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Published in: BMC Complementary Medicine and Therapies 1/2016

Open Access 01-12-2016 | Research article

Predictors of metabolic abnormalities in phenotypes that combined anthropometric indices and triglycerides

Authors: Bum Ju Lee, Jiho Nam, Jong Yeol Kim

Published in: BMC Complementary Medicine and Therapies | Issue 1/2016

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Abstract

Background

The hypertriglyceridemic waist (HW) phenotype has been shown to be strongly associated with metabolic abnormalities; however, to date, no study has reported the prediction of metabolic abnormalities using the HW phenotype along with waist circumference (WC) and the triglyceride (TG) level or various phenotypes consisting of an individual anthropometric index combined with the TG level. The objectives of this study were to assess the association of the HW phenotype with metabolic abnormalities in Korean women and to evaluate the predictive powers of various phenotypes with regard to metabolic abnormalities.

Methods

Total cholesterol (TC), high- and low-density lipoprotein (HDL and LDL) cholesterol, and TG levels, systolic and diastolic blood pressures (SBP and DBP), and anthropometric indices were measured in 7661 women. The Naive Bayes algorithm and logistic regression were used to determine the predictive powers of the models using different phenotypes.

Results

The HW phenotype demonstrated the strongest association with all metabolic components. The best phenotypic predictors were the forehead-to-rib circumference ratio + TG for the HDL level, age + TG for the LDL level, age + TG for SBP, and rib circumference + TG and neck circumference + TG for DBP. The associations between TG and TC or HDL were higher compared with those between WC and TC or HDL, whereas the associations between WC and SBP or DBP were higher compared with those between TG and SBP or DBP. Age was strongly associated with hypercholesterolemia, the HDL and LDL cholesterol levels, and SBP and had good predictive power, but not with respect to DBP.

