The Association between Altitude and Waist–Height Ratio in Peruvian Adults: A Cross-Sectional Data Analysis of a Population-Based Survey
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source and Data Description
2.2. Sampling and Data Collection
2.3. Dependent Variable
2.4. Exposure Variable
2.5. Covariates
2.6. Statistical Analysis
2.7. Ethical Considerations
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | n | % * |
---|---|---|
Sex | ||
Men | 11,114 | 48.8 |
Women | 15,003 | 51.2 |
Age groups (years) | ||
18–29 | 8303 | 31.2 |
30–39 | 8903 | 24.9 |
40–49 | 4665 | 21.1 |
50–64 | 4246 | 22.8 |
Education level | ||
Up to primary | 5730 | 17.6 |
Secondary | 12,054 | 46.0 |
Higher | 8333 | 36.4 |
Wealth Index | ||
Poorest | 8159 | 18.2 |
Poorer | 6756 | 20.8 |
Middle | 4900 | 21.3 |
Richer | 3765 | 20.7 |
Richest | 2537 | 19.1 |
Area of residence | ||
Urban | 17,180 | 81.6 |
Rural | 8937 | 18.4 |
Altitude of residence (in masl) | ||
<1500 | 16,125 | 73.5 |
1500–2499 | 2263 | 6.7 |
2500–3499 | 4540 | 12.7 |
3500 or more | 3189 | 7.2 |
Weight–height ratio | ||
Mean (SD) | 0.59 (0.08) |
Altitude | |||||
---|---|---|---|---|---|
<1500 (n = 16,125) | 1500–2499 (n = 2263) | 2500–3499 (n = 4540) | 3500 or More (n = 3189) | ||
Characteristics | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | p Value * |
Weight–Height Ratio, mean (SD) | 0.594 (0.07) | 0.581 (0.09) | 0.579 (0.09) | 0.575 (0.1) | <0.001 |
Waist to Height Risk | |||||
No | 11.5 (10.7–12.3) | 14.0 (12.0–16.1) | 14.5 (13.0–16.0) | 17.2 (15.4–19.1) | <0.001 |
Yes | 88.5 (87.7–89.3) | 86.0 (83.9–88.0) | 85.5 (84.0–87.0) | 82.8 (80.9–84.6) | |
Sex | |||||
Men | 49.0 (47.9–50.2) | 51.3 (48.5–54.1) | 47.6 (45.7–49.4) | 46.3 (44.0–48.7) | 0.040 |
Women | 51.0 (49.8–52.1) | 48.7 (45.9–51.5) | 52.4 (50.6–54.3) | 53.7 (51.3–56.0) | |
Age groups (years) | |||||
18–29 | 31.1 (30.0–32.2) | 30.8 (28.1–33.6) | 32.4 (30.4–34.4) | 30.2 (28.0–32.5) | 0.424 |
30–39 | 25.1 (24.2–26.1) | 24.7 (22.6–27.0) | 24.5 (23.0–26.1) | 23.8 (22.2–25.6) | |
40–49 | 21.2 (20.2–22.2) | 20.7 (18.4–23.2) | 21.1 (19.6–22.7) | 20.3 (18.2–22.5) | |
50–64 | 22.5 (21.5–23.6) | 23.8 (21.1–26.6) | 22.0 (20.1–24.0) | 25.7 (23.7–27.8) | |
Educational level | |||||
Up to primary | 13.6 (12.8–14.4) | 26.7 (23.5–30.2) | 27.0 (24.8–29.3) | 33.2 (30.3–36.1) | <0.001 |
Secondary | 48.0 (46.7–49.3) | 37.9 (34.8–41.0) | 40.9 (38.7–43.1) | 42.7 (40.1–45.3) | |
Higher | 38.4 (37.1–39.7) | 35.4 (32.1–38.9) | 32.2 (30.0–34.4) | 24.1 (21.8–26.7) | |
Wealth Index | |||||
Poorest | 10.0 (9.3–10.8) | 35.6 (30.7–40.8) | 37.3 (34.2–40.4) | 51.7 (47.7–55.8) | <0.001 |
Poorer | 19.8 (18.8–20.9) | 18.3 (15.6–21.3) | 25.2 (23.1–27.4) | 25.1 (22.1–28.5) | |
Middle | 23.1 (22.0–24.3) | 17.4 (14.4–20.9) | 17.8 (16.1–19.6) | 13.0 (10.8–15.6) | |
Richer | 23.9 (22.8–25.1) | 13.9 (11.5–16.7) | 12.6 (10.9–14.6) | 7.5 (6.1–9.2) | |
Richest | 23.1 (21.8–24.4) | 14.9 (12.4–17.8) | 7.2 (6.1–8.5) | 2.6 (1.7–3.9) | |
Area of residence | |||||
Urban | 90.7 (89.7–91.5) | 57.4 (51.6–63.0) | 62.6 (58.8–66.2) | 44.3 (40.2–48.4) | <0.001 |
Rural | 9.3 (8.5–10.3) | 42.6 (37.0–48.4) | 37.4 (33.8–41.2) | 55.7 (51.6–59.8) |
Waist to Height Risk | |||
---|---|---|---|
No (n = 3104) | Yes (n = 23,013) | ||
Characteristics | % (95% CI) | % (95% CI) | p Value * |
Overall | 12.4 (11.8–13.1) | 87.6 (86.9–88.2) | |
Sex | |||
Men | 66.4 (64.0–68.7) | 46.3 (45.3–47.3) | <0.001 |
Women | 33.6 (31.3–36.0) | 53.7 (52.7–54.7) | |
Age groups (years) | |||
18–29 | 69.8 (67.4–72.0) | 25.7 (24.9–26.6) | <0.001 |
30–39 | 16.2 (14.6–18.0) | 26.2 (25.4–27.0) | |
40–49 | 6.8 (5.7–8.1) | 23.1 (22.3–24.0) | |
50–64 | 7.2 (5.8–8.8) | 25.0 (24.1–25.9) | |
Education level | |||
Up to primary | 12.3 (10.8–13.9) | 18.3 (17.6–19.0) | <0.001 |
Secondary | 51.2 (48.5–53.8) | 45.3 (44.2–46.4) | |
Higher | 36.6 (34.0–39.2) | 36.4 (35.3–37.4) | |
Wealth Index | |||
Poorest | 24.5 (22.6–26.4) | 17.3 (16.6–17.9) | <0.001 |
Poorer | 21.1 (19.1–23.4) | 20.7 (19.9–21.6) | |
Middle | 18.7 (16.6–21.1) | 21.7 (20.8–22.6) | |
Richer | 18.0 (15.9–20.3) | 21.0 (20.1–22.0) | |
Richest | 17.6 (15.4–20.2) | 19.3 (18.3–20.3) | |
Area of residence | |||
Urban | 75.8 (73.9–77.6) | 82.4 (81.8–83.0) | <0.001 |
Rural | 24.2 (22.4–26.1) | 17.6 (17.0–18.2) |
Characteristics | Crude Model | Adjusted Model | ||
---|---|---|---|---|
PR (95% CI) | p Value | aPR (95% CI) | p Value | |
Overall | ||||
Altitude (masl) * | ||||
<1500 | Reference | Reference | ||
1500–2499 | 0.97 (0.95–1.00) | 0.280 | 0.99 (0.96–1.01) | 0.341 |
2500–3499 | 0.97 (0.95–0.99) | 0.001 | 0.98 (0.96–1.00) | 0.024 |
3500 or more | 0.94 (0.91–0.96) | <0.001 | 0.95 (0.93–0.97) | <0.001 |
Men | ||||
Altitude (masl) ** | ||||
<1500 | Reference | Reference | ||
1500–2499 | 0.95 (0.91–0.99) | 0.017 | 0.97 (0.93–1.01) | 0.150 |
2500–3499 | 0.90 (0.87–0.94) | <0.001 | 0.94 (0.91–0.97) | 0.001 |
3500 or more | 0.90 (0.86–0.94) | <0.001 | 0.94 (0.90–0.99) | 0.011 |
Women | ||||
Altitude (masl) ** | ||||
<1500 | Reference | Reference | ||
1500–2499 | 1.00 (0.98–1.02) | 0.946 | 1.00 (0.98–1.03) | 0.680 |
2500–3499 | 1.02 (1.00–1.03) | 0.058 | 1.01 (1.00–1.03) | 0.157 |
3500 or more | 0.96 (0.94–0.98) | 0.001 | 0.95 (0.93–0.97) | <0.001 |
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Hernández-Vásquez, A.; Azañedo, D. The Association between Altitude and Waist–Height Ratio in Peruvian Adults: A Cross-Sectional Data Analysis of a Population-Based Survey. Int. J. Environ. Res. Public Health 2022, 19, 11494. https://doi.org/10.3390/ijerph191811494
Hernández-Vásquez A, Azañedo D. The Association between Altitude and Waist–Height Ratio in Peruvian Adults: A Cross-Sectional Data Analysis of a Population-Based Survey. International Journal of Environmental Research and Public Health. 2022; 19(18):11494. https://doi.org/10.3390/ijerph191811494
Chicago/Turabian StyleHernández-Vásquez, Akram, and Diego Azañedo. 2022. "The Association between Altitude and Waist–Height Ratio in Peruvian Adults: A Cross-Sectional Data Analysis of a Population-Based Survey" International Journal of Environmental Research and Public Health 19, no. 18: 11494. https://doi.org/10.3390/ijerph191811494