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Patients
And Doctors Unaware Of Waist
Size Relationship To Heart Disease Risk
Patients, and even some doctors, are unaware that abdominal fat
and waist circumference are important risk factors for heart disease
which kills 17 million people worldwide each year.
An international survey recently released showed that only a
minority of patients and about 60 percent of doctors know that
a bigger waist size raises their odds of having a heart attack.
"Waist circumference is a very important measure for cardiovascular
risk," said Professor Sidney Smith, of the Geneva-based World
Heart Federation (WHF).
"Measuring waist circumference is an easy, low cost indicator
that should be added to measurements of other cardiovascular risk
factors such as blood pressure, lipid levels and blood glucose,"
he added in a statement.
A waist size of 88 centimetres (35 inches) for women and 102
centimetres (40 inches) for men in North America puts them in
the high risk category for heart disease.
The figures are slightly lower for people living in Central and
Latin America, the Middle East, India and Asia at 80 cm for women
and 90 for men. In Japan the high risk category is 90 cm for men
and 85 for men and 80 cm for women and 94 for men in the rest
of the world.
Waist measures differ to take into account physique and lifestyle
differences around the world.
About 11,077 people in 27 countries were questioned in the poll
to assess their knowledge about cardiovascular disease, one of
the biggest killers in the industrialized world.
Smith said the findings show the need for more education to increase
awareness. People know that being overweight or obese increase
the odds of heart disease and stroke but where the fat is deposited
is important.
Being overweight or obese is calculated by using body mass index
(BMI) -- dividing weight in kilograms by height in metres squared.
A BMI of more than 25 is overweight. Above 30 is considered obese.
But weight around the middle, or abdominal obesity, has been
shown to be a more accurate indicator because it is also linked
to other risk factors for heart disease including high cholesterol,
type 2 diabetes and raised blood pressure.
More than half of the patients at risk of heart disease said
they have never been informed by their doctors about the link
between abdominal fat and raised heart disease risk.
About one in eight men and one in 17 women will die from cardiovascular
disease before the age of 65, according to European cardiovascular
disease statistics.
Calculate
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Reference
Source 89
September
20, 2005
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