Conclusions

We have determined that the HW phenotype is a useful indicator of metabolic abnormalities in Korean women; although HW had the strongest association with metabolic abnormalities, the best phenotype combination consisting of a single anthropometric index and the TG level may differ depending on the metabolic factors in question. Our findings provide insights into the detection of metabolic abnormalities in complementary and alternative medicine.
Literature
1.
go back to reference Alavian SM, Motlagh ME, Ardalan G, Motaghian M, Davarpanah AH, Kelishadi R. Hypertriglyceridemic waist phenotype and associated lifestyle factors in a national population of youths: CASPIAN Study. J Trop Pediatr. 2008;54:169–77.CrossRefPubMed Alavian SM, Motlagh ME, Ardalan G, Motaghian M, Davarpanah AH, Kelishadi R. Hypertriglyceridemic waist phenotype and associated lifestyle factors in a national population of youths: CASPIAN Study. J Trop Pediatr. 2008;54:169–77.CrossRefPubMed
2.
go back to reference Arsenault BJ, Lemieux I, Després JP, Wareham NJ, Kastelein JJ, Khaw KT, et al. The hypertriglyceridemic-waist phenotype and the risk of coronary artery disease: results from the EPIC-Norfolk prospective population study. CMAJ. 2010;182:1427–32.CrossRefPubMedPubMedCentral Arsenault BJ, Lemieux I, Després JP, Wareham NJ, Kastelein JJ, Khaw KT, et al. The hypertriglyceridemic-waist phenotype and the risk of coronary artery disease: results from the EPIC-Norfolk prospective population study. CMAJ. 2010;182:1427–32.CrossRefPubMedPubMedCentral
3.
go back to reference Amini M, Esmaillzadeh A, Sadeghi M, Mehvarifar N, Amini M, Zare M. The association of hypertriglyceridemic waist phenotype with type 2 diabetes mellitus among individuals with first relative history of diabetes. J Res Med Sci. 2011;16:156–64.PubMedPubMedCentral Amini M, Esmaillzadeh A, Sadeghi M, Mehvarifar N, Amini M, Zare M. The association of hypertriglyceridemic waist phenotype with type 2 diabetes mellitus among individuals with first relative history of diabetes. J Res Med Sci. 2011;16:156–64.PubMedPubMedCentral
4.
go back to reference Esmaillzadeh A, Mirmiran P, Azizi F. Clustering of metabolic abnormalities in adolescents with the hypertriglyceridemic waist phenotype. Am J Clin Nutr. 2006;83:36–46.PubMed Esmaillzadeh A, Mirmiran P, Azizi F. Clustering of metabolic abnormalities in adolescents with the hypertriglyceridemic waist phenotype. Am J Clin Nutr. 2006;83:36–46.PubMed
5.
go back to reference Hiura Y, Acklin F, Newman J, Steinbeck K, Caterson ID, Mahajan D, et al. Hypertriglyceridemic waist as a screening tool for CVD risk in indigenous Australian women. Ethn Dis. 2003;13:80–4.PubMed Hiura Y, Acklin F, Newman J, Steinbeck K, Caterson ID, Mahajan D, et al. Hypertriglyceridemic waist as a screening tool for CVD risk in indigenous Australian women. Ethn Dis. 2003;13:80–4.PubMed
6.
go back to reference de Graaf FR, Schuijf JD, Scholte AJ, Djaberi R, van Velzen JE, Roos CJ, et al. Usefulness of hypertriglyceridemic waist phenotype in type 2 diabetes mellitus to predict the presence of coronary artery disease as assessed by computed tomographic coronary angiography. Am J Cardiol. 2010;106:1747–53.CrossRefPubMed de Graaf FR, Schuijf JD, Scholte AJ, Djaberi R, van Velzen JE, Roos CJ, et al. Usefulness of hypertriglyceridemic waist phenotype in type 2 diabetes mellitus to predict the presence of coronary artery disease as assessed by computed tomographic coronary angiography. Am J Cardiol. 2010;106:1747–53.CrossRefPubMed
7.
go back to reference Yu D, Huang J, Hu D, Chen J, Cao J, Li J. Is an appropriate cutoff of hypertriglyceridemic waist designated for type 2 diabetes among Chinese adults? Clin Nutr. 2010;29:192–8.CrossRefPubMed Yu D, Huang J, Hu D, Chen J, Cao J, Li J. Is an appropriate cutoff of hypertriglyceridemic waist designated for type 2 diabetes among Chinese adults? Clin Nutr. 2010;29:192–8.CrossRefPubMed
8.
