Abdominal Adiposity Distribution Quantified by Ultrasound Imaging and Incident Hypertension in a General Population

Seven, Ekim; Thuesen, Betina Heinsbæk; Linneberg, Allan; Jeppesen, Jørgen

doi:10.1161/hypertensionaha.116.07306

Cited by 31 publications

(27 citation statements)

References 46 publications

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“…For WC, the relationship with hypertension was reported by most studies [28,29]. Most studies have found a positive association between WC and hypertension [30], whereas a null association was found in a prospective study from European populations [29]. The low participation rate and the relatively high study drop-out rate may bias the result.…”

Section: Discussionmentioning

confidence: 96%

Association of Body Mass Index and Waist Circumference with Hypertension in Older Adults

Zhang¹,

He²,

Zhao³

et al. 2020

Preprint

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Background: The relationship between obesity and prevalent hypertension in older adults has predominantly been estimated using categorical measures of body mass index (BMI) and waist circumference (WC), masking the shape of the dose-response relationship. We aimed to examine the precise relationship of BMI, WC with hypertension, and to assess the appropriate level of BMI and WC for hypertension. Methods: We examined data for 126,123 individuals in Xinzheng city aged ≥60 years from a population based study from January to December 2019. Logistic regression and restricted cubic spline models were applied to assess the relationship and the appropriate level of BMI and WC for hypertension. An additive interaction analysis was used to test synergistic effects between a higher BMI and WC for hypertension. Results: The full-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of an increase of 1 kg/m2 in BMI and 1 cm in WC for hypertension were 1.084 (1.080-1.087) and 1.025 (1.024-1.027), respectively. Multivariable adjusted restricted cubic spline analyses showed the nonlinear relationships of BMI and WC with hypertension in both men and women (all P<0.001). The risk of hypertension increased steeply with increasing BMI from ≥25 kg/m2 and WC ≥ 88 cm or 86 cm for males and females, respectively. And we observed a significant additive interaction between a higher BMI and WC such that the prevalence of hypertension was significantly enhanced. Conclusion: These findings suggest increased hypertension prevalence in the elderly population with increased BMI and WC. BMI ≤ 25 kg/m2 and WC ≤ 88 cm or 86 cm for males and females may be the best suggestion with regard to primary prevention of hypertension in older adults.

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Section: Discussionmentioning

confidence: 96%

Association of Body Mass Index and Waist Circumference with Hypertension in Older Adults

Zhang¹,

He²,

Zhao³

et al. 2020

Preprint

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“…It has been documented that VAT is better associated with the presence of hypertension than SAT [8,19,20].…”

Section: Discussionmentioning

confidence: 99%

Sex differences in the association of abdominal adipose tissue measurements by using quantitative computed tomography (QCT) with untreated hypertension in a Chinese population

Chen¹,

Zhang²,

Wang³

et al. 2020

Preprint

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Background: There are inconsistent results regarding the relationships of adiposity anthropometric indices and blood pressure (BP) and hypertension, and whether these relationships differ by sex is unclear. We aimed to elucidate the associations of adiposity indices measured using quantitative computed tomography (QCT) with BP and hypertension and to determine the effect of sex on the relationships in a Chinese population. Methods: Abdominal adipose fat, including visceral adipose tissue (VAT) area and subcutaneous adipose tissue (SAT) area, was measured by QCT in 1488 participants. Body mass index (BMI), waist circumference (WC), hip circumference (HC) and systolic (SBP) and diastolic BP (DBP) were measured. Results: Compared to women, men had significantly greater VAT but less SAT regardless of hypertension status. VAT, SAT and WC correlated more with SBP in men than in women. After controlling for body weight, height and age, VAT area and WC in women and VAT area in men were positively associated with SBP and DBP level. VAT area correlated more with the increased risk of hypertension in men than in women [men: odds ratio (OR) = 1.013, women: OR = 1.011]. WC had a significant correlation with an increased risk of hypertension in women but a borderline association in men (P = 0.059) when adjusted for VAT area and SAT area. Conclusions: The association of abdominal adiposity with blood pressure components and hypertension differs qualitatively by sex. WC may be an important determinant of hypertension and may be used for risk stratification for hypertension among Chinese individuals.

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“…Waist circumference is significantly associated with abdominal subcutaneous and visceral fat. Seven et al (2016) and Chandra et al (2014) found that the incidence of hypertension associated with visceral fat but not with subcutaneous adiposity and total body fat. It is well known that women and men have a different proportion of body fat and its distribution.…”

Section: Introductionmentioning

confidence: 99%

“…Indonesian Basic Health Survey also revealed that overweight prevalence was significantly higher in urban areas than rural areas but the prevalence of hypertension was almost the same (MoH 2013). To our knowledge, there are studies about hypertension risk factors (Peltzer & Pengpid 2018, Singh et al 2017, body composition and blood pressure (Chandra et al 2014, White & Tchoukalova 2014Seven et al 2016) but few study about it in Indonesia (Peltzer & Pengpid 2018, Sari et al 2016 particularly in rural area. Therefore this study aims to analyse the risk factors of hypertension among adult at rural Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Hypertension among Adult in Rural Indonesia

et al. 2018

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The aim of this study was to analyse the risk factors of hypertension among adult in rural Indonesia. This cross-sectional study included 112 married couples (112 men and 112 women) aged 45-59 years old and was conducted in Cianjur District, West Java, Indonesia. The measurement of body weight and fat composition used Bioelectrical Impedence Analysis (BIA) monitor (OMRON ® Karada Scan Body Composition Monitor HBF-358-BW). Body height was measured by stadiometer, meanwhile waist circumference was measured by measuring tape. Data on the blood pressure measured by an automatic blood pressure monitor (OMRON ® Automatic Blood Pressure Monitor Model HEM-7200). All measurement were done twice in repetition. Chi-square was used to analysed the association between variables and logistic regression was used to analyse the risk factors. The prevalence of hypertension was 49.1% (women 54.5%; men 43.7%). Women had a higher proportion of overweight, obesity, abdominal obesity, and hypertension stage 2 than men. BMI (p<0.05), waist circumference (p<0.05), total body fat (p<0.05), and visceral fat (p<0.05) were significantly higher in hypertension subject than not hypertension. Nonetheless, only waist circumference became the risk factor for hypertension (OR=4.005; 95%CI:1.47-10.914 for high risk). There is high prevalence of hypertension among adult in rural area. Adult, particularly women need to pay attention on their body fat to reduce the risk of hypertension.

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Abdominal Adiposity Distribution Quantified by Ultrasound Imaging and Incident Hypertension in a General Population

Cited by 31 publications

References 46 publications

Association of Body Mass Index and Waist Circumference with Hypertension in Older Adults

Association of Body Mass Index and Waist Circumference with Hypertension in Older Adults

Sex differences in the association of abdominal adipose tissue measurements by using quantitative computed tomography (QCT) with untreated hypertension in a Chinese population

Risk Factors of Hypertension among Adult in Rural Indonesia

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