Cardiovascular Risk and Anthropometric Measures in Women Attending Family Practice

Nada Yasein

Abstract


Objectives: To assess the prevalence of selected cardiovascular risk factors and their association with various anthropometric measures in a sample of women using family practice clinics at the Jordan University Hospital.
Methods: Hospital records of 280 Jordanian women aged 25 years and over attending family practice clinics were reviewed. Information on anthropometric measures (BMI, waist circumference, waist/hip and waist/height ratios) and selected cardiovascular risk factors (diabetes, hypertension, and hyperlipidemia) were collected. Prevalence of risk factors and anthropometric measures were assessed. Association between cardiovascular risk factors and anthropometric indices were investigated.
Results: 27% and 22.5% of the study sample had hypertension and diabetes, respectively;
40%- 60% had an abnormal lipid profile. The prevalence of obesity using BMI, waist circumference, waist/hip and waist/height ratios were 43.6%, 74.3%, 64.6% and 86.1%, respectively.
Larger values of BMI were found to be significantly (p≤0.05) associated with diabetes and hypercholesterolemia. The prevalence of almost all cardiovascular risk factors increased with larger waist circumference. Waist/height ratio was significantly associated with diabetes, low HDL, hypertriglyceridemia and hypercholesterolemia, whereas waist/hip ratio showed a significant association with diabetes only. It was also observed that waist circumference was the only index found to be associated with hypertension while none of the indices showed a significant association with raised S.LDL.
Conclusion: Abdominal obesity indices were found to be better markers for cardiovascular risk morbidity than the BMI.
Assessment of these indices should be incorporated within the routine practice of family medicine clinics.

Keywords


Women, BMI, abdominal obesity, risk factor, Jordan

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