Prevalence of cardiovascular risk factors in middle-aged Lithuanian women in different body mass index and waist circumference groups

Published:December 16, 2022DOI:


      • Dyslipidaemia was the most common risk factor in middle-aged Lithuanian women.
      • Almost all risk factors are more prevalent in those with higher BMI and WC.
      • Smoking is more frequent in low weight BMI and normal WC groups.
      • There is a stronger association between WC and an adverse metabolic profile.


      Background and aims

      The aim of this study was to evaluate the prevalence of cardiovascular risk factors in middle-aged Lithuanian women in different body mass index and waist circumference groups.

      Methods and results

      Data selected from the Lithuanian High Cardiovascular Risk (LitHiR) primary prevention program between 2009 and 2016. This community-based cross-sectional study comprised 53,961 women aged 50–64 years old. We compared the prevalence of arterial hypertension, dyslipidaemia, diabetes mellitus, smoking, and metabolic syndrome in different body mass index (BMI) and waist circumference (WC) groups. The most prevalent cardiometabolic risk factor was dyslipidaemia (91.71%, n = 49,488). The prevalence of arterial hypertension, dyslipidaemia, diabetes mellitus, and metabolic syndrome was greater in those with higher-than-normal BMI and WC. Smoking was the most prevalent in women with low BMI and normal WC (24.00% and 13.17% respectively).


      The analysis showed that all risk factors, except smoking, were significantly more prevalent in women with higher-than-normal BMI and with increased WC or abdominal obesity. The prevalence of dyslipidaemia was surprisingly high in all BMI and WC groups. Obesity measured by WC was more strongly associated with an adverse metabolic profile.


      BMI (body mass index), WC (waist circumference), DM (diabetes mellitus), MetS (metabolic syndrome), CVD (cardiovascular disease), WHO (World Health Organisation), SBP (systolic blood pressure), DBP (diastolic blood pressure), HR (heart rate), TC (Total cholesterol), LDL-C (low density lipoprotein cholesterol), HDL-C (high density lipoprotein cholesterol), SCORE (systemic coronary risk evaluation index)


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