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Integr Obes Diabetes. 2015 May;1(3):49-55. Epub 2015 May 25.

Relationship between obesity and coronary heart disease among urban Bangladeshi men and women.

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Graduate Group in Epidemiology, University of California, Davis, CA, USA ; International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh ; Program in International and Community Nutrition, University of California, Davis, CA, USA.
Department of Public Health Sciences, University of California, Davis, CA, USA.
Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Program in International and Community Nutrition, University of California, Davis, CA, USA.


The aim of the study was to examine the association of different measures of obesity (body mass index or BMI, waist circumference or WC, waist to hip ratio or WHR and waist height ratio or WHtR) with coronary heart disease (CHD) in a Bangladeshi population. The study included 189 hospitalized CHD cases (133 men and 52 women) and 201 controls (137 men and 68 women). Logistic regression was done to assess the associations between obesity and CHD. The mean age was 53.1 ± 8.3 for men and 51.9 ± 8.4 for women. After adjustment for confounders the odds ratio (OR) of CHD for men was 1.69 (95% CI, 1.24-2.32), 1.94 (95% CI 1.40-2.70), and 1.32 (95% CI, 1.01-2.16) per 1 standard deviation (SD) increase in BMI, WC, and WHtR respectively. The OR for women was 2.64 (CI, 1.61-4.34), 1.82 (95% CI 1.12-2.95), 2.32 (95% CI, 1.36-3.96), and 1.94 (95% CI, 1.23-3.07) per 1 SD increase in BMI, WC, WHtR and WHR respectively. Since both total obesity and abdominal adiposity were associated with development of CHD and since measurement of WC and BMI are inexpensive, both should be included in the clinical setting for CHD risk assessment for this group of population.


body mass index; coronary heart disease; obesity; waist circumference


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