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ISRN Obes. 2013 Jan 15;2013:895687. doi: 10.1155/2013/895687. eCollection 2013.

Central adiposity and subclinical cardiovascular disease in police officers.

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1
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA ; Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
2
Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
3
The University of Chicago Comprehensive Cancer Center, The University of Chicago, Chicago, IL 60637, USA.
4
Department of Social and Preventive Medicine, School of Public Health and Health Professions, The State University of New York at Buffalo, Buffalo, NY 14214, USA.

Abstract

Given the associations between obesity and cardiovascular disease (CVD), we evaluated a related but less well-established association between waist circumference and brachial artery reactivity (BAR), a functional measurement of subclinical CVD, where lower levels indicate dysfunction. Regression models examined trends in mean BAR across waist circumference tertiles in police officers, a high-stress occupational group with increased risk for CVD. Mean BAR decreased across increasing waist tertiles among men, but not women, and this association was stronger among officers who consumed more alcohol. Larger waist circumference may be associated with lower BAR, providing an opportunity for intervention prior to disease development.

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