Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd14.160438
Personal Author:
Nichols, Gregory A. ; Horberg, Michael ; Koebnick, Corinna ; Young, Deborah Rohm ; Waitzfelder, Beth ; ... More +
Nichols, Gregory A. ; Horberg, Michael ; Koebnick, Corinna ; Young, Deborah Rohm ; Waitzfelder, Beth ; Sherwood, Nancy E. ; Daley, Matthew F. ; Ferrara, Assiamira ; Less -
Description:
Introduction Various phenotypes of overweight and obesity pose various health risks. The objective of this study was to determine the prevalence of 4 commonly measured cardiometabolic risk factors (CRFs) among adults with overweight or obesity, but not diabetes, at the time of the study. Methods We analyzed data for 1,294,174 adults (aged ≥20 y) who were members of one of 4 integrated health systems. Each cohort member had a body mass index in 2012 or 2013 that indicated overweight or obesity. We determined the presence of 4 CRFs within 1 year of the first BMI measurement: elevated blood pressure (systolic ≥130 mm Hg or diastolic >85 mm Hg or ICD-9-CM [International Classification of Diseases, Ninth Revision, Clinical Modification] diagnosis code 401.0–405.9); elevated triglycerides (≥150 mg/dL or ICD-9-CM 272.1); low high-density lipoprotein cholesterol (<40 mg/dL for men or <50 mg/dL for women or ICD-9-CM 272.5); and prediabetes (fasting glucose 100–125 mg/dL or HbA1c 5.7%–6.4% or ICD-9-CM 790.2x). We tested the risk of having 1 or more CRFs after adjusting for obesity class and demographic characteristics with multivariable logistic regression. Results Among participants with overweight (52.5% of the sample), 18.6% had none of the 4 CRFs. Among the 47.5% of participants with obesity, 9.6% had none; among participants with morbid obesity, 5.8% had none. Age was strongly associated with CRFs in multivariable analysis. Conclusion Almost 10% of participants with obesity had no CRFs. Overweight or obesity increases cardiometabolic risk, but the number and type of CRFs varied substantially by age, even among participants with morbid obesity.
Subject:
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Original Research

Source:
Prev Chronic Dis. 14.
Pubmed ID:
28278130
Pubmed Central ID:
PMC5345964
Document Type:
Journal Article ;
Funding:
P30 DK092924/DK/NIDDK NIH HHS/United States ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:83d1e60a569350958a8c1dc744a6270d9853d53774341e130f4b1c9b9ae7cd3a
File Type:

Supporting Files

• 	PCD-14-E22.nxml	xml
  	PCD-14-E22s01.gif	gif
  	PCD-14-E22s01.jpg	jpeg

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