Association of General and Abdominal Obesity With Hypertension, Dyslipidemia and Prediabetes in the PREDAPS Study

Rev Esp Cardiol (Engl Ed). 2018 Mar;71(3):170-177. doi: 10.1016/j.rec.2017.04.035. Epub 2017 Aug 5.
[Article in English, Spanish]


Introduction and objectives: Some anthropometric measurements show a greater capacity than others to identify the presence of cardiovascular risk factors. This study estimated the magnitude of the association of different anthropometric indicators of obesity with hypertension, dyslipidemia, and prediabetes (altered fasting plasma glucose and/or glycosylated hemoglobin).

Methods: Cross-sectional analysis of information collected from 2022 participants in the PREDAPS study (baseline phase). General obesity was defined as body mass index ≥ 30kg/m2 and abdominal obesity was defined with 2 criteria: a) waist circumference (WC) ≥ 102cm in men/WC ≥ 88cm in women, and b) waist-height ratio (WHtR) ≥ 0.55. The magnitude of the association was estimated by logistic regression.

Results: Hypertension showed the strongest association with general obesity in women (OR, 3.01; 95%CI, 2.24-4.04) and with abdominal obesity based on the WHtR criterion in men (OR, 3.65; 95%CI, 2.66-5.01). Hypertriglyceridemia and low levels of high-density lipoprotein cholesterol showed the strongest association with abdominal obesity based on the WHtR criterion in women (OR, 2.49; 95%CI, 1.68-3.67 and OR, 2.70; 95%CI, 1.89-3.86) and with general obesity in men (OR, 2.06; 95%CI, 1.56-2.73 and OR, 1.68; 95%CI, 1.21-2.33). Prediabetes showed the strongest association with abdominal obesity based on the WHtR criterion in women (OR, 2.48; 95%CI, 1.85-3.33) and with abdominal obesity based on the WC criterion in men (OR, 2.33; 95%CI, 1.75-3.08).

Conclusions: Abdominal obesity indicators showed the strongest association with the presence of prediabetes. The association of anthropometric indicators with hypertension and dyslipidemia showed heterogeneous results.

Keywords: Abdominal obesity; Anthropometric measurements; Disorder of lipid metabolism; Estado prediabético; Hipertensión; Hypertension; Medidas antropométricas; Obesidad; Obesidad abdominal; Obesity; Prediabetes; Trastorno del metabolismo de los lípidos.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Anthropometry
  • Cross-Sectional Studies
  • Dyslipidemias / epidemiology
  • Dyslipidemias / etiology*
  • Female
  • Humans
  • Hypertension / epidemiology
  • Hypertension / etiology*
  • Incidence
  • Male
  • Middle Aged
  • Obesity, Abdominal / complications*
  • Obesity, Abdominal / epidemiology
  • Prediabetic State / epidemiology
  • Prediabetic State / etiology*
  • Prognosis
  • Risk Assessment*
  • Risk Factors
  • Spain / epidemiology