IHHP Article: A study of the prevalence of metabolic risk factors of cardiovascular disease in people with anthropometric obesity in areas of central Iran (Isfahan Healthy Heart Program)
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A study of the prevalence of metabolic risk factors of cardiovascular disease in people with anthropometric obesity in areas of central Iran (Isfahan Healthy Heart Program)

Rezvan Ansari, Abdolmehdi Baghayi, Alireza Khosravi, Mojgan Gharipour

Introduction
Obesity has been shown to play an important role in the clustering of CHD risk factors in patients. Obesity and overweight are evaluated by BMI, WC, WHpR and WHtR. This study investigates the relationship between anthropometric obesity and cardiovascular disease.

Materials and methods
This cross-sectional study was conducted on 12514 subjects (men and women) aged ≥ 19 years selected by multi-stage stratified cluster sampling. Personal, demographic and lifestyle information was obtained. Weight, height, waist and hip circumferences and blood pressure were measured. Serum lipids, lipoproteins, and fasting blood sugar were measured.

Results
All of the patients with metabolic syndrome in this study had hypertension and obesity (P<0.05). Half of the patients had one metabolic syndrome component, such as diabetes, hypercholesterolemia and hypertension (P<0.05). More than 60% of patients with metabolic syndrome had WHpR obesity.

Conclusion
The high prevalence of CVD risk factors in obese subjects highlights the need for obesity prevention and management. The results of this study showed that metabolic CVD risk factors such as dyslipidemia, hypertension and diabetes increase with BMI. A higher prevalence of diabetes, hypertension, and hypercholesterolemia was seen in women with increased BMI (P<0.05). There was a significant difference between the prevalence of obesity as evaluated by WHpR and WHtR (P<0.05).

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