Effects of waist-to-hip ratio on the detection rate of carotid artery plaque in the middle-aged and the elderly
10.3760/cma.j.issn.1008-6315.2017.08.002
- VernacularTitle:中老年人群腰臀比对颈动脉斑块检出率的影响
- Author:
Li ZHANG
;
Chengzhong WU
;
Yongsheng GAO
;
Lei CHEN
;
Liying LIU
;
Yuehui WANG
;
Wei HUANG
;
Junxin SUN
;
Baoxia ZHANG
;
Xiurong LIU
- Keywords:
Waist to ratio(WHR);
Carotid artery plague;
Epidemiologic studies
- From:
Clinical Medicine of China
2017;33(8):677-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of waist-to-hip ratio (WHR) on the formation of carotid plaque in the middle-aged and elderly people.Methods A total of five thousand and ninety-nine participants who have taken physical examination in Tangshan Kailuan Company from June 2010 to October 2011(above 40 years old,no previous history of ischemic stroke,transient ischemic attack,myocardial infarction) were enrolled in this study.Questionnaire survey,blood biochemical and carotid artery ultrasound examination were used to examine the subjects.According to WHR,quartile division was used to divide the subjects into four groups.The detection rates of carotid plaque among the 4 groups were compared.Multivariate logistic regression analysis was used to analyze the factors effecting carotid artery plaques.Results (1) The detection rate of carotid artery plaque increased with the increase of WHR,the rates of the first,second,third and fourth group were 20.7% (571/2 753),21.9% (604/2 753),27.5% (758/2 753) and 29.8% (820/2 753) respectively.The difference was statistically significant(P=0.000).(2) Logistic regression model was used to analyze multiple factors affecting the detection rate of carotid plaque.After the correction of other factors,compared with the first group,the carotid artery plaque detection rate in the second,third,fourth group were all increased,the OR values were 1.23(95%CI:1.10~1.54),1.65(95%CI:1.52~2.13),1.67(95%CI:1.54~2.17),respectively.Conclusion The increased WHR in the middle-aged and elderly population may increase the risk of carotid plaque formation.