Correlation between waist circumference and other factors in menopausal women in Thailand

Saipin Pongsatha, Nuntana Morakot, Kullaya Sangchun, Somsak Chaovisitsaree

Menopause Clinic, Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

DOI: 10.4236/health.2012.42011                

Abstract

Objective: To find the correlation between waist circumference and other factors such as lipid profiles, fasting blood glucose and blood pressure in healthy menopausal women attending menopause clinic. Material and methods: A cross sectional study was carried out at the Menopause clinic, Faculty of Medicine, Chiang Mai University, Thailand. Four-hundred healthy menopause women who had no medication for hypertension, dyslipidemia, diabetes mellitus and other medical conditions were enrolled. Waist circumference, hip circumference, body weight, height, blood pressure were measured and their blood samples were taken for lipid profiles and fasting blood glucose level after 12 hours fasting. Results: The mean age of participants was 53.4 ± 5.8 years. Mean waist and hip circumference were 76.2 ± 8.0 and 95.9 ± 6.7 cm, respectively. Mean body mass index was 23.3 ± 3.1 kg/m². Positive correlations were found between waist circumference and other factors: triglyceride level, fasting blood glucose and blood pressure. There was a negative correlation between waist circumference and HDL-Cholesterol level. The prevalence of metabolic syndrome among participants by modified National Cholesterol Education Program Adult Treatment panel III (NCEP ATP-III) with Asian waist circumference was 21.0%. Conclusion: Waist circumference had a positive correlation with triglyceride level, fasting blood glucose and blood pressure and a negative correlation with HDL-C.

Keywords

Waist Circumference; Hip Circumference; Metabolic Syndrome; Modified National Cholesterol Education Program Adult Treatment Panel III

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Ford, E.S. (2004) The metabolic syndrome and mortality from cardiovascular disease and all-causes: Findings from the National Health and Nutrition Examination Survey II Mortality Study. Atherosclerosis, 173, 309-314. doi:10.1016/j.atherosclerosis.2003.12.022
[2]	Ford, E.S. (2005) Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: A summary of the evidence. Diabetes Care, 28, 1769-1778. doi:10.2337/diacare.28.7.1769
[3]	Ford, E.S., Giles, W.H. and Dietz, W.H. (2002) Prevalence of the metabolic syndrome among US adults: Findings from the third National Health and Nutrition Examination Survey. Journal of the American Medical Associa-tion, 287, 356-359. doi:10.1001/jama.287.3.356
[4]	Lobo, R.A. (2008) Metabolic syndrome after menopause and the role of hormones. Maturitas, 60, 10-18. doi:10.1016/j.maturitas.2008.02.008
[5]	Ford, E.S., Li, C., Zhao, G. and Tsai, J. (2010) Trends in obesity and abdominal obesity among adults in the United States from 1999-2008. International Journal of Obesity, 35, 736-743.
[6]	Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) (2001) Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III). Journal of the American Medical Association, 285, 2486- 2497. doi:10.1001/jama.285.19.2486
[7]	Alberti, K.G., Zimmet, P. and Shaw, J. (2006) Metabolic syndrome—A new world-wide definition. A consensus statement from the International Diabetes Federation. Diabetic Medicine, 23, 469-480. doi:10.1111/j.1464-5491.2006.01858.x
[8]	Taechakraichana, N., Pasatrat, S., Ninlagarn, T., Panyakhamlerd, K., Chaikittisilpa, S. and Limpaphayom, K. (1999) Dyslipidemia among healthy postmenopausal Thai women. Journal of the Medical Association of Thailand, 82, 895-899.
[9]	Shahraki, T., Shahraki, M. and Roudbari, M. (2009) Waist circumference: A better index of fat location than WHR for predicting lipid profile in overweight/obese Iranian women. Eastern Mediterranean Health Journal, 15, 899-905.
[10]	Chehrei, A., Sadrnia, S., Keshteli, A.H., Daneshmand, M.A. and Rezaei, J. (2007) Correlation of dyslipidemia with waist to height ratio, waist circumference, and body mass index in Iranian adults. Asia Pacific Journal of Clinical Nutrition, 16, 248-253.
[11]	Jeong, S.K., Seo, M.W., Kim, Y.H., Kweon, S.S. and Nam, H.S. (2005) Does waist indicate dyslipidemia better than BMI in Korean adult population? Journal of Korean Medical Science, 20, 7-12. doi:10.3346/jkms.2005.20.1.7
[12]	Indhavivadhana, S., Rattanachaiyanont, M., Wongvananurak, T., Kanboon, M., Techatraisak, K., Leerasiri, P., et al. (2011) Predictors for metabolic syndrome in perimenopausal and postmenopausal Thai women. Climacteric, 13, 58-65. doi:10.3109/13697137.2010.481735
[13]	Ruan, X., Jin, J., Hua, L., Liu, Y., Wang, J. and Liu, S. (2010) The prevalence of metabolic syndrome in Chinese postmenopausal women and the optimum body composition indices to predict it. Menopause, 17, 566-570.
[14]	Figueiredo Neto, J.A., Figueredo, E.D., et al. (2010) Metabolic syndrome and menopause: Cross-sectional study in gynecology clinic. Arquivos Brasileiros de Cardiologia, 95, 339-345. doi:10.1590/S0066-782X2010005000094
[15]	Hidalgo, L.A., Chedraui, P.A., Morocho, N., Alvarado, M., Chavez, D. and Huc, A. (2006) The metabolic syndrome among postmenopausal women in Ecuador. Gynecological Endocrinology, 22, 447-454. doi:10.1080/09513590600890272
[16]	Orsatti, F.L., Nahas, E.A., et al. (2010) Association between anthropometric indicators of body fat and metabolic risk markers in post-menopausal women. Gynecological Endocrinology, 26, 16-22. doi:10.3109/09513590903184076
[17]	Mesch, V.R., Boero, L.E., et al. (2006) Metabolic syndrome throughout the menopausal transition: influence of age and menopausal status. Climacteric, 9, 40-48. doi:10.1080/13697130500487331
[18]	Aguilar, V.Z. and Garcia, L.L. (2009) Screening of metabolic syndrome in the perimenopause. Ginecología y Obstetricia de México, 77, 123-127.
[19]	Barbosa, J.B., Silva, A.A., et al. (2010) Metabolic syndrome in outpatient cardiology clinics. Arquivos Brasileiros de Cardiologia, 94, 46-54. doi:10.1590/S0066-782X2010000100009
[20]	Green, J.S., Stanforth, P.R., et al. (2004) The effects of exercise training on abdominal visceral fat, body composition, and indicators of the metabolic syndrome in postmenopausal women with and without estrogen replacement therapy: The HERITAGE family study. Metabolism, 53, 1192-1196. doi:10.1016/j.metabol.2004.04.008
[21]	Shakir, Y.A., Samsioe, G., Nerbrand, C. and Lidfeldt, J. (2004) Combined hormone therapy in postmenopausal women with features of metabolic syndrome. Results from a population-based study of Swedish women: Women’s Health in the Lund Area study. Menopause, 11, 549-555. doi:10.1097/01.GME.0000133076.09175.6D