Association of Anthropometric Measurement Methods with Cardiovascular Disease Risk in Turkey

Kaan SÖZMEN, Belgin ÜNAL, Sibel SAKARYA, Gönül DİNÇ, Nazan YARDIM, Bekir KESKİNKILIÇ, Gül ERGÖR

Özet

Objective: The aim of this study is to compare the predictive power of anthropometric indices for risk of developing Coronary Heart Disease (CHD) or CHD death.Methods: We used cross-sectional data from nationally representative Chronic Diseases and Risk Factors Survey conducted by the Ministry of Health in 2011. Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist to height ratio (WHtR), body adiposity index (BAI) and A Body Shape Index (ABSI) formed the anthropometric measures. For each participant risk of developing CHD or dying from CVDs were calculated based on Framingham and SCORE risk equations. Predictive ability of anthropometric measurements was assessed by receiver operating characteristic (ROC) curves.Results: Anthropometric measurements of central obesity recorded higher area under the ROC curve (AUC) values than BMI in both men and women. While ABSI had the highest AUC values for Framingham 10-year predicted risk (FRS) for CHD death (AUC = 0.613), SCORE 10-year risk for CVD death (AUC = 0.633), in women AUC for ABSI was the highest for only SCORE risk threshold (AUC = 0.705). Among women, WHtR was found to be the best indicator for estimating CHD incidence (AUC = 0.706) and death from CVD (AUC = 0.696).Conclusion: Compared to traditional anthropometric measurements such as BMI, ABSI was a better indicator for given thresholds for estimating the risk of developing CHD and CVD death in men. Among women WHtR made better predictions for FRS thresholds, however, ABSI was better for predicting 10-year risk of CVD death calculated by SCORE risk equation.Key words: Obesity, Framingham risk score, coronary heart disease

Abstract

Objective: While there are suggestions for oral hydration times after general anesthesia, there is no published study with regard to sedation. The aim of this prospective study was to determine a safe time for oral intake after pediatric sedation and its association with nausea and vomiting after discharge.Methods: A total of 180 children (aged 1 month to 13 years) sedated for magnetic resonance imaging were randomly assigned into three groups. All patients fasted for 6 hours and were allowed to take clear fluids until 2 hours before sedation with thiopental (3 mg/kg). After the patients were transported to the recovery room, we allowed the patients to drink as much clear fluids as they wanted prior to discharge in group I, 1 hour after the patients met the discharge criteria for group II, and 2 hours after the patients met the discharge criteria for group III. All patients were assessed for vomiting in the recovery room until 1 hour after their first oral hydration. The parents were then telephoned the next day and questioned regarding nausea/vomiting and any unanticipated hospital admission.Results: There were no statistically significant intergroup differences with respect to age, sex, weight, or the ASA status. There was no nausea and vomiting in either the recovery or post discharge period in any group. In the telephone questionnaire, no hospital admissions were reported.Conclusion: Oral hydration just before discharge is safe, and fasting children after discharge for a period of time is unnecessary for patients sedated with thiopental.Key words: Sedation, oral intake, postoperative nausea and vomiting