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dc.contributor.authorCameron, AJ
dc.contributor.authorMagliano, DJ
dc.contributor.authorShaw, JE
dc.contributor.authorZimmet, PZ
dc.contributor.authorCarstensen, B
dc.contributor.authorAlberti, KGMM
dc.contributor.authorTuomilehto, J
dc.contributor.authorBarr, ELM
dc.contributor.authorPauvaday, VK
dc.contributor.authorKowlessur, S
dc.contributor.authorSoderberg, S
dc.date.accessioned2021-02-05T01:34:48Z
dc.date.available2021-02-05T01:34:48Z
dc.date.issued2012-04-01
dc.identifierpii: dyr198
dc.identifier.citationCameron, A. J., Magliano, D. J., Shaw, J. E., Zimmet, P. Z., Carstensen, B., Alberti, K. G. M. M., Tuomilehto, J., Barr, E. L. M., Pauvaday, V. K., Kowlessur, S. & Soderberg, S. (2012). The influence of hip circumference on the relationship between abdominal obesity and mortality. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 41 (2), pp.484-494. https://doi.org/10.1093/ije/dyr198.
dc.identifier.issn0300-5771
dc.identifier.urihttp://hdl.handle.net/11343/260451
dc.description.abstractBACKGROUND: Higher waist circumference and lower hip circumference are both associated with increased cardiovascular disease (CVD) risk, despite being directly correlated. The real effects of visceral obesity may therefore be underestimated when hip circumference is not fully taken into account. We hypothesized that adding waist and hip circumference to traditional risk factors would significantly improve CVD risk prediction. METHODS: In a population-based survey among South Asian and African Mauritians (n = 7978), 1241 deaths occurred during 15 years of follow-up. In a model that included variables used in previous CVD risk calculations (a Framingham-type model), the association between waist circumference and mortality was examined before and after adjustment for hip circumference. The percentage with an increase in estimated 10-year cumulative mortality of >25% and a decrease of >20% after waist and hip circumference were added to the model was calculated. RESULTS: Waist circumference was strongly related to mortality only after adjustment for hip circumference and vice versa. Adding waist and hip circumference to a Framingham-type model increased estimated 10-year cumulative CVD mortality by >25% for 23.7% of those who died and 15.7% of those censored. Cumulative mortality decreased by >20% for 4.5% of those who died and 14.8% of those censored. CONCLUSIONS: The effect of central obesity on mortality risk is seriously underestimated without adjustment for hip circumference. Adding waist and hip circumference to a Framingham-type model for CVD mortality substantially increased predictive power. Both may be important inclusions in CVD risk prediction models.
dc.languageEnglish
dc.publisherOXFORD UNIV PRESS
dc.titleThe influence of hip circumference on the relationship between abdominal obesity and mortality
dc.typeJournal Article
dc.identifier.doi10.1093/ije/dyr198
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleInternational Journal of Epidemiology
melbourne.source.volume41
melbourne.source.issue2
melbourne.source.pages484-494
dc.rights.licenseCC BY-NC
melbourne.elementsid1105209
melbourne.contributor.authorMagliano, Dianna
dc.identifier.eissn1464-3685
melbourne.accessrightsOpen Access


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