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BACKGROUND Several investigators have concluded that the waist-to-height ratio is more strongly associated with cardiovascular disease risk factors than is the body mass index (BMI; in kg/m(2)). OBJECTIVES We examined the relation of the BMI-for-age z score and waist-to-height ratio to risk factors (lipids, fasting insulin, and blood pressures). We also(More)
OBJECTIVE To investigate a reported association between dental disease and risk of coronary heart disease. SETTING National sample of American adults who participated in a health examination survey in the early 1970s. DESIGN Prospective cohort study in which participants underwent a standard dental examination at baseline and were followed up to 1987.(More)
BACKGROUND Body mass index (BMI, kg/m2) may not be the best marker for estimating the risk of obesity-related disease. Consistent with physiologic observations, an alternative index uses waist circumference (WC) and fasting triglycerides (TG) concentration to describe lipid overaccumulation. METHODS The WC (estimated population minimum 65 cm for men and(More)
We examined the 10-y change in body mass index (BMI, in kg/m2) of black and white adults who entered the First National Health and Nutrition Examination Survey Epidemiologic Followup Study at ages 25-44 y. In women the mean change in BMI was greater for blacks than for whites despite multiple adjustments. However, the risk of major weight gain (MWG; BMI(More)
OBJECTIVE Determine whether waist-to-height ratio (WHtR) or sex- and age-specific percentiles of body mass index (BMI) better identifies cardiovascular risk. STUDY DESIGN The third National Health and Nutrition Examination Survey (NHANES III) provided measurements on 7657 participants statistically weighted to represent 50.05 million youth 4 to 17 years(More)
BACKGROUND Simple prediction scores could help identify adults at high risk for diabetes. OBJECTIVE To derive and validate scoring systems by using longitudinal data from a study that repeatedly tested for incident diabetes. DESIGN Prospective cohort, divided into derivation and validation samples. SETTING The ARIC (Atherosclerosis Risk in(More)
BACKGROUND Liver steatosis is often found in association with common cardiometabolic disorders, conditions that may all occur in a shared context of abdominal obesity and dyslipidemia. An algorithm for identifying liver steatosis is the fatty liver index (FLI). The lipid accumulation product (LAP) is an index formulated in a representative sample of the US(More)
BACKGROUND The prevalence of overweight among Black women in the US is higher than among White women, but the causes are unknown. METHODS We examined the weight change for 514 Black and 2,770 White women who entered the first Health and Nutrtion Examination Survey (1971-75) at ages 25-44 years and were weighed again a decade later. We used multivariate(More)
OBJECTIVE To examine the health-related behaviors of women physicians compared with those of other women of high and not high socioeconomic status and with national goals. METHODS We examined the results of a questionnaire-based survey of a stratified random sample, the Women Physicians' Health Study, and a US telephone survey (Behavioral Risk Factor(More)
G aining weight is associated with diabetes risk (1–3). It may be, however , that gaining lipid is associated more specifically with the development of insulin resistance, pancreatic exhaustion, and diabetes. According to a current pathophysiological model, when available fuels exceed the adipose tissue's capacity for buffering and safe storage, lipid will(More)