General or Central Obesity and Mortality Among US Hispanic and Latino Adults DOI Creative Commons
Yanbo Zhang, Guo‐Chong Chen, Daniela Sotres‐Alvarez

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(1), P. e2351070 - e2351070

Published: Jan. 16, 2024

Importance The Hispanic and Latino population is the second largest ethnic group in US, but associations of obesity parameters with mortality this remain unclear. Objective To investigate general central among US adults. Design, Setting, Participants Community Health Study/Study Latinos an ongoing, multicenter, population-based cohort study a multistage probability sampling method performed adults aged 18 to 74 years baseline between January 1, 2008, December 31, 2011. Active follow-up for analyses extended from through February 17, 2022. All accounted complex survey design (ie, stratification clustering) weights generate estimates representing noninstitutionalized, 18- 74-year-old or populations selected communities. Exposures Body mass index (BMI; calculated as weight kilograms divided by height meters squared), body fat percentage, waist circumference (WC), hip ratio (WHR). Main Outcome Measure Deaths were ascertained via death certificates, National Death Index, active follow-up. Results Of 15 773 (mean [SE] age, 40.9 [0.3] years; 52.8% female), 686 deaths occurred during median (IQR) 10.0 (9.9-10.2) years. When adjusting sociodemographic, lifestyle, family history covariates, hazard ratios (HRs) 1.55 (95% CI, 1.08-2.22) BMI 35.0 greater vs 18.5 24.9, 1.22 0.92-1.64) highest lowest percentage groups (defined according sex-, age-, background–specific distribution), 1.35 0.98-1.85) WC than 102 cm (men) 88 (women) 94 80 less, 1.91 1.28-2.86) WHR 0.90 0.85 less (women). Only was associated additional adjustment major comorbidities (HR, 1.75; 95% 1.17-2.62). association stronger women compared men ( P = .03 interaction), .02 interaction). positive severe (BMI ≥ 35.0) observed only not those below .005 interaction) who had circumference. Conclusions Relevance In adults, independently higher all-cause regardless prevalent comorbidities. These findings suggest that prioritizing clinical screening intervention may be important public health strategy, sex-specific strategies potentially being needed.

Language: Английский

Effects of various exercise types on visceral adipose tissue in individuals with overweight and obesity: A systematic review and network meta‐analysis of 84 randomized controlled trials DOI Creative Commons
Xiaoke Chen, Hui He,

Kejia Xie

et al.

Obesity Reviews, Journal Year: 2023, Volume and Issue: 25(3)

Published: Nov. 30, 2023

Summary The purpose of this systematic review and network meta‐analysis (NMA) randomized controlled trials (RCTs) was to investigate the effects various exercise categories on visceral adipose tissue (VAT) other anthropometric variables in individuals with overweight obesity. A total 84 RCTs (4836 patients) were included. Aerobic (AE) at least moderate intensity, resistance training (RT), AE combined RT (AE + RT), high‐intensity interval (HIIT) beneficial for reducing VAT. subgroup analysis showed that improves VAT males those BF% < 40% but not females body fat percentage (BF%) ≥ 40%. AE, RT, HIIT significantly improved weight (except (TBF), mass index (BMI), waist circumference (WC), subcutaneous (SAT). Surface under cumulative ranking curve (SUCRA) probability vigorous intensity have highest being best intervention improving VAT, weight, TBF, BMI, WC, SAT. These findings suggest regular can improve may be treatment, is effective intervention.

Language: Английский

Citations

30
Association of normal-weight central obesity with hypertension: a cross-sectional study from the China health and nutrition survey DOI Creative Commons
Huihui Ren,

Yaoyao Guo,

Dan Wang

et al.