go back to reference Czernichow S, Bruckert E, Bertrais S, Galan P, Hercberg S, Oppert JM. Hypertriglyceridemic waist and 7.5-year prospective risk of cardiovascular disease in asymptomatic middle-aged men. Int J Obes (Lond). 2007;31:791–6. Czernichow S, Bruckert E, Bertrais S, Galan P, Hercberg S, Oppert JM. Hypertriglyceridemic waist and 7.5-year prospective risk of cardiovascular disease in asymptomatic middle-aged men. Int J Obes (Lond). 2007;31:791–6.
9.
go back to reference St-Pierre J, Lemieux I, Perron P, Brisson D, Santuré M, Vohl MC, et al. Relation of the “hypertriglyceridemic waist” phenotype to earlier manifestations of coronary artery disease in patients with glucose intolerance and type 2 diabetes mellitus. Am J Cardiol. 2007;99:369–73.CrossRefPubMed St-Pierre J, Lemieux I, Perron P, Brisson D, Santuré M, Vohl MC, et al. Relation of the “hypertriglyceridemic waist” phenotype to earlier manifestations of coronary artery disease in patients with glucose intolerance and type 2 diabetes mellitus. Am J Cardiol. 2007;99:369–73.CrossRefPubMed
10.
go back to reference Gazi IF, Filippatos TD, Tsimihodimos V, Saougos VG, Liberopoulos EN, Mikhailidis DP, et al. The hypertriglyceridemic waist phenotype is a predictor of elevated levels of small, dense LDL cholesterol. Lipids. 2006;41:647–54.CrossRefPubMed Gazi IF, Filippatos TD, Tsimihodimos V, Saougos VG, Liberopoulos EN, Mikhailidis DP, et al. The hypertriglyceridemic waist phenotype is a predictor of elevated levels of small, dense LDL cholesterol. Lipids. 2006;41:647–54.CrossRefPubMed
11.
go back to reference Lemieux I, Pascot A, Couillard C, Lamarche B, Tchernof A, Alméras N, et al. Hypertriglyceridemic waist: A marker of the atherogenic metabolic triad (hyperinsulinemia; hyperapolipoprotein B; small, dense LDL) in men? Circulation. 2000;102:179–84.CrossRefPubMed Lemieux I, Pascot A, Couillard C, Lamarche B, Tchernof A, Alméras N, et al. Hypertriglyceridemic waist: A marker of the atherogenic metabolic triad (hyperinsulinemia; hyperapolipoprotein B; small, dense LDL) in men? Circulation. 2000;102:179–84.CrossRefPubMed
12.
go back to reference Gomez-Huelgas R, Bernal-López MR, Villalobos A, Mancera-Romero J, Baca-Osorio AJ, Jansen S, et al. Hypertriglyceridemic waist: an alternative to the metabolic syndrome? Results of the IMAP Study (multidisciplinary intervention in primary care). Int J Obes (Lond). 2011;35:292–9.CrossRef Gomez-Huelgas R, Bernal-López MR, Villalobos A, Mancera-Romero J, Baca-Osorio AJ, Jansen S, et al. Hypertriglyceridemic waist: an alternative to the metabolic syndrome? Results of the IMAP Study (multidisciplinary intervention in primary care). Int J Obes (Lond). 2011;35:292–9.CrossRef
13.
go back to reference Blackburn P, Lemieux I, Alméras N, Bergeron J, Côté M, Tremblay A, et al. The hypertriglyceridemic waist phenotype versus the National Cholesterol Education Program-Adult Treatment Panel III and International Diabetes Federation clinical criteria to identify high-risk men with an altered cardiometabolic risk profile. Metabolism. 2009;58:1123–30.CrossRefPubMed Blackburn P, Lemieux I, Alméras N, Bergeron J, Côté M, Tremblay A, et al. The hypertriglyceridemic waist phenotype versus the National Cholesterol Education Program-Adult Treatment Panel III and International Diabetes Federation clinical criteria to identify high-risk men with an altered cardiometabolic risk profile. Metabolism. 2009;58:1123–30.CrossRefPubMed
14.
go back to reference Irving BA, Davis CK, Brock DW, Weltman JY, Swift D, Barrett EJ, et al. The metabolic syndrome, hypertriglyceridemic waist, and cardiometabolic risk factor profile in obese women. Obe Metab. 2007;3:50–7.PubMedPubMedCentral Irving BA, Davis CK, Brock DW, Weltman JY, Swift D, Barrett EJ, et al. The metabolic syndrome, hypertriglyceridemic waist, and cardiometabolic risk factor profile in obese women. Obe Metab. 2007;3:50–7.PubMedPubMedCentral
15.
go back to reference Zainuddin LR, Isa N, Muda WM, Mohamed HJ. The prevalence of metabolic syndrome according to various definitions and hypertriglyceridemic-waist in malaysian adults. Int J Prev Med. 2011;2:229–37.PubMedPubMedCentral Zainuddin LR, Isa N, Muda WM, Mohamed HJ. The prevalence of metabolic syndrome according to various definitions and hypertriglyceridemic-waist in malaysian adults. Int J Prev Med. 2011;2:229–37.PubMedPubMedCentral
