Screening of Serum Cholesterol Level Amongst Sri Lankan Women in Relation to Waist-Height Ratio (WHtR), Waist Circumference (WC), Body Mass Index (BMI), Waist-Hip Ratio (WHR), and Waist-Thigh Ratio (WTR): A Cross-Sectional Study

Anthropometric measurements give a general reflection of any changes in lipid concentration in the human body. A disturbed lipid profile can be associated with cardiovascular disease risk. Therefore, this study aimed to investigate the relationship between serum total cholesterol level and different anthropometric parameters related to obesity in a female population of two administrative areas in the Southern Province of Sri Lanka. Analytical cross-sectional study was conducted in Boral and Hiththatiya-Meda areas of Matara district, Sri Lanka. The systematic random sampling method was followed to select 314 females aged 18-60 years. Serum total cholesterol concentration was measured on a venous blood sample by Konelab 20XT biochemistry analyser with a commercially available reagent kit. Body Mass Index (BMI), Waist-Height Ratio (WHtR), Waist Circumference (WC), Waist-Hip Ratio (WHR), and Waist-Thigh Ratio (WTR) parameters were calculated for each individual. Pearson correlation test, chi-squared test and t-test were done to analyse data using SPSS, 16 (P<0.05). The serum total cholesterol concentration is positively associated with abdominal obesity while showing a statistically significant positive correlation with BMI, WC, WHR, WTR and WHtR (r=0.217, r=0.590, r=0.315, r=0.347 and r=0.574 respectively; P≤0.05). The prevalence of hypercholesterolemia in the population was 8.6%. These results indicate that all main anthropometric parameters of this study are positively associated with serum total cholesterol levels and an increment of these risk markers can lead to an increase in risk of developing metabolic diseases associated with abdominal obesity among women.