Comparison of the Four Anthropometric Indexes and Their Association With Stroke: A Population-Based Cross-Sectional Study in Jilin Province, China

Abstract

Background: Stroke is a leading cause of long-term adult disability and death in China, and primary prevention is essential for stroke. The aim of this study is to compare the four anthropometric indexes (body mass index, waist circumference, waist-to-hip ratio, and waist-to-height ratio) and identify the index that is most closely related to stroke in areas with high incidence of stroke. Methods: A total of 4,052 participants aged 40 years or older were selected by the multistage stratified cluster sampling method in Dehui City in Jilin province, China. Face-to-face interviews and physical examinations were conducted to collect the participants' information. Descriptive data analyses were conducted. Multivariable logistic analyses were used to explore the adjusted association between stroke and body fat measuring indexes. Results: For body mass index (adjusted odds ratio (OR): 1.13, 95% confident interval (CI): 0.77-1.65), waist circumference (adjusted OR: 1.32, 95% CI: 0.88-1.99), and waist-to-hip ratio (adjusted OR: 1.34, 95% CI: 0.92-1.93), the patients in the highest quartile did not have a higher risk of stroke than those in the lowest quartile. For waist-to-height ratio, the patients in the highest quartile were more likely have a stroke than those in the lowest quartile (adjusted OR: 1.81, 95% CI: 1.16-2.82). The area under the curve of waist-to-height ratio, waist-to-hip ratio, waist circumference, and body mass index for stroke were 0.

Association between Stroke and Abdominal Obesity in the Middle-Aged and Elderly Korean Population: KNHANES Data from 2011–2019

“…Recent studies attempted to identify the association between abdominal obesity and risk of stroke and stroke-related mortality [36][37][38]. When using WC for the abdominal obesity index, results obtained were either insignificant or inconsistent with our previous findings [36,37].…”

“…Recent studies attempted to identify the association between abdominal obesity and risk of stroke and stroke-related mortality [36][37][38]. When using WC for the abdominal obesity index, results obtained were either insignificant or inconsistent with our previous findings [36,37]. These studies used WC adjusted by hip or height for the alternative index for abdominal obesity, and yielded significant association between central obesity and stroke.…”

Strong Association of Waist Circumference (WC), Body Mass Index (BMI), Waist-to-Height Ratio (WHtR), and Waist-to-Hip Ratio (WHR) with Diabetes: A Population-Based Cross-Sectional Study in Jilin Province, China

“…The study population was derived from the Stroke Screening and Prevention Program of the National Health and Family Planning Commission of China, which was one of the National Key Technology Research and Development programs (grant No. 2011BAI08B01) supervised by the Chinese National Centre for Stroke Care Quality Control and Management [ 22 , 23 ]. The detailed program has been published before [ 24 ].…”

“…This study was aimed at comparing the relationship between the four anthropometric indicators and diabetes in areas with a high incidence of diabetes in Jilin Province, along with the effectiveness of the different indicators in diagnosing diabetes, by inferring the optimum cut-off values and differences due to sex of the participants. [22,23]. The detailed program has been published before [24].…”