BMC Cardiovascular Disorders, Journal Year: 2023, Volume and Issue: 23(1)

Published: March 8, 2023

Abstract Background Central obesity is associated with an increased risk of hypertension in the general population. However, little known regarding potential relationship between central and among adults a normal body mass index (BMI). Our aim was to assess individuals weight (NWCO) large Chinese Methods We identified 10 719 aged 18 years or older from China Health Nutrition Survey 2015. Hypertension defined by blood pressure measurements, physician diagnosis, use antihypertensive treatment. Multivariable logistic regression used association patterns, BMI, waist circumference (WC) hip ratio (WHR), after adjusting for confounding factors. Results The patients’ mean age 53.6 ± 14.5 years, 54.2% were women. Compared BMI but no obesity, subjects NWCO had greater (WC: OR, 1.49, 95% CI 1.14–1.95; WHR: 1.33, 1.08–1.65). Overweight-obese demonstrated highest adjustment confounders 3.01, 2.59–3.49; 3.08, 2.6–3.65). Subgroup analyses showed that combination WC similar findings overall population except female nonsmoking persons; when combined WHR, significant observed only younger persons nondrinkers. Conclusions as highlighting need combine measures obesity-related assessment.

Language: Английский

Citations

23
Waist-to-height ratio and body fat percentage as risk factors for ischemic cardiovascular disease: a prospective cohort study from UK Biobank DOI Creative Commons
Qi Feng,

Jelena Bešević,

Megan Conroy

et al.

American Journal of Clinical Nutrition, Journal Year: 2024, Volume and Issue: 119(6), P. 1386 - 1396

Published: May 9, 2024

The independent effect of waist-to-height ratio (WHtR) and body fat percentage (BF%) on ischemic cardiovascular disease (CVD) remains uncertain.

Language: Английский

Citations

15
The pathophysiology of visceral adipose tissues in cardiometabolic diseases DOI Creative Commons
Mi‐Jeong Lee, Jeehoon Kim

Biochemical Pharmacology, Journal Year: 2024, Volume and Issue: 222, P. 116116 - 116116

Published: March 8, 2024

Language: Английский

Citations

13
General or Central Obesity and Mortality Among US Hispanic and Latino Adults DOI Creative Commons
Yanbo Zhang, Guo‐Chong Chen, Daniela Sotres‐Alvarez

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(1), P. e2351070 - e2351070

Published: Jan. 16, 2024

Importance The Hispanic and Latino population is the second largest ethnic group in US, but associations of obesity parameters with mortality this remain unclear. Objective To investigate general central among US adults. Design, Setting, Participants Community Health Study/Study Latinos an ongoing, multicenter, population-based cohort study a multistage probability sampling method performed adults aged 18 to 74 years baseline between January 1, 2008, December 31, 2011. Active follow-up for analyses extended from through February 17, 2022. All accounted complex survey design (ie, stratification clustering) weights generate estimates representing noninstitutionalized, 18- 74-year-old or populations selected communities. Exposures Body mass index (BMI; calculated as weight kilograms divided by height meters squared), body fat percentage, waist circumference (WC), hip ratio (WHR). Main Outcome Measure Deaths were ascertained via death certificates, National Death Index, active follow-up. Results Of 15 773 (mean [SE] age, 40.9 [0.3] years; 52.8% female), 686 deaths occurred during median (IQR) 10.0 (9.9-10.2) years. When adjusting sociodemographic, lifestyle, family history covariates, hazard ratios (HRs) 1.55 (95% CI, 1.08-2.22) BMI 35.0 greater vs 18.5 24.9, 1.22 0.92-1.64) highest lowest percentage groups (defined according sex-, age-, background–specific distribution), 1.35 0.98-1.85) WC than 102 cm (men) 88 (women) 94 80 less, 1.91 1.28-2.86) WHR 0.90 0.85 less (women). Only was associated additional adjustment major comorbidities (HR, 1.75; 95% 1.17-2.62). association stronger women compared men ( P = .03 interaction), .02 interaction). positive severe (BMI ≥ 35.0) observed only not those below .005 interaction) who had circumference. Conclusions Relevance In adults, independently higher all-cause regardless prevalent comorbidities. These findings suggest that prioritizing clinical screening intervention may be important public health strategy, sex-specific strategies potentially being needed.

Language: Английский

Citations

12