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Journal of Zhejiang University SCIENCE B 2010 Vol.11 No.9 P.639-646


Body mass index, waist circumference, and cardiometabolic risk factors in young and middle-aged Chinese women

Author(s):  Xin Ying, Zhen-ya Song, Chang-jun Zhao, Yan Jiang

Affiliation(s):  International Health Care Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China, Department of Clinical Laboratory, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China

Corresponding email(s):   yingxin1977@gmail.com

Key Words:  Body mass index, Waist circumference, Obesity, Cardiovascular disease, Diabetes mellitus, Women

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Xin Ying, Zhen-ya Song, Chang-jun Zhao, Yan Jiang. Body mass index, waist circumference, and cardiometabolic risk factors in young and middle-aged Chinese women[J]. Journal of Zhejiang University Science B, 2010, 11(9): 639-646.

@article{title="Body mass index, waist circumference, and cardiometabolic risk factors in young and middle-aged Chinese women",
author="Xin Ying, Zhen-ya Song, Chang-jun Zhao, Yan Jiang",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Body mass index, waist circumference, and cardiometabolic risk factors in young and middle-aged Chinese women
%A Xin Ying
%A Zhen-ya Song
%A Chang-jun Zhao
%A Yan Jiang
%J Journal of Zhejiang University SCIENCE B
%V 11
%N 9
%P 639-646
%@ 1673-1581
%D 2010
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1000105

T1 - Body mass index, waist circumference, and cardiometabolic risk factors in young and middle-aged Chinese women
A1 - Xin Ying
A1 - Zhen-ya Song
A1 - Chang-jun Zhao
A1 - Yan Jiang
J0 - Journal of Zhejiang University Science B
VL - 11
IS - 9
SP - 639
EP - 646
%@ 1673-1581
Y1 - 2010
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1000105

Objective: To assess the associations between body mass index (BMI), waist circumference (WC), and cardiometabolic risk factors in young and middle-aged Chinese women. Methods: A total of 3011 women (1938 young women, 1073 middle-aged women), who visited our health care center for a related health checkup, were eligible for study. BMI and WC were measured. The subjects were divided into normal and overweight/obesity groups based on BMI, and normal and abdominal obesity groups based on WC. Cardiometabolic variables included triglyceride (TG), high density lipoprotein cholesterol (HDL-C), fasting blood glucose (FBG), homeostasis model assessment of insulin resistance (HOMA-IR), and blood pressure (BP). Results: The prevalence of overweight/obesity was significantly higher in middle-aged women (32.4%) than in young women (12.0%). The prevalence of abdominal obesity was also higher in middle-aged women (60.3%) than in young women (36.2%). There were significant differences in the comparison of all related cardiometabolic variables between different BMI (or WC) categories in young and middle- aged women groups, respectively. After adjustment for age, partial correlation analysis indicated that both BMI and WC were correlated significantly with all related cardiometabolic variables. After adjustment for age and WC, although the correlation coefficient r′ was attenuated, BMI was still correlated significantly with all related cardiometabolic variables in young and middle-aged women. After adjustment for age and BMI, partial correlation analysis showed that WC was correlated significantly with TG, FBG, HOMA-IR, and HDL-C in young women and significantly with TG, HOMA-IR, and HDL-C in middle-aged women. Conclusions: The prevalence of overweight/obesity and abdominal obesity was high in Chinese young and middle-aged women. BMI was a better predictor of cardiovascular disease and diabetes than WC in young and middle-aged women, and moreover, measurement of both WC and BMI may be a better predictor of cardiovascular disease and diabetes mellitus than BMI or WC alone.

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