Evaluation of relationship between type of body shape assessed using waist-to-hip ratio, and occurrence of cardiovascular risk factors in patients with acute coronary syndrome.

Abstract

Introduction and objective: Morbidity due to cardiovascular diseases (CVD), including acute coronary syndrome (ACS) is closely related with the presence of risk factors. Obesity causes changes in body composition and constitutes a CVD risk factor on the population level. The aim of the study is to evaluate the relationship between the type of body shape measured by waist-to-hip ratio (WHR), and the occurrence of cardiovascular risk factors in patients with ACS.

Material and methods: The study included 253 patients with the first event of ACS hospitalized in the 2nd Cardiology Clinic at the Kielce Province Cardiology Centre, Poland, using the following methods: analysis of records, estimation, anthropometric measurements, and laboratory tests.

Results: The analyzed group of males and females was characterized by significantly more frequent occurrence of overweight and obesity with an android body shape. It was also observed that patients with an android body type had a higher concentration of triglycerides in blood plasma. Arterial hypertension and type 2 diabetes also more often concerned patients with an android body type.

Conclusions: The results obtained allow the presumption that the determination of fatty tissue distribution is useful while assessing the risk of carbohydrate and lipid metabolism disorders. Despite the type of body shape determined in a patient it exerts an effect on the change of metabolism, and additionally predisposes to the occurrence of arterial hypertension and type 2 diabetes.