TITLE

Overweight Associated with Increased Risk of Erosive Esophagitis in a Non-Obese Taiwanese Population

AUTHOR(S)
Chih, Pei-Chi; Yang, Yi-Ching; Wu, Jin-Shang; Chang, Yin-Fan; Lu, Feng-Hwa; Chang, Chih-Jen
PUB. DATE
November 2013
SOURCE
PLoS ONE;Nov2013, Vol. 8 Issue 11, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To investigate the relationship between overweight and erosive esophagitis (EE) in a non-obese Taiwanese population. Design and Methods: A total of 7,352 subjects (non-obese, 5,826; obese, 1,526) from a health examination center at National Cheng Kung University Hospital were enrolled. Central obesity was defined by a waist circumference (WC) ≥90 cm in male and 80 cm in female. Overweight was defined as body mass index (BMI) of 24–26.9 kg/m2, and general obesity as BMI ≥27 kg/m2. The Los Angeles classification was adopted to determine the presence of EE. Results: There were significant differences in the prevalence of central obesity and different BMI status between subjects with and without EE in total and non-obese population. In total population, multivariate analyses revealed central obesity (OR, 1.17, 95% CI, 1.02–1.34, p = 0.021) and being obese (OR, 1.28, 95% CI, 1.07–1.52, p = 0.007)/overweight (OR, 1.25, 95% CI, 1.08–1.45, p = 0.003) had positive associations with EE in different model, respectively. When considering the joint effect of central obesity and BMI status, overweight (OR, 1.22; 95% CI, 1.04–1.44; p = 0.016) remained as an independent associated factor of EE but central obesity (OR, 1.06; 95% CI, 0.89–1.26; p = 0.549)/being obese (OR, 1.22; 95% CI, 0.98–1.53; p = 0.082) did not. As for non-obese group, separate model showed central obesity (OR, 1.19, 95% CI, 1.00–1.40, p = 0.046) and overweight (OR, 1.24; 95% CI, 1.07–1.44, p = 0.005) was positively associated with EE, respectively. However, being overweight (OR, 1.20; 95% CI, 1.02–1.42, p = 0.030) but not central obesity (OR, 1.08; 95% CI, 0.90–1.31; p = 0.398) was positively related to EE with considering the effect of overweight and central obesity simultaneously. Conclusion: Overweight effect on EE was more detrimental than central obesity in non-obese subjects. In addition, male gender, hiatus hernia and alcohol use were also associated with increased risk of EE.
ACCESSION #
92668755

 

Related Articles

  • Appropriate Body Mass Index and Waist Circumference Cutoffs for Categorization of Overweight and Central Adiposity among Uighur Adults in Xinjiang. Pan, Shuo; Yu, Zi-Xiang; Ma, Yi-Tong; Liu, Fen; Yang, Yi-Ning; Ma, Xiang; Fu, Zhen-Yan; Li, Xiao-Mei; Xie, Xiang; Chen, You; Chen, Bangdang; He, Chun-Hui // PLoS ONE;Nov2013, Vol. 8 Issue 11, p1 

    Objective:The current overweight and central adiposity guidelines based on Western populations were not consistent with many studied based on the Asian populations. Uighur people live in Xinjiang Uighur Autonomous Region which is located in the center of Asia. Their overweight and central...

  • Ability of body mass index to predict abnormal waist circumference: receiving operating characteristics analysis. Lauria, Márcio Weissheimer; Pinheiro Moreira, Lívia Maria; Lins Machado-Coelho, George Luiz; Do Nascimento Neto, Raimundo Marques; Sarquis Soares, Maria Marta; Ramos, Adauto Versiani // Diabetology & Metabolic Syndrome;2013, Vol. 5 Issue 1, p2 

    Background Body mass index (BMI) and waist circumference (WC) are the most used anthropometric measures to identify obesity. While BMI is considered to be a simple and accurate estimate of general adiposity, WC is an alternative surrogate measure of visceral obesity. However, WC is subject to...

  • Add Waist-to-Height Ratio.  // School Health Alert;Dec2012, Vol. 28 Issue 4, p5 

    The article offers information on the study regarding the use of waist circumference (WC) and waist-to-height ratio (WHtR) measures of elementary school children in the evaluation of health policies of school. It states that WC and WHtR were used an alternative to body mass index (BMI) which is...

  • Prevalence of obesity and associated cardiovascular risk: the DARIOS study. Javier Félix-Redondo, Francisco; Grau, María; Baena-Díez, José Miguel; Dégano, Irene R.; de León, Antonio Cabrera; Guembe, Maria Jesús; Alzamora, María Teresa; Vega-Alonso, Tomás; Robles, Nicolás R.; Ortiz, Honorato; Rigo, Fernando; Mayoral-Sanchez, Eduardo; Tormo, Maria José; Segura-Fragoso, Antonio; Fernández-Bergés, Daniel // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: To estimate the prevalence of overweight and obesity in the Spanish population as measured with body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR) and to determine the associated cardiovascular risk factors. Methods: Pooled analysis with individual data...

  • Comparison of Body Mass Index (BMI), Body Adiposity Index (BAI), Waist Circumference (WC), Waist-To-Hip Ratio (WHR) and Waist-To-Height Ratio (WHtR) as Predictors of Cardiovascular Disease Risk Factors in an Adult Population in Singapore. Lam, Benjamin Chih Chiang; Koh, Gerald Choon Huat; Chen, Cynthia; Wong, Michael Tack Keong; Fallows, Stephen J. // PLoS ONE;Apr2015, Vol. 10 Issue 4, p1 

    Background: Excess adiposity is associated with cardiovascular disease (CVD) risk factors such as hypertension, diabetes mellitus and dyslipidemia. Amongst the various measures of adiposity, the best one to help predict these risk factors remains contentious. A novel index of adiposity, the...

  • Body mass index (BMI), waist circumference (WC) and obesity in the resident adults of Raipur District (Chhattisgarh state: India). Singh, Varsha; Sahu, Meena; Yadav, Somnath; Harris, K. K. // Journal of Phytology;2012, Vol. 4 Issue 3, p33 

    Obesity is a medical condition characterized by accumulation of excess body fat leading to negative health consequences and reduced life expectancy. The latter could be attributed to various diseases, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea,...

  • A Population Based Study of Overweight and Obesity in Urban Southern India. Kambar, Sanjay; Kavi, Avinash; Chingale, Ashwini; Purohit, Poornima; Praveen, G. S. // Indian Journal of Preventive Medicine;Jan-Jun2014, Vol. 2 Issue 1, p15 

    Background: Overweight and Obesity though not an immediate lethal disease by itself is a significant risk factor associated with a range of serious non-communicable diseases. Worldwide, overweight and obesity cause more deaths than underweight. Transition of lifestyle due to rapid urbanization...

  • Am I really overweight? Phelps, Kerryn // Australian Women's Weekly;Nov2011, Vol. 81 Issue 11, p195 

    The article discusses how a person will know if he or she is overweight or obese. Some health risks related to obesity are heart disease, back pain and reduced fertility. The author describes the visual way of determining if a person has gained weight. Tips on how to calculate a person's body...

  • Belly Fat Can Double Risk of Death in CAD Patients.  // Today's Dietitian;Jun2011, Vol. 13 Issue 6, p52 

    No abstract available.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics