{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:04Z","timestamp":1790927644910,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Cardiovascular diseases remain a major cause of morbidity and mortality in Ghana. This study aimed to determine the association between anthropometric indices and elevated estimated 10\u2010year cardiovascular disease (CVD) risk among adults in the Kumasi Metropolis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study involved 480 adults aged 40\u201379 years. Anthropometric indices and lipid profile were determined using standard methods. Blood pressure was measured using an automated sphygmomanometer. The World Health Organization\/International Society of Hypertension laboratory\u2010based risk assessment charts were used to estimate 10\u2010year Atherosclerotic Cardiovascular Disease (ASCVD) risk. Estimated CVD risk \u2265\u200910% was considered elevated. Anthropometric indices were examined for association with elevated risk using chi\u2010square, Fisher's exact and Wilcoxon rank\u2010sum tests. Multivariable modified Poisson regression analysis was used to determine factors associated with elevated estimated CVD risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An elevated estimated10\u2010year ASCVD risk was observed in 56.9% (103\/181) of males and 38.8% (116\/299) of females. Lower education level was associated with elevated CVD risk. Waist\u2010to\u2010hip ratio (WHR) (aPR = 1.36, 95% CI: 1.11\u20131.68), body shape index (ABSI) (aPR = 1.35, 95% CI: 1.08\u20131.69), hip circumference (HC) (aPR = 0.98, 95% CI: 0.97\u20130.99), and mid\u2010arm circumference (MAC) (aPR = 0.95, 95% CI: 0.92\u20130.98) were associated with elevated estimated CVD risk. After stratifying by sex, WHR remained independently associated with elevated estimated CVD risk in females (aPR = 1.36, 95% CI: 1.01\u20131.84); as did ABSI (aPR = 1.45, 95% CI: 1.05\u20132.01) and MAC (aPR = 0.93, 95% CI: 0.88\u20130.99) in males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>WHR, ABSI and MAC assessments should be integrated into CVD risk evaluation in Ghana, especially in deprived areas where lipid profile is not routinely assessed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72849","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T21:27:14Z","timestamp":1785274034000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anthropometric Indices Associated With Elevated Estimated 10\u2010year Risk of Cardiovascular Disease Among Adults in the Kumasi Metropolis of Ghana: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2641-8865","authenticated-orcid":false,"given":"Phyllis","family":"Tawiah","sequence":"first","affiliation":[{"name":"Department of Medicine, School of Medical Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana"},{"name":"University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana"},{"name":"Kwame Nkrumah University of Science and Technology Wellness Centre Kumasi Ghana"},{"name":"Metro Health Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8572-4961","authenticated-orcid":false,"given":"Kwadwo F.","family":"Gyan","sequence":"additional","affiliation":[{"name":"Metro Health Hospital Kumasi Ghana"},{"name":"Directorate of Internal Medicine, Komfo Anokye Teaching Hospital Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5342-5825","authenticated-orcid":false,"given":"Isaac","family":"Amoah","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Biotechnology Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3731-2684","authenticated-orcid":false,"given":"Ibok N.","family":"Oduro","sequence":"additional","affiliation":[{"name":"Kwame Nkrumah University of Science and Technology Wellness Centre Kumasi Ghana"},{"name":"Department of Food Science and Technology Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1859-2620","authenticated-orcid":false,"given":"Julius K.","family":"Karikari","sequence":"additional","affiliation":[{"name":"University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2321-387X","authenticated-orcid":false,"given":"Douglas A.","family":"Opoku","sequence":"additional","affiliation":[{"name":"University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana"},{"name":"School of Public Health, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7682-766X","authenticated-orcid":false,"given":"Emmanuel","family":"Konadu","sequence":"additional","affiliation":[{"name":"University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana"},{"name":"School of Public Health, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1290-5645","authenticated-orcid":false,"given":"Ebenezer O. 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