16.
go back to reference Okosuna IS, Boltrib JM. Abdominal obesity, hypertriglyceridemia, hypertriglyceridemic waist phenotype and risk of type 2 diabetes in American adults. Diabetes Metab Syndr. 2008;2:273–81.CrossRef Okosuna IS, Boltrib JM. Abdominal obesity, hypertriglyceridemia, hypertriglyceridemic waist phenotype and risk of type 2 diabetes in American adults. Diabetes Metab Syndr. 2008;2:273–81.CrossRef
17.
go back to reference Yu Z, Sun L, Qi Q, Wu H, Lu L, Liu C, et al. Hypertriglyceridemic waist, cytokines and hyperglycaemia in Chinese. Eur J Clin Invest. 2012;42:1100–11.CrossRefPubMed Yu Z, Sun L, Qi Q, Wu H, Lu L, Liu C, et al. Hypertriglyceridemic waist, cytokines and hyperglycaemia in Chinese. Eur J Clin Invest. 2012;42:1100–11.CrossRefPubMed
18.
go back to reference Du T, Sun X, Huo R, Yu X. Visceral adiposity index, hypertriglyceridemic waist and risk of diabetes: the China Health and Nutrition Survey 2009. Int J Obes (Lond). 2013. doi:10.1038/ijo.2013.181. Du T, Sun X, Huo R, Yu X. Visceral adiposity index, hypertriglyceridemic waist and risk of diabetes: the China Health and Nutrition Survey 2009. Int J Obes (Lond). 2013. doi:10.​1038/​ijo.​2013.​181.
19.
go back to reference Radenković SP, Kocić RD, Pešić MM, Dimić DN, Golubović MD, Radojković DB, et al. The hypertriglyceridemic waist phenotype and metabolic syndrome by differing criteria in type 2 diabetic patients and their relation to lipids and blood glucose control. Endokrynol Pol. 2011;62:316–23.PubMed Radenković SP, Kocić RD, Pešić MM, Dimić DN, Golubović MD, Radojković DB, et al. The hypertriglyceridemic waist phenotype and metabolic syndrome by differing criteria in type 2 diabetic patients and their relation to lipids and blood glucose control. Endokrynol Pol. 2011;62:316–23.PubMed
20.
go back to reference Egeland GM, Cao Z, Young TK. Hypertriglyceridemic-waist phenotype and glucose intolerance among Canadian Inuit: the International Polar Year Inuit Health Survey for Adults 2007-2008. CMAJ. 2011;183:E553–8.CrossRefPubMedPubMedCentral Egeland GM, Cao Z, Young TK. Hypertriglyceridemic-waist phenotype and glucose intolerance among Canadian Inuit: the International Polar Year Inuit Health Survey for Adults 2007-2008. CMAJ. 2011;183:E553–8.CrossRefPubMedPubMedCentral
21.
go back to reference Brisson D, Perron P, Guay SP, Gaudet D, Bouchard L. The “hypertriglyceridemic waist” phenotype and glucose intolerance in pregnancy. CMAJ. 2010;182:E722–5.CrossRefPubMedPubMedCentral Brisson D, Perron P, Guay SP, Gaudet D, Bouchard L. The “hypertriglyceridemic waist” phenotype and glucose intolerance in pregnancy. CMAJ. 2010;182:E722–5.CrossRefPubMedPubMedCentral
22.
go back to reference Lemieux I, Poirier P, Bergeron J, Alméras N, Lamarche B, Cantin B, et al. Hypertriglyceridemic waist: a useful screening phenotype in preventive cardiology? Can J Cardiol. 2007;23(Suppl B):23B–31.CrossRefPubMedPubMedCentral Lemieux I, Poirier P, Bergeron J, Alméras N, Lamarche B, Cantin B, et al. Hypertriglyceridemic waist: a useful screening phenotype in preventive cardiology? Can J Cardiol. 2007;23(Suppl B):23B–31.CrossRefPubMedPubMedCentral
23.
go back to reference Sam S, Haffner S, Davidson MH, D'Agostino RB Sr, Feinstein S, Kondos G, et al Hypertriglyceridemic waist phenotype predicts increased visceral fat in subjects with type 2 diabetes. Diabetes Care. 2009;32:1916–20.CrossRefPubMedPubMedCentral Sam S, Haffner S, Davidson MH, D'Agostino RB Sr, Feinstein S, Kondos G, et al Hypertriglyceridemic waist phenotype predicts increased visceral fat in subjects with type 2 diabetes. Diabetes Care. 2009;32:1916–20.CrossRefPubMedPubMedCentral
24.
