{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:39:54Z","timestamp":1792132794598,"version":"4.4.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,7,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Waist circumference and hip circumference are both strongly associated with risk of death; however, their joint association has rarely been investigated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The MONICA Risk, Genetics, Archiving, and Monograph (MORGAM) Project was conducted in 30 cohorts from 11 countries; 90\u00a0487 men and women, aged 30 to 74\u00a0years, predominantly white, with no history of cardiovascular disease, were recruited in 1986 to 2010 and followed up for up to 24\u00a0years. Hazard ratios were estimated using sex\u2010specific Cox models, stratified by cohort, with age as the time scale. Models included baseline categorical obesity measures, age, total and high\u2010density lipoprotein cholesterol, systolic blood pressure\n              <jats:italic>,<\/jats:italic>\n              antihypertensive drugs, smoking, and diabetes mellitus. A total of 9105 all\u2010cause deaths were recorded during a median follow\u2010up of 10\u00a0years. Hazard ratios for all\u2010cause death presented J\u2010 or U\u2010shaped associations with most obesity measures. With waist and hip circumference included in the same model, for all hip sizes, having a smaller waist was strongly associated with lower risk of death, except for men with the smallest hips. In addition, among those with smaller waists, hip size was strongly negatively associated with risk of death, with \u224820% more people identified as being at increased risk compared with waist circumference alone.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">A more complex relationship between hip circumference, waist circumference, and risk of death is revealed when both measures are considered simultaneously. This is particularly true for individuals with smaller waists, where having larger hips was protective. Considering both waist and hip circumference in the clinical setting could help to best identify those at increased risk of death.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.015189","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T09:02:23Z","timestamp":1593507743000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":28,"title":["Combined Influence of Waist and Hip Circumference on Risk of Death in a Large Cohort of European and Australian Adults"],"prefix":"10.1161","volume":"9","author":[{"given":"Adrian J.","family":"Cameron","sequence":"first","affiliation":[{"name":"Global Obesity Centre Institute for Health Transformation Deakin University Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Romaniuk","sequence":"additional","affiliation":[{"name":"Biostatistics Unit Faculty of Health Deakin University Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Orellana","sequence":"additional","affiliation":[{"name":"Biostatistics Unit Faculty of Health Deakin University Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Dallongeville","sequence":"additional","affiliation":[{"name":"Unit\u00e9 d\u2019Epid\u00e9miologie et de Sant\u00e9 Publique Inserm\u2010U1167 Institut Pasteur de Lille Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette J.","family":"Dobson","sequence":"additional","affiliation":[{"name":"School of Public Health University of Queensland Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Drygas","sequence":"additional","affiliation":[{"name":"Department of Epidemiology CVD Prevention and Health Promotion Cardinal Wyszynski National Institute of Cardiology Warsaw 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