Waist circumference measurement should be included in the routine assessment of patients with CHD

Oct 13, 2025 by wbrum.org 125 views

The Relationship Between Waist Circumference and Lipid Profile in Patients with Coronary Heart Disease in RSUP.H. Adam Malik Medan

Discussion Category: Undergraduate Theses, Education, Journal, Thesis, University, Student, Campus

Lumbar Circumference Relationship with Lipid Profile in Patients with Coronary Heart Disease in H. Adam Malik Hospital Medan Hospital

Background

Cardiovascular disease is a major cause of death worldwide, with more people dying from cardiovascular disease every year compared to other diseases. Coronary heart disease (CHD) is one of the highest contributors to death among cardiovascular disease. One risk factor that causes CHD is a lipid profile abnormality known as Dyslipidemia, which has a close relationship with central obesity. The World Health Organization (WHO) and the National Cholesterol Education Program Adult Panel III (NCEP ATP III) have recommended a waist circumference examination as an indicator to detect central obesity. Central obesity is a significant risk factor for CHD, and waist circumference measurement is a simple and effective way to assess this risk.

Research Purposes

This study aims to determine the relationship between waist circumference and lipid profile in patients suffering from coronary heart disease. Understanding the relationship between waist circumference and lipid profile is crucial in developing effective prevention and management strategies for CHD. By identifying the risk factors associated with CHD, healthcare professionals can provide targeted interventions to reduce the risk of cardiovascular disease.

Method

This study involved 96 coronary heart disease patients who met inclusion and exclusion criteria. Observational analytic methods with a latitude cutting approach are used to analyze data. The study design and methodology were carefully selected to ensure the accuracy and reliability of the results.

Results

The results of the study using the Chi-Square test showed a significant relationship between the waist circumference and the total cholesterol content, HDL levels (high-density lipoprotein), triglycerides, and LDL (low-density lipoprotein) levels with a p <0.05 value. The findings of this study provide strong evidence for the relationship between waist circumference and lipid profile in patients with CHD.

Conclusions

From this study, it can be concluded that there is a significant relationship between the waist circumference and the lipid profile. This shows that the measurement of waist circumference can be used as an indicator to assess the risk of dyslipidemia in patients with coronary heart disease. The results of this study have important implications for the prevention and management of CHD.

Additional Analysis and Explanation

Coronary heart disease is often associated with an unhealthy lifestyle, including poor diet and lack of physical activity. Obesity, especially central obesity indicated by a large waist circumference, contributes to increased levels of lipids in the blood. Visceral fat collected in the abdominal area has a bad impact on lipid metabolism, thus disrupting the balance between HDL and LDL.

The importance of a waist circumference as an indicator of central obesity is supported by the findings that patients with larger waist circumferences tend to have higher levels of bad cholesterol (LDL) and higher triglyceride levels, and lower cholesterol levels (HDL). This explains why weight management and obesity control is an important step in the prevention and management of coronary heart disease.

Efforts to reduce waist circumference and maintain lipid profiles within normal limits can involve changes in eating patterns, increased physical activity, and stress management. Knowledge of the relationship between waist circumference and lipid profile is expected to help medical personnel and patients in planning prevention strategies and more effective care in dealing with coronary heart disease.

Through a better understanding of risk factors related to heart disease, it is expected that the rate of events and deaths due to this disease can be reduced, making heart health a top priority in public health services. The findings of this study highlight the importance of waist circumference measurement as a simple and effective way to assess the risk of CHD.

Recommendations

Based on the findings of this study, the following recommendations are made:

Waist circumference measurement should be included in the routine assessment of patients with CHD.
Healthcare professionals should provide targeted interventions to reduce the risk of CHD, including weight management and obesity control.
Public health campaigns should focus on promoting healthy lifestyle habits, including a balanced diet and regular physical activity.

Limitations

This study has several limitations, including:

The study sample size was relatively small.
The study design was observational, which may limit the ability to establish causality.
The study did not control for other potential risk factors for CHD.

Future Directions

Future studies should aim to:

Confirm the findings of this study in a larger and more diverse sample.
Investigate the relationship between waist circumference and lipid profile in other populations, including those with different ethnic and socioeconomic backgrounds.
Develop and evaluate interventions to reduce the risk of CHD, including waist circumference measurement and lifestyle modification.

Conclusion

In conclusion, this study provides strong evidence for the relationship between waist circumference and lipid profile in patients with coronary heart disease. The findings of this study have important implications for the prevention and management of CHD. By understanding the relationship between waist circumference and lipid profile, healthcare professionals can provide targeted interventions to reduce the risk of CHD and improve patient outcomes.
Frequently Asked Questions (FAQs) About the Relationship Between Waist Circumference and Lipid Profile in Patients with Coronary Heart Disease

Q: What is the relationship between waist circumference and lipid profile in patients with coronary heart disease?

A: The study found a significant relationship between waist circumference and lipid profile in patients with coronary heart disease. Patients with larger waist circumferences tend to have higher levels of bad cholesterol (LDL) and higher triglyceride levels, and lower cholesterol levels (HDL).

Q: Why is waist circumference measurement important in assessing the risk of coronary heart disease?

A: Waist circumference measurement is a simple and effective way to assess the risk of coronary heart disease. It is a non-invasive and inexpensive method that can be used in conjunction with other risk factors to determine the likelihood of developing CHD.

Q: What are the risk factors associated with coronary heart disease?

A: The risk factors associated with coronary heart disease include:

High blood pressure
High cholesterol levels
Smoking
Obesity
Physical inactivity
Family history of CHD
Age (men over 45, women over 55)

Q: How can I reduce my risk of coronary heart disease?

A: There are several ways to reduce your risk of coronary heart disease, including:

Maintaining a healthy weight
Engaging in regular physical activity
Eating a balanced diet that is low in saturated fats and high in fruits and vegetables
Not smoking
Managing stress
Getting regular check-ups with your healthcare provider

Q: What are the benefits of waist circumference measurement in assessing the risk of coronary heart disease?

A: The benefits of waist circumference measurement in assessing the risk of coronary heart disease include:

It is a simple and non-invasive method
It is inexpensive
It can be used in conjunction with other risk factors to determine the likelihood of developing CHD
It can help identify individuals who are at high risk of developing CHD

Q: What are the limitations of waist circumference measurement in assessing the risk of coronary heart disease?

A: The limitations of waist circumference measurement in assessing the risk of coronary heart disease include:

It may not be accurate in individuals with a muscular build
It may not be accurate in individuals with a large amount of visceral fat
It may not be able to detect other risk factors for CHD

Q: How can I get my waist circumference measured?

A: You can get your waist circumference measured by a healthcare provider, such as a doctor or nurse practitioner. They will use a flexible tape measure to measure the circumference of your waist at the level of your belly button.

Q: What are the next steps after getting my waist circumference measured?

A: After getting your waist circumference measured, your healthcare provider will use the results to assess your risk of coronary heart disease. They may also recommend lifestyle changes, such as diet and exercise, to help reduce your risk of CHD.

Q: Can I get my waist circumference measured at home?

A: Yes, you can get your waist circumference measured at home using a flexible tape measure. However, it is recommended that you have your waist circumference measured by a healthcare provider to ensure accuracy.

Q: How often should I get my waist circumference measured?

A: It is recommended that you get your waist circumference measured every 1-2 years to assess your risk of coronary heart disease. However, if you have a family history of CHD or are at high risk of developing CHD, you may need to get your waist circumference measured more frequently.

Q: What are the consequences of not getting my waist circumference measured?

A: Not getting your waist circumference measured can lead to a delay in diagnosing and treating coronary heart disease. This can increase your risk of developing CHD and having a heart attack or stroke.