Which body mass index is best associated with risk of diabetes mellitus and hypertension in a Japanese-Brazilian population?

Simony, Rosana Farah; Gimeno, Suely Godoy Agostinho; Ferreira, Sandra Roberta Gouvêa; Franco, Laércio Joel

doi:10.1590/s0102-311x2007000200005

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…(). There was ample evidence showing that a high CVD risk was already present in Asians at a lower BMI level (Inoue, ; Simony et al ., ; Zaher et al ., ). Asian ethnicities tend to have a higher total body fat, as well as a greater amount of abdominal and visceral fat, at a given BMI compared to other races and ethnicities (Lear et al ., ).…”

Section: Discussionmentioning

confidence: 96%

“…() also reported that the prevalence of hypertension significantly increased from underweight to obese categories. The significant trend of an increased risk of hypertension with an increased BMI is similar to the results reported from cross‐sectional studies conducted in Asian populations (Ko et al ., ; Santhirani et al ., ; Simony et al ., ). Hu et al .…”

Section: Discussionmentioning

confidence: 97%

“…It has been suggested that the BMI cut-off point associated with hypertension in Hong Kong Chinese females was 24.1 kg m À2 (Ko et al, 1997). The BMI values with the best combination of sensitivity and specificity associated with hypertension in Japanese-Brazilians varied from 24.1 to 24.6 kg m À2 (Simony et al, 2007). The Youden (J) value obtain from the result was suboptimal for both BMI and %BF.…”

Section: Discussionmentioning

confidence: 99%

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Relationship of body compositional and nutritional parameters with blood pressure in adults

Pal

Sengupta

et al. 2013

J Human Nutrition Diet

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Relationship of body compositional and nutritional parameters with blood pressure in adults

Pal

Sengupta

et al. 2013

J Human Nutrition Diet

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“…In short, the substantial BMI risk for hypertension is generally higher than diabetes. Research in China also shows similar results that the BMI limit for the risk of hypertension was higher than diabetes (Feng et al, 2012), but other studies reported opposite results in Japan population with Brazilian ancestry (Simony, Roberta, & Ferreira, 2007). A previous study in Indonesia shows the 23 kg/m 2 BMI had an OR-value of 2.1 for the risk of hypertension (Harahap et al, 2005).…”

Section: Discussionmentioning

confidence: 70%

How Well Does Body Mass Index (BMI) Predict Undiagnosed Hypertension and Diabetes in Indonesian Adults Community Population?

Mubasyiroh¹,

Kusumawardani²,

Rachmalina³

et al. 2021

GJHS

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BACKGROUND: Previous studies have reported that Body Mass Index (BMI) cut-off was related to non-communicable diseases. This study aimed to give the latest evidence related to the accuracy of BMI cut-off towards undiagnosed hypertension and diabetes in the Indonesian population. METHODS: This was A cross-sectional study that involved data of the 2018 national population-based health survey, with the samples were 15,516 male and female populations aged between 19 years old and above. This study only included those claimed to have never been diagnosed as suffering from diabetes and hypertension by health workers. Receiver operating characteristic (ROC) analysis was conducted to assess the optimal BMI cut-off. The logistic regression was performed to assess the association of BMI on undiagnosed hypertension and diabetes controlled by several variables. RESULTS: The average BMI sample was 24 kg/m2 (SD = 4.6 kg/m2. The proportion of undiagnosed hypertension was 36.9%, and 12.3% for the proportion of undiagnosed diabetes. According to the ROC, the result shows BMI was more sensitive to hypertension conditions compared to diabetes. BMI cut-off points at 23.9 kg/m2 (AUC=0.59;Se=64.3%;Sp=53.4%) was the optimum value to predict hypertension and 24.9 kg/m2 (AUC=0.55;Se=53.1%;Sp=56.4%) was the optimum for diabetes. CONCLUSIONS: Based on the optimal AUC cut-off points for BMI which is around 0.5, BMI needs to be reconsidered as an anthropometric index in predicting undiagnosed hypertension and diabetes. And an assessment can be made using other anthropometric indices, such as waist circumference to predict undiagnosed hypertension and diabetes.

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Optimum cutoff values of anthropometric indices of obesity for predicting hypertension: more than one decades of follow-up in an Iranian population

et al. 2018

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We determined cutoff points of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR), for predicting hypertension in an Iranian population. Study sample included 6359 (3678 female) participants aged ≥20 and <60 years of a prospective cohort. The sex stratified multivariate hazard ratios (HRs) for all indices were estimated using Cox regression in two age groups (20-39 and 40-59 years). Receiver operating characteristic (ROC) was used to evaluate the predictive ability and determine the optimal cut-off values of the indices. In both genders and two age groups, the confounders adjusted HRs were significant for general and central obesity measures indices. AUCs of the indices were similar in men; however, among women 40-59 years, WC and WHtR had significantly higher AUC compared to BMI. Generally, the optimal cut-off values were higher in the 40-59 year age group. Optimal BMI, WC and WHR and WHtR cut-off values were 24.15 kg/m, 90.5 cm, 0.90 and 0.49 among men, aged 20-39 years; the corresponding values were 28.41 kg/m, 86.5 cm, 0.96 and 0.50 in men aged 40-59 years, respectively. In women, the aforementioned values were 26.38 kg/m, 83.5 cm, 0.79 and 0.51 in the age group of 20-39 years, and 29.57 kg/m, 90.5 cm, 0.88 and 0.59 in the 40-59 year age group, respectively. Our results suggest that gender and age differences in the association between anthropometric indices and hypertension should be considered.

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Which body mass index is best associated with risk of diabetes mellitus and hypertension in a Japanese-Brazilian population?

Cited by 3 publications

References 22 publications

Relationship of body compositional and nutritional parameters with blood pressure in adults

Relationship of body compositional and nutritional parameters with blood pressure in adults

How Well Does Body Mass Index (BMI) Predict Undiagnosed Hypertension and Diabetes in Indonesian Adults Community Population?

Optimum cutoff values of anthropometric indices of obesity for predicting hypertension: more than one decades of follow-up in an Iranian population

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