The Role of Modifying Risk Factors as Well as Body Mass Index, Waist Circumference and Hip to Waist Ratio as Anthropometric Indicators and Parameters of Obesity in the Occurence of Stroke.

Merita Tiric-Campara, Edina Djozic, Suljo Kunic, Amra Salkic, Amel Amidzic, Amira Skopljak
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Abstract

Background: Evaluated values of body mass index (BMI), waist circumeference (WC) and waist-to-hip ratio (WHR) increase the risk of stroke, but the extent to which this is mediated by hypertension, diabetes, lipid status, smoking and alcohol consumption is not fully understood.

Objective: The aim of this research is to examine the influence of modifying and non-modifying factors as well as obesity defined through BMI, WC and WHR on the occurrence of stroke.

Methods: A total of 440 subjects were included in the cohort divided in to two groups. The first group were patients with stroke and another without stroke. We investigate modifable factor for stroke (hypertension (HTA), lipid status, diabetes mellitus (DM), smoking, alcohol consumption, educational status) as well as WHR, BMI and WC as determinants for obesitiy.

Results: The majority of respondents in both groups had a secondary level of education. Smoking and alcohol consumption were slightly more prevalent in the group without stroke, while HTA and DM were slightly more prevalent in the group with stroke, but without a statistically significant difference. The largest number of respodents without stroke had HDL cholesterol values in the range of optimal >1.5, 70.9%, while 35.5% of respodents with stroke had values in the risk range, as well as 32.3% in the high risk range. LDL cholesterol values were on average statistically significantly higher in the group of respodents with stroke - 3.77±1.29 compared to the values in respodents without stroke - 3.20±1.20. The largest WC had patients with a hemorrhagic stroke 96.4 ± 15.5 cm. The average BMI was slightly higher in the group of patients with embolic stroke (28.5 ± 2.8) compared to patients with hemorrhagic stroke (28.4 ± 5.9) and thrombotic stroke (28.1 ± 4, 2). WHR was almost identical in all three types of stroke.

Conclusion: There is correlation between modifable risk factor and obesity in stroke occurence.

修正危险因素以及体重指数、腰围和臀腰比作为肥胖的人体测量指标和参数在卒中发生中的作用
背景:身体质量指数(BMI)、腰围(WC)和腰臀比(WHR)的评估值会增加卒中的风险,但高血压、糖尿病、血脂状况、吸烟和饮酒在多大程度上介导了卒中的风险尚不完全清楚。目的:本研究旨在探讨修正性和非修正性因素以及BMI、WC和WHR定义的肥胖对脑卒中发生的影响。方法:将440名受试者纳入队列,分为两组。第一组是中风患者,另一组没有中风。我们研究了中风的可改变因素(高血压(HTA)、血脂状况、糖尿病(DM)、吸烟、饮酒、教育状况)以及WHR、BMI和WC作为肥胖的决定因素。结果:两组中的大多数受访者都具有中等教育水平。吸烟和饮酒在没有中风的组中略显普遍,而HTA和DM在中风的组中略显普遍,但没有统计学上的显著差异。未卒中的受访者中HDL胆固醇值在最佳bbb1.5范围内的人数最多,为70.9%,而卒中的受访者中有35.5%的人处于危险范围内,32.3%的人处于高危范围。低密度脂蛋白胆固醇水平在卒中组(3.77±1.29)高于非卒中组(3.20±1.20)。出血性卒中患者最大腰围为96.4±15.5 cm。栓塞性脑卒中组的平均BMI(28.5±2.8)略高于出血性脑卒中组(28.4±5.9)和血栓性脑卒中组(28.1±4.2)。三种脑卒中类型的WHR几乎相同。结论:肥胖与脑卒中的发生存在相关性。
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