Comparison of 10 obesity-related indices for predicting hypertension based on ROC analysis in Chinese adults

Lee, Xiaohan; Gao, Yanan; Zhang, Yuting; Feng, Yong; Gao, Linna; Wang, Aiwen; Jiang, Yongbao; Huang, Huiming

doi:10.3389/fpubh.2022.1042236

Cited by 7 publications

(6 citation statements)

References 59 publications

(44 reference statements)

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“…Our study supports that abdominal obesity is more closely associated with hypertension rather than with generalized obesity. A previous study by Lee et al supports our results [41]. Han et al, in their prospective cohort study of 10,304 Chinese adults, used the CVAI as a predictor of hypertension and followed up for 6.03 years.…”

Section: Discussionsupporting

confidence: 90%

Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015–2017)

Yang

et al. 2023

Nutrients

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The current study is to explore the association of the Chinese visceral adiposity index (CVAI) with hypertension, and to compare the predictive power of different adiposity indexes regarding hypertension among Chinese adults aged over 45 years. A total of 99,201 participants aged over 45 years from the China Nutrition and Health Surveillance 2015–2017 were included in this study. Multivariate adjusted logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI) of hypertension. Multivariate adjusted restricted cubic spline analyses were applied to explore the association of adiposity indexes with hypertension. Receiver operating characteristic (ROC) analyses were used to compare the predictive powers of different adiposity indexes of hypertension. All eight adiposity indexes included in this study were positively associated with hypertension. Compared with those in the lowest quartile of the CVAI, the participants in the highest quartile showed a significantly higher risk of hypertension (OR = 3.70, 95% CI = 3.54–3.86) after multiple adjustments. The ROC analyses suggested that the CVAI was the strongest predictor of hypertension compared to other adiposity indexes in both genders. The findings supported that the CVAI could serve as a reliable and cost-effective method for early identifying hypertension risk.

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Section: Discussionsupporting

confidence: 90%

Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015–2017)

Yang

et al. 2023

Nutrients

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“…However, the Nepalese study was carried out in a semi-urban district. Similar findings have been reported in China (Lee et al, 2022), Taiwan (Lin et al, 2019) and in the Manipal region of Nepal (Chaudhary et al, 2019) who also found that BMI, WC and WHtR were positively associated with hypertension in adults.…”

Section: Discussionsupporting

confidence: 88%

“…On the contrary, other studies found BMI and WC better than WHtR in predicting incident HTN Momin et al, 2020;Rezende et al, 2018;Zhou et al, 2008). However, reports from Nepal (Shrestha et al, 2020) and China (Lee et al, 2022) did not see any superiority between BMI, WC and WHtR in predicting adult HTN.…”

Section: Introductionmentioning

confidence: 76%

“…For example, reports among adults in Nepal (Shrestha et al, 2020), Malaysia (Chua et al, 2017) and China Zhang et al, 2019) found BMI, WC and WHtR as simple and inexpensive screening tools for identify adults at risk of hypertension. While some studies have found waist circumference to be the best surrogate for abdominal obesity given that it correlates better with visceral fat mass (Lee et al, 2022); others found WHtR as a better tool for predicting HTN in adults. For instance, a study amongst Korean (Choi et al, 2028) and Chinese (Zhang et al, 2019) adults found WHtR as a better predictor for hypertension, while a report amongst Brazilian adults (Gus et al, 2004) found WC as a better predictor for adult hypertension.…”

Section: Introductionmentioning

confidence: 99%

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Association between adiposity indices and hypertension in an urban population of adults in the north west region of Cameroon

Loveline,

Njiawah,

Lifoter

2023

J. Public Health Epidemiol.

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The rising prevalence of obesity globally is becoming worrisome as excess weight is associated with hypertension and other adverse cardiovascular outcomes. This study therefore set out to determine the prevalence of hypertension in relation to some measures of adiposity (BMI, WC and WHtR) and to examine the association between blood pressure (BP) and the adiposity indices amongst adults in the North West Region of Cameroon. A community-based cross-sectional study involving 263 adults (mean age 35.6 ± 15.9 years) recruited through a random sampling technique. Anthropometric measurements and BP were measured following standard protocols. Linear regression analysis was used to assess the relationship between BP and measures of adiposity (BMI, WC, WHtR) amongst the study participants. The prevalence of hypertension in the study population was 42.2% (with 18.6 and 23.6% already in stage I and II respectively). A significant (p <0.05) difference in the mean systolic blood pressure (SBP) across the different measures of obesity were observed. A significant positive correlation (p <0.05) was found between BMI, WC and WHtR with systolic and diastolic BP. Linear regression showed a significant positive association (p < 0.05) between WC and systolic BP both in the unadjusted [WC (β = 0.75)] and adjusted analysis [WC (β = 0.56)]. In the contrast, BMI was significantly (p <0.05) associated with diastolic BP both in the adjusted [BMI (β = 0.38)] and unadjusted analysis [BMI (β = 0.39)]. It was found that WC was an independent predictor of hypertension in adults. Interventions should focus on the aspects of behavior (individual level) and culture (population level) which could play a vital role in reducing the prevalence of obesity and hypertension amongst adults in our setting.

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“…Beyond BMI, several non-invasive clinical measures have been developed to estimate the degree of overweight and obesity, including the assessment of subcutaneous skinfold thickness, conicity index, body shape index, and waist-to-hip ratio, among others [10,15,[20][21][22]. While innovative, these techniques face hurdles limiting their widespread implementation.…”

Section: Other Anthropometric Markersmentioning

confidence: 99%

Investigation of Underlying Association between Anthropometric and Cardiorespiratory Fitness Markers among Overweight and Obese Adolescents in Canada

Leone,

Bui,

Kalinova

et al. 2024

IJERPH

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Background: Adolescents who experience overweight or obesity commonly persist in these conditions into adulthood, thereby elevating their vulnerability to health issues. The focus of this study is on health risk markers such as body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), body surface area (BSA), and cardiorespiratory fitness (CRF). The objectives include updating normative values for BMI, WC, WHtR, and BSA in Canadian adolescents, establishing cardiometabolic risk zones, and developing a composite score considering both anthropometric and CRF markers. Methods: Involving 1864 adolescents, the study used the LMS method to generate percentile norms, stratified by age and sex. Cardiometabolic risk zones were established for each marker based on Z-scores, and a composite score was created. Results: An increase in WC of 5.8 and 7.4 cm for boys and girls, respectively, was observed since 1981. Forward multiple regression analyses were conducted to assess the robustness and validity of the proposed model. The results indicated