Table 3

Adjusted association between BMI/WHR and serum lipids in Malawian rural and urban women and men

Adjusted difference in outcome per
1 SD higher BMI (95% CI)
Adjusted difference in outcome per
1 SD higher WHR (95% CI)
Difference in mean TC (mmol/L)
 Rural women (n=4971) (n=4975)0.23 (0.19 to 0.26)0.06 (0.03 to 0.09)
 Rural men (n=3548) (n=3549)0.20 (0.16 to 0.23)0.07 (0.03 to 0.11)
 Urban women (n=7455)0.13 (0.11 to 0.15)0.10 (0.07 to 0.12)
 Urban men (n=3705)0.15 (0.12 to 0.18)0.08 (0.05 to 0.11)
 P values for difference between sex0.0120.442
 P values for difference between area<0.0010.488
Difference in mean LDL-C (mmol/L)
 Rural women (n=4971) (n=4975)0.22 (0.19 to 0.24)0.06 (0.04 to 0.09)
 Rural men (n=3548) (n=3549)0.18 (0.16 to 0.21)0.07 (0.04 to 0.11)
 Urban women (n=7455)0.15 (0.13 to 0.17)0.10 (0.08 to 0.12)
 Urban men (n=3705)0.17 (0.14 to 0.19)0.09 (0.07 to 0.12)
 P values for difference between sex0.0220.251
 P values for difference between area0.0010.059
Difference in mean HDL-C (mmol/L)
 Rural women (n=4971) (n=4975)−0.03 (−0.04 to −0.02)−0.03 (−0.04 to −0.02)
 Rural men (n=3548) (n=3549)−0.03 (−0.04 to −0.02)−0.03 (−0.05 to −0.02)
 Urban women (n=7455)−0.05 (−0.05 to −0.04)−0.03 (−0.04 to −0.02)
 Urban men (n=3705)−0.04 (−0.05 to −0.04)−0.03 (−0.04 to −0.03)
 P values for difference between sex0.6030.730
 P values for difference between area0.0030.009
Difference in mean TG (mmol/L)
 Rural women (n=4971) (n=4975)0.12 (0.10 to 0.13)0.11 (0.09 to 0.13)
 Rural men (n=3548) (n=3549)0.16 (0.13 to 0.19)0.11 (0.08 to 0.14)
 Urban women (n=7455)0.09 (0.08 to 0.10)0.09 (0.08 to 0.11)
 Urban men (n=3705)0.17 (0.14 to 0.20)0.13 (0.11 to 0.16)
 P values for difference between sex<0.0010.001
 P values for difference between area0.0390.127
  • Serum lipids were assessed in mmol/L.

  • Adjusted for age, ethnicity, education, household assets score, marital status, parity (women) use of lipid-lowering medication, smoking status, alcohol intake, physical activity and HIV/ART status.

  • BMI and WHR are used in SD.

  • ART, antiretroviral therapy; BMI, body mass index; HDL-C, high density lipoprotein-cholesterol; LDL-C, low density lipoprotein-cholesterol; TC, total cholesterol; TG, triglycerides; WHR, waist to hip ratio.