Background Symptoms and secondary disorders associated with excess central fat distribution are being increasingly recognised.
We aimed to define the symptoms and assess risks of chronic disorders in people with large waist circumferences.
Methods We did a cross-sectional study of 5887 men and 7018 women aged 20-59 years from the general population of Maastricht, Amsterdam, and Doetinchem, Netherlands.
We assessed in health centres respiratory insufficiency, low back pain, degree of physicical function, presence of non-insulin-dependent diabetes, and cardiovascular risk factors.
We measured bodyweight, body-mass index, and waist circumference by action levels (men : less than action level 1<94.0 cm, action levels 1-2 94.0-101.9 cm, more than action level 2 =102.0 cm ; women : less than action level 1<80.0 cm, action levels 1-2 80.0-87.9 cm) more than action level 2 =88.0 cm).
The reference group were people with waist circumferences lower than action level 1. Findings All symptoms and risks increased among participants higher than action level 2, after adjustment for age and lifestyle, by 3.1 (95% Cl 2.5-3.7) in men and 2.7 (2.3-3.1) in women for shortness of breath when walking upstairs ; 4.5 (2.5-7.8) and 3.8 (1.9-7.3) for non-insulin-dependent diabetes ; and 4.2 (3.6-5.0) and 2.8 (2.4-3.2) for at least one major cardiovascular risk factor. (...)
Mots-clés Pascal : Qualité vie, Santé, Obésité, Abdomen, Biométrie, Hanche, Facteur risque, Indicateur, Pronostic, Homme, Epidémiologie, Pays Bas, Europe, Etat nutritionnel, Trouble nutrition
Mots-clés Pascal anglais : Quality of life, Health, Obesity, Abdomen, Biometrics, Hip, Risk factor, Indicator, Prognosis, Human, Epidemiology, Netherlands, Europe, Nutritional status, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0202975
Code Inist : 002B22B. Création : 11/09/1998.