Association between Waist hip ratio and risk of acute ischemic stroke in shanghai elderly population
- VernacularTitle:上海老年人群腰臀比与急性缺血性脑卒中发生风险研究
- Author:
Hengqu WU
1
;
Linyan ZHOU
1
;
Liqing ZHOU
1
Author Information
- Publication Type:Journal Article
- Keywords: Ischemic stroke; Waist to hip ratio ; Elderly population;Multivariate analysis
- From: Journal of Apoplexy and Nervous Diseases 2021;38(9):833-837
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the relationship between waist-hip ratio (WHR) and the risk of acute ischemic stroke (AIS) in elderly population and its clinical significance.Methods Demographic information,disease diagnosis and blood biochemical data of 8375 residents who were followed up in Huamu Community in 2019 were retrospectively analyzed. Patients were divided into AIS group(506 cases)and non AIS group(7869 cases)according to whether residents had newly developed AIS during the follow up period. The data between the two groups were compared to analyze the correlation between WHR and AIS. Multivariate binary Logistic regression was used to analyze the influence of WHR on the risk of AIS.Results In this study,the percentages of residents in the AIS group and non-AIS group were 6.04% (506/8375) and 93.96%(7869/8375) respectively. Mean WHR of residents in the AIS group and non-AIS group was(0.91±0.07)and (0.90±0.07)respectively,and the difference between the two groups was statistically significant(t=2.715,P=0.007).There were statistical differences in age,BMI,waist circumference,WHR,meat diet,hypertension,diabetes,coronary heart disease,serum creatinine,low density lipoprotein and total cholesterol between 2 groups(P<0.05).There were no significant differences in gender,systolic blood pressure,diastolic blood pressure,hip circumference,smoking history,drinking history,atrial fibrillation,platelets,hemoglobin,serum glutamic pyruvic transaminase,blood urea nitrogen,fasting blood glucose,high density lipoprotein and triglyceride between the two groups (P>0.05).The correlation between WHR and AIS risk[OR(95%CI)P]was 5.07(1.31,19.57) 0.018 before,and 4.34 (1.08,17.39)0.038 after adjusting for confounding factors.Conclusions Elevated WHR increases the risk of AIS in elderly population.These findings have certain significance for advocating weight control and prevention of cerebrovascular diseases in elderly population.
- Full text:2024072910572313447Association between Waist hip ratio and risk of acute ischemic stroke in shanghai elderly population.pdf