Abstract

The aim of this study was to determine the associations between cardiovascular health and the waist circumference (WC) and waist-to-height ratio (WHtR). A cross-sectional study was performed recruiting 26701 middle-aged Chinese men. Of the seven ideal cardiovascular health metrics, body mass index (BMI), total cholesterol (TC), blood pressure (BP), and fasting blood glucose (FBG) were found to increase with an elevation of the mean WC and WHtR. The mean WC and WHtR were significantly lower in the subjects with intermediate or ideal cardiovascular health than those with poor or intermediate health. After adjustment for age, the mean WC and WHtR decreased by 1.486 cm and 0.009 per 1-point increase in the cardiovascular health score, and 2.242 cm and 0.013 per 1-point increase in the number of ideal cardiovascular health metrics, respectively. The cardiovascular health score was negatively correlated with the WC (r = −0.387) and WHtR (r = −0.400), while the number of ideal cardiovascular health metrics was negatively associated with the WC (r = −0.384) and WHtR (r = −0.395). The cardiovascular health is correlated negatively with the WC and WHtR, and a stronger correlation existed between the cardiovascular health and WHtR than WC.

Highlights

  • Since ideal cardiovascular health was first proposed and defined by the American Heart Association (AHA) in 2010, the prevalence of ideal cardiovascular health has been reported worldwide; the cardiovascular health metrics and scores vary as a function of country, race, region, economy, and lifestyle[8,9,13,14,15,16]

  • We found that 132 of 26701 middle-aged Chinese men (0.5%) exhibited ideal levels of all seven cardiovascular health metrics, and 595 subjects (2.2%) had 0 ideal health metrics

  • The total cholesterol (TC) (69.0%) and FBG (67.4%) had the highest proportion of ideal levels, while salt intake (15.7%) and blood pressure (BP) (22.8%) showed the lowest percentage of ideal levels, which was similar to the previous studies reporting a daily salt intake of >​12 g per person in most areas of China[17,18]

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Summary

Objectives

The aim of this study was to determine the associations between cardiovascular health and the waist circumference (WC) and waist-to-height ratio (WHtR)

Methods
Results
Conclusion
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