The Effects of Obesity-Related Anthropometric Factors on Cardiovascular Risks of Homeless Adults in Taiwan

Homelessness is a pre-existing phenomenon in society and an important public health issue that national policy strives to solve. Cardiovascular disease (CVD) is an important health problem of the homeless. This cross-sectional study explored the effects of four obesity-related anthropometric factors...

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Veröffentlicht in:International journal of environmental research and public health 2020-09, Vol.17 (18), p.6833
Hauptverfasser: Chen, Ching-Lin, Chen, Mingchih, Liu, Chih-Kuang
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creator Chen, Ching-Lin
Chen, Mingchih
Liu, Chih-Kuang
description Homelessness is a pre-existing phenomenon in society and an important public health issue that national policy strives to solve. Cardiovascular disease (CVD) is an important health problem of the homeless. This cross-sectional study explored the effects of four obesity-related anthropometric factors-body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR)-on cardiovascular disease risks (expressed by three CVD markers: hypertension, hyperglycemia, and hyperlipidemia) among homeless adults in Taipei and compared the relevant results with ordinary adults in Taiwan. The research team sampled homeless adults over the age of 20 in Taipei City in 2018 and collected 297 participants. Through anthropometric measurements, blood pressure measurements, and blood tests, we calculated the obesity-related indicators of the participants and found those at risks of cardiovascular disease. The results showed that the prevalence of hypertension, hyperglycemia, and hyperlipidemia in homeless adults was significantly higher than that of ordinary adults in Taiwan. Among the four obesity-related indicators, WHtR showed the strongest association with the prevalence of hypertension and hyperlipidemia, followed by WHR, both of which showed stronger association than traditional WC and BMI indicators. It can be inferred that abdominal obesity characterized by WHtR is a key risk factor for hypertension and hyperlipidemia in homeless adults in Taiwan. We hope that the results will provide medical clinical references and effectively warn of cardiovascular disease risks for the homeless in Taiwan.
doi_str_mv 10.3390/ijerph17186833
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Among the four obesity-related indicators, WHtR showed the strongest association with the prevalence of hypertension and hyperlipidemia, followed by WHR, both of which showed stronger association than traditional WC and BMI indicators. It can be inferred that abdominal obesity characterized by WHtR is a key risk factor for hypertension and hyperlipidemia in homeless adults in Taiwan. 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subjects Adult
Adults
Anthropometry
Blood pressure
Body fat
Body mass
Body Mass Index
Body size
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cross-Sectional Studies
Female
Health risks
Heart Disease Risk Factors
Homeless people
Homeless Persons
Homelessness
Humans
Hyperglycemia
Hyperlipidemia
Hypertension
Indicators
Male
Middle Aged
Mortality
Obesity
Obesity - complications
Obesity - epidemiology
Public health
Risk Factors
Taiwan
Waist Circumference
Waist-Hip Ratio
title The Effects of Obesity-Related Anthropometric Factors on Cardiovascular Risks of Homeless Adults in Taiwan
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