Characteristics | WHtR | |||||
---|---|---|---|---|---|---|
 < 0.5 | 0.50- 0.59 | 0.60- 0.69 | 0.70–0.79 |  ≥ 0.80 | P value | |
Unweighted | ||||||
 N (%) | 4596 (17.0) | 10,053 (37.3) | 8306 (30.8) | 3116 (11.5) | 927 (3.4) |  |
 All-cause mortality, n (%) | 173 (3.8) | 598 (5.9) | 676 (8.1) | 285 (9.1) | 72 (7.8) |  < 0.001 |
 Cardiovascular mortality, n (%) | 28 (0.6) | 161 (1.6) | 217 (2.6) | 94 (3.0) | 22 (2.4) |  < 0.001 |
 Cancer mortality, n (%) | 48 (1.0) | 174 (1.7) | 169 (2.0) | 69 (2.2) | 14 (1.5) |  < 0.001 |
 Other mortality, n (%) | 97 (2.1) | 263 (2.6) | 290 (3.5) | 122 (3.9) | 36 (3.9) |  < 0.001 |
Weighted | ||||||
 Age, years | 35.3 ± 15.3 | 46.5 ± 16.5 | 51.4 ± 16.9 | 51.1 ± 16.8 | 49.0 ± 15.3 |  < 0.0001 |
 Male, % | 50.8 | 53.8 | 49.0 | 36.9 | 29.4 |  < 0.0001 |
 Ethnicity, % |  |  |  |  |  |  < 0.0001 |
  Non-Hispanic White | 65.6 | 66.1 | 64.1 | 66.0 | 63.2 |  |
  Non-Hispanic Black | 13.2 | 9.3 | 11.0 | 13.3 | 15.7 |  |
  Hispanic | 9.8 | 14.6 | 18.4 | 15.9 | 16.7 |  |
  Other | 11.4 | 10.0 | 6.5 | 4.8 | 4.4 |  |
 Education level, % |  |  |  |  |  |  < 0.0001 |
  Under high school | 12.5 | 14.6 | 17.7 | 17.3 | 16.9 |  |
  High school graduate | 20.9 | 21.1 | 25.4 | 26.6 | 28.4 |  |
  Above high school | 66.6 | 64.3 | 56.9 | 56.1 | 54.6 |  |
 Marital status, % |  |  |  |  |  |  < 0.0001 |
  Married/cohabiting | 48.3 | 65.5 | 64.0 | 59.9 | 55.2 |  |
  Separated/divorced/widowed | 9.7 | 16.5 | 20.9 | 23.6 | 23.5 |  |
  Never married/other | 42.0 | 18.0 | 15.0 | 16.5 | 21.3 |  |
 Poverty income ratio (PIR)a | 257 (103, 496) | 296 (127, 500) | 254 (113, 464) | 222 (104, 416) | 182 (89, 356) |  < 0.0001 |
 Smoking status, % |  |  |  |  |  |  < 0.0001 |
 Never smoker | 64.1 | 57.5 | 55.0 | 53.0 | 56.5 |  |
  Former smoker | 14.1 | 22.8 | 28.2 | 29.9 | 27.2 |  |
  Current smoker | 21.8 | 19.8 | 16.8 | 17.2 | 16.3 |  |
 Alcohol consumptionb, % |  |  |  |  |  |  < 0.0001 |
  Never | 26.6 | 28.1 | 33.7 | 34.8 | 37.4 |  |
  Less than once a week | 37.5 | 35.7 | 38.8 | 45.7 | 50.4 |  |
  More than once a week | 35.9 | 36.1 | 27.5 | 19.4 | 12.2 |  |
 Body mass index, kg/m2 | 21.4 ± 2.3 | 26.2 ± 2.7 | 31.6 ± 3.3 | 38.3 ± 4.0 | 47.1 ± 5.1 |  < 0.0001 |
 Waist circumference, cm | 78.1 ± 5.9 | 92.8 ± 7.2 | 106.9 ± 7.6 | 121.9 ± 8.7 | 138.9 ± 10.2 |  < 0.0001 |
 Heart rate, bpm | 71.2 ± 11.6 | 71.3 ± 11.3 | 73.1 ± 11.7 | 74.8 ± 12.3 | 77.4 ± 12.7 |  < 0.0001 |
 Systolic blood pressure, mmHg | 114.8 ± 15.1 | 121.4 ± 17.0 | 125.6 ± 17.6 | 127.7 ± 17.8 | 129.8 ± 18.1 |  < 0.0001 |
 Medical conditions | ||||||
  ASCVD, % | 2.2 | 6.0 | 9.6 | 10.6 | 13.0 |  < 0.0001 |
  Diabetes mellitus, % | 1.3 | 5.2 | 13.3 | 22.2 | 27.6 |  < 0.0001 |
  COPD, % | 2.5 | 3.3 | 5.4 | 7.3 | 10.4 |  < 0.0001 |
  Cancer, % | 5.3 | 9.8 | 12.1 | 13.0 | 12.1 |  < 0.0001 |
 Laboratory measurement | ||||||
  White blood cell, × 109/L | 6.6 ± 1.9 | 7.0 ± 2.0 | 7.5 ± 2.2 | 8.0 ± 2.2 | 8.6 ± 2.4 |  < 0.0001 |
  Hemoglobin, g/dL | 14.2 ± 1.4 | 14.3 ± 1.4 | 14.2 ± 1.5 | 14.0 ± 1.5 | 13.8 ± 1.5 |  < 0.0001 |
  Albumin, g/L | 44.4 ± 3.4 | 43.3 ± 3.1 | 42.2 ± 3.2 | 41.0 ± 3.1 | 39.4 ± 3.1 |  < 0.0001 |
  Creatinine, umol/L | 76.0 ± 19.7 | 78.5 ± 25.8 | 78.6 ± 27.8 | 76.6 ± 28.1 | 73.7 ± 23.1 |  < 0.0001 |
  Urea nitrogen, mmol/L | 4.5 ± 1.6 | 4.9 ± 1.7 | 5.1 ± 2.0 | 5.1 ± 2.2 | 5.0 ± 2.2 |  < 0.0001 |
  Glycohemoglobin, % | 5.3 ± 0.5 | 5.5 ± 0.7 | 5.8 ± 1.0 | 6.1 ± 1.2 | 6.3 ± 1.3 |  < 0.0001 |
  Total cholesterol, mg/dL | 177.5 ± 36.3 | 195.4 ± 41.0 | 195.2 ± 40.8 | 191.2 ± 40.0 | 184.4 ± 36.2 |  < 0.0001 |
  HDL-C, mg/dL | 61.4 ± 16.3 | 55.1 ± 16.5 | 49.5 ± 14.1 | 47.4 ± 12.7 | 46.1 ± 11.5 |  < 0.0001 |
 Medications | ||||||
  Aspirin, % | 4.6 | 13.1 | 20.5 | 24.7 | 23.3 |  < 0.0001 |
  Lipid-lowering drugs, % | 3.4 | 14.3 | 24.2 | 26.9 | 25.0 |  < 0.0001 |
  Hypoglycemic agents, % | 1.1 | 4.5 | 12.0 | 21.6 | 26.1 |  < 0.0001 |