Cardiovascular System

Cardiovascular System

ISSN 2052-4358
Original Research

Obesity indicators by race/ethnicity for diagnosis of cardiometabolic diseases for a US representative sample of adults

Joan A. Vaccaro1* and Fatma G. Huffman1

*Correspondence: Joan A. Vaccaro

Author Affiliations

1. Florida International University, Robert R. Stempel College of Public Health and Social Work, Department of Dietetics and Nutrition, Miami, Florida, USA.


Background: Obesity, a growing epidemic, is a preventable risk factor for cardiometabolic diseases. Obesity and cardiometabolic diseases affect Hispanics and African Americans more than non-Hispanic Caucasians. This study examined the relationship among race/ethnicity, obesity diagnostic measures (body mass index, waist circumference, subscapular and triceps skinfold thickness), and cardiometabolic risk factors (hyperglycemia, high, non-high-density lipoprotein cholesterol, low, high-density lipoprotein cholesterol, and hypertension) for adults across the United States.

Methods: Using data from two-cycles of the National Health and Examination Survey (NHANES) 2007-2010, and accounting for the complex sample design, logistic regression models were conducted comparing obesity indicators in Mexican Americans, other Hispanics, and Black non-Hispanics, with White non-Hispanics and their associations with the presence of cardiometabolic diseases.

Results: Differences by race/ethnicity were found for subscapular skinfold thickness and hyperglycemia. Waist circumference and subscapular skinfold were positively associated with the presence of hyperglycemia; dyslipidemia, and hypertension across race/ ethnicity, adjusting for age, gender, smoking, physical activity, education, income to poverty index, and health insurance. Race/ ethnicity did not influence the association of any obesity indicators with the tested cardiometabolic diseases. All obesity measures except triceps skinfold were associated with hyperglycemia.

Conclusions: We suggest that subscapular skinfold thickness be considered as an inexpensive non-intrusive screening tool for cardiometabolic risk factors in an adult US population.

Keywords: Cardiovascular diseases, diabetes, hyperglycemia, hypertension, dyslipidemia, obesity, skinfold measures, race/ethnicity

ISSN 2052-4358
Volume 1
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