II. Among all adverse in-hospital outcomes, only acute left ventricular failure was found to be statistically significant between groups (p < 0.01). The difference of mean duration of hospital stay after PCI was higher in Group-I which was statistically significant (p < 0.01). Diabetes mellitus and dyslipidemia were found to be the independent predictors for developing adverse in-hospital outcome (OR= 1.68 and 1.46; 95% CI = 1.25 2.24 and 1.16 1.83; p = 0.018 and 0.040, respectively). BMI was inversely associated with adverse in-hospital outcome after PCI (OR = 0.95; 95% CI = 0.91 0.98; p = 0.007).Conclusion: BMI is inversely associated with adverse in-hospital outcomes after PCI. The underweight and normal weight people are at greater risk to experience in-hospital adverse outcomes than overweight and obese people following PCI.Cardiovasc. j. 2017; 10(1): 31-39

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“…Of the anthropometric parameters, WHtR yielded the highest positive correlation with CAD 25 . Th is was the fi rst study on the eff ect of WHtR on clinical severity and prognosis of acute STEMI.…”

Section: Discussionmentioning

confidence: 99%

The Role of Anthropometry in Acute St-Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention

Jelavić¹,

Babić

Pintarić³

et al. 2016

ACC

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SUMMARY -Th e aim of this study was to investigate the controversial infl uence of anthropometry on clinical severity and prognosis of acute ST-elevation myocardial infarction (STEMI). We prospectively analyzed 250 patients with acute STEMI treated with primary percutaneous coronary intervention (September 2011 -September 2012. Th ey were grouped according to the following anthropometric parameters: body mass index (BMI) (<25.0, 25.0-29.9, ≥30.0 kg/m²), waist circumference (WC) (<102/88, ≥102/88 cm), waist-to-hip ratio (WHR) (<0.90/0.85, ≥0.90/0.85) and waistto-height ratio (WHtR) (<53/49, 53/49-62/57, ≥63/58). Th e groups were analyzed by baseline, as well as severity (clinical, laboratory, echocardiography, coronary angiography, in-hospital complications) and prognostic parameters (major adverse cardiovascular events and sick leave duration during 12-month follow up). Patients with BMI <25.0 kg/m 2 had the highest rates of dyspnea and those with BMI ≥30.0 kg/m² had the longest hospitalization and widest stents; patients with WHR ≥0.90/0.85 had higher rates of signifi cantly stenosed proximal/middle coronary segments, while those with WHtR ≥63/58 had the highest rates of heart failure and total in-hospital complications (p<0.05). BMI <25.0 kg/m 2 increased (odds ratio (OR) 2.00, confi dence interval (CI) [1.09-3.68], p=0.026) and BMI 25.0-29.9 kg/m 2 reduced (OR 0.52, CI [0.30-0.91], p=0.022) the risk of dyspnea; WHR ≥0.90/0.85 increased the risk of signifi cant proximal/middle coronary segment stenosis (OR 3.34,.86], p=0.029) and WHtR ≥63/58 the risk of heart failure (OR 2.05, CI [1.13-3.71], p=0.017) and total in-hospital complications (OR 1.94,], p=0.017) (p<0.05). In conclusion, WHR and WHtR are better anthropometric parameters than BMI in predicting acute STEMI severity, while WC has no infl uence on it. Anthropometry has no infl uence on prognosis.

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Body mass index and waist/height ratio for prediction of severity of coronary artery disease

Cited by 36 publications

References 24 publications

Association of Body Mass Index with In-Hospital Left Ventricular Failure after Percutaneous Coronary Interventions

Association of Body Mass Index with In-Hospital Left Ventricular Failure after Percutaneous Coronary Interventions

Impact of Body Mass Index on In-Hospital Outcomes after Percutaneous Coronary Interventions

The Role of Anthropometry in Acute St-Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention

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