go back to reference LaMonte MJ, Ainsworth BE, DuBose KD, Grandjean PW, Davis PG, Yanowitz FG, et al. The hypertriglyceridemic waist phenotype among women. Atherosclerosis. 2003;171:123–30.CrossRefPubMed LaMonte MJ, Ainsworth BE, DuBose KD, Grandjean PW, Davis PG, Yanowitz FG, et al. The hypertriglyceridemic waist phenotype among women. Atherosclerosis. 2003;171:123–30.CrossRefPubMed
25.
go back to reference Solati M, Ghanbarian A, Rahmani M, Sarbazi N, Allahverdian S, Azizi F. Cardiovascular risk factors in males with hypertriglycemic waist (Tehran Lipid and Glucose Study). Int J Obes Relat Metab Disord. 2004;28:706–9.CrossRefPubMed Solati M, Ghanbarian A, Rahmani M, Sarbazi N, Allahverdian S, Azizi F. Cardiovascular risk factors in males with hypertriglycemic waist (Tehran Lipid and Glucose Study). Int J Obes Relat Metab Disord. 2004;28:706–9.CrossRefPubMed
26.
go back to reference Tankó LB, Bagger YZ, Qin G, Alexandersen P, Larsen PJ, Christiansen C. Enlarged waist combined with elevated triglycerides is a strong predictor of accelerated atherogenesis and related cardiovascular mortality in postmenopausal women. Circulation. 2005;111:1883–90.CrossRefPubMed Tankó LB, Bagger YZ, Qin G, Alexandersen P, Larsen PJ, Christiansen C. Enlarged waist combined with elevated triglycerides is a strong predictor of accelerated atherogenesis and related cardiovascular mortality in postmenopausal women. Circulation. 2005;111:1883–90.CrossRefPubMed
27.
28.
go back to reference Gasevic D, Carlsson AC, Lesser IA, Mancini GJ, Lear SA. The association between “hypertriglyceridemic waist” and sub-clinical atherosclerosis in a multiethnic population: a cross-sectional study. Lipids Health Dis. 2014;13:38.CrossRefPubMedPubMedCentral Gasevic D, Carlsson AC, Lesser IA, Mancini GJ, Lear SA. The association between “hypertriglyceridemic waist” and sub-clinical atherosclerosis in a multiethnic population: a cross-sectional study. Lipids Health Dis. 2014;13:38.CrossRefPubMedPubMedCentral
29.
go back to reference Esmaillzadeh A, Mirmiran P, Azadbakht L, Azizi F. Prevalence of the hypertriglyceridemic waist phenotype in Iranian adolescents. Am J Prev Med. 2006;30:52–8.CrossRefPubMed Esmaillzadeh A, Mirmiran P, Azadbakht L, Azizi F. Prevalence of the hypertriglyceridemic waist phenotype in Iranian adolescents. Am J Prev Med. 2006;30:52–8.CrossRefPubMed
30.
go back to reference Blackburn P, Lemieux I, Lamarche B, Bergeron J, Perron P, Tremblay G, et al. Hypertriglyceridemic waist: a simple clinical phenotype associated with coronary artery disease in women. Metabolism. 2012;61:56–64.CrossRefPubMed Blackburn P, Lemieux I, Lamarche B, Bergeron J, Perron P, Tremblay G, et al. Hypertriglyceridemic waist: a simple clinical phenotype associated with coronary artery disease in women. Metabolism. 2012;61:56–64.CrossRefPubMed
31.
go back to reference Blackburn P, Lamarche B, Couillard C, Pascot A, Bergeron N, Prud'homme D, et al. Postprandial hyperlipidemia: another correlate of the “hypertriglyceridemic waist” phenotype in men. Atherosclerosis. 2003;171:327–36.CrossRefPubMed Blackburn P, Lamarche B, Couillard C, Pascot A, Bergeron N, Prud'homme D, et al. Postprandial hyperlipidemia: another correlate of the “hypertriglyceridemic waist” phenotype in men. Atherosclerosis. 2003;171:327–36.CrossRefPubMed
32.
go back to reference Janiszewski PM, Ross R, Despres JP, Lemieux I, Orlando G, Carli F, et al. Hypertriglyceridemia and waist circumference predict cardiovascular risk among HIV patients: a cross-sectional study. PLoS One. 2011;6:e25032.CrossRefPubMedPubMedCentral Janiszewski PM, Ross R, Despres JP, Lemieux I, Orlando G, Carli F, et al. Hypertriglyceridemia and waist circumference predict cardiovascular risk among HIV patients: a cross-sectional study. PLoS One. 2011;6:e25032.CrossRefPubMedPubMedCentral
33.
go back to reference Li Y, Zhou C, Shao X, Liu X, Guo J, Zhang Y, et al. Hypertriglyceridemic waist phenotype and chronic kidney disease in a chinese population aged 40 years and older. PLoS One. 2014;9:e92322.CrossRefPubMedPubMedCentral Li Y, Zhou C, Shao X, Liu X, Guo J, Zhang Y, et al. Hypertriglyceridemic waist phenotype and chronic kidney disease in a chinese population aged 40 years and older. PLoS One. 2014;9:e92322.CrossRefPubMedPubMedCentral
34.
go back to reference Lee BJ, Ku B, Nam J, Pham DD, Kim JY. Prediction of fasting plasma glucose status using anthropometric measures for diagnosing type 2 diabetes. IEEE J Biomed Health Inform. 2014;18:555–61.CrossRefPubMed Lee BJ, Ku B, Nam J, Pham DD, Kim JY. Prediction of fasting plasma glucose status using anthropometric measures for diagnosing type 2 diabetes. IEEE J Biomed Health Inform. 2014;18:555–61.CrossRefPubMed
35.
36.
go back to reference Jang E, Kim JY, Lee H, Kim H, Baek Y, Lee S. A Study on the Reliability of Sasang Constitutional Body Trunk Measurement. Evid Based Complement Alternat Med. 2012;2012:604842.PubMed Jang E, Kim JY, Lee H, Kim H, Baek Y, Lee S. A Study on the Reliability of Sasang Constitutional Body Trunk Measurement. Evid Based Complement Alternat Med. 2012;2012:604842.PubMed
37.
go back to reference Lee BJ, Kim JY. Indicators of hypertriglyceridemia from anthropometric measures based on data mining. Comput Biol Med. 2015;57:201–11.CrossRefPubMed Lee BJ, Kim JY. Indicators of hypertriglyceridemia from anthropometric measures based on data mining. Comput Biol Med. 2015;57:201–11.CrossRefPubMed
38.
go back to reference National Cholesterol Education Program. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97.CrossRef National Cholesterol Education Program. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97.CrossRef
39.
go back to reference Blackburn P, Lemieux I, Lamarche B, Bergeron J, Perron P, Tremblay G, et al. Type 2 diabetes without the atherogenic metabolic triad does not predict angiographically assessed coronary artery disease in women. Diabetes Care. 2008;31:170–2.CrossRefPubMed Blackburn P, Lemieux I, Lamarche B, Bergeron J, Perron P, Tremblay G, et al. Type 2 diabetes without the atherogenic metabolic triad does not predict angiographically assessed coronary artery disease in women. Diabetes Care. 2008;31:170–2.CrossRefPubMed
40.
go back to reference Jordan A. On discriminative vs. generative classifiers: A comparison of logistic regression and naive bayes. Advances Neural Inf Process Syst. 2002;14:841–8. Jordan A. On discriminative vs. generative classifiers: A comparison of logistic regression and naive bayes. Advances Neural Inf Process Syst. 2002;14:841–8.
41.
go back to reference Halloran J. Classification: Naive Bayes vs Logistic Regression, Technical report, University of Hawaii at Manoa EE 645, Fall 2009, p.1–24 Halloran J. Classification: Naive Bayes vs Logistic Regression, Technical report, University of Hawaii at Manoa EE 645, Fall 2009, p.1–24
42.
go back to reference DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. 1988;44:837–45.CrossRefPubMed DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. 1988;44:837–45.CrossRefPubMed
43.
go back to reference Zhang X, Shu XO, Li H, Yang G, Xiang YB, Cai Q, et al. Visceral adiposity and risk of coronary heart disease in relatively lean Chinese adults. Int J Cardiol. 2013;168:2141–5.CrossRefPubMedPubMedCentral Zhang X, Shu XO, Li H, Yang G, Xiang YB, Cai Q, et al. Visceral adiposity and risk of coronary heart disease in relatively lean Chinese adults. Int J Cardiol. 2013;168:2141–5.CrossRefPubMedPubMedCentral
44.
go back to reference Barbieri M, Ferrucci L, Corsi AM, Macchi C, Lauretani F, Bonafè M, et al. Is chronic inflammation a determinant of blood pressure in the elderly? Am J Hypertens. 2003;16:537–43.CrossRefPubMed Barbieri M, Ferrucci L, Corsi AM, Macchi C, Lauretani F, Bonafè M, et al. Is chronic inflammation a determinant of blood pressure in the elderly? Am J Hypertens. 2003;16:537–43.CrossRefPubMed
45.
go back to reference Wright TA, Cropanzano R, Bonett DG, Diamond WJ. The role of employee psychological wellbeing in cardiovascular health: when the twain shall meet. J Organiz Behav. 2009;30:193–208.CrossRef Wright TA, Cropanzano R, Bonett DG, Diamond WJ. The role of employee psychological wellbeing in cardiovascular health: when the twain shall meet. J Organiz Behav. 2009;30:193–208.CrossRef
46.
go back to reference Terzolo M, Bovio S, Pia A, Conton PA, Reimondo G, Dall'Asta C, et al. Midnight serum cortisol as a marker of increased cardiovascular risk in patients with a clinically inapparent adrenal adenoma. Eur J Endocrinol. 2005;153:307–15.CrossRefPubMed Terzolo M, Bovio S, Pia A, Conton PA, Reimondo G, Dall'Asta C, et al. Midnight serum cortisol as a marker of increased cardiovascular risk in patients with a clinically inapparent adrenal adenoma. Eur J Endocrinol. 2005;153:307–15.CrossRefPubMed
47.
go back to reference Andersen S, Kjærgaard M, Jørgensen ME, Mulvad G, Kjærgaard JJ. Frequent left ventricular hypertrophy independent of blood pressure in 1851 pre-western Inuit. Atherosclerosis. 2011;216:484–8.CrossRefPubMed Andersen S, Kjærgaard M, Jørgensen ME, Mulvad G, Kjærgaard JJ. Frequent left ventricular hypertrophy independent of blood pressure in 1851 pre-western Inuit. Atherosclerosis. 2011;216:484–8.CrossRefPubMed
48.
go back to reference van Stiphout WA, Hofman A, de Bruijn AM, Valkenburg HA. Distributions and determinants of total and high-density lipoprotein cholesterol in Dutch children and young adults. Prev Med. 1985;14:169–80.CrossRefPubMed van Stiphout WA, Hofman A, de Bruijn AM, Valkenburg HA. Distributions and determinants of total and high-density lipoprotein cholesterol in Dutch children and young adults. Prev Med. 1985;14:169–80.CrossRefPubMed
49.
go back to reference Berge LN, Bønaa KH, Nordøy A. Serum ferritin, sex hormones, and cardiovascular risk factors in healthy women. Arterioscler Thromb. 1994;14:857–61.CrossRefPubMed Berge LN, Bønaa KH, Nordøy A. Serum ferritin, sex hormones, and cardiovascular risk factors in healthy women. Arterioscler Thromb. 1994;14:857–61.CrossRefPubMed
50.
go back to reference Palacios C, Pérez CM, Guzmán M, Ortiz AP, Ayala A, Suárez E. Association between adiposity indices and cardiometabolic risk factors among adults living in Puerto Rico. Public Health Nutr. 2011;14:1714–23.CrossRefPubMedPubMedCentral Palacios C, Pérez CM, Guzmán M, Ortiz AP, Ayala A, Suárez E. Association between adiposity indices and cardiometabolic risk factors among adults living in Puerto Rico. Public Health Nutr. 2011;14:1714–23.CrossRefPubMedPubMedCentral
51.
go back to reference Prasad DS, Kabir Z, Suganthy JP, Dash AK, Das BC. Appropriate anthropometric indices to identify cardiometabolic risk in South Asians. WHO South-East Asia J Public Health. 2013;3–4:142–8. Prasad DS, Kabir Z, Suganthy JP, Dash AK, Das BC. Appropriate anthropometric indices to identify cardiometabolic risk in South Asians. WHO South-East Asia J Public Health. 2013;3–4:142–8.
52.
go back to reference Wang Y, Wu QF, Chen C, Wu LY, Yan XZ, Yu SG, et al. Revealing metabolite biomarkers for acupuncture treatment by linear programming based feature selection. BMC Syst Biol. 2012;6:S15.CrossRefPubMedPubMedCentral Wang Y, Wu QF, Chen C, Wu LY, Yan XZ, Yu SG, et al. Revealing metabolite biomarkers for acupuncture treatment by linear programming based feature selection. BMC Syst Biol. 2012;6:S15.CrossRefPubMedPubMedCentral
53.
go back to reference Mao KZ. Identifying critical variables of principal components for unsupervised feature selection. IEEE Trans Syst Man Cybern B Cybern. 2005;35(2):339–44.CrossRefPubMed Mao KZ. Identifying critical variables of principal components for unsupervised feature selection. IEEE Trans Syst Man Cybern B Cybern. 2005;35(2):339–44.CrossRefPubMed
54.
go back to reference Last M, Bunke H, Kandel A. A feature-based serial approach to classifier combination. Pattern Anal Appl. 2002;5:385–98.CrossRef Last M, Bunke H, Kandel A. A feature-based serial approach to classifier combination. Pattern Anal Appl. 2002;5:385–98.CrossRef
Metadata
Title
Predictors of metabolic abnormalities in phenotypes that combined anthropometric indices and triglycerides
Authors
Bum Ju Lee
Jiho Nam
Jong Yeol Kim
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2016
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-016-1024-1

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