Table of Contents
ISRN Obesity
Volume 2013, Article ID 895687, 4 pages
Research Article

Central Adiposity and Subclinical Cardiovascular Disease in Police Officers

1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
2Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA
3The University of Chicago Comprehensive Cancer Center, The University of Chicago, Chicago, IL 60637, USA
4Department of Social and Preventive Medicine, School of Public Health and Health Professions, The State University of New York at Buffalo, Buffalo, NY 14214, USA

Received 4 December 2012; Accepted 28 December 2012

Academic Editors: N. Aires and S. Straube

Copyright © 2013 Penelope Baughman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Given the associations between obesity and cardiovascular disease (CVD), we evaluated a related but less well-established association between waist circumference and brachial artery reactivity (BAR), a functional measurement of subclinical CVD, where lower levels indicate dysfunction. Regression models examined trends in mean BAR across waist circumference tertiles in police officers, a high-stress occupational group with increased risk for CVD. Mean BAR decreased across increasing waist tertiles among men, but not women, and this association was stronger among officers who consumed more alcohol. Larger waist circumference may be associated with lower BAR, providing an opportunity for intervention prior to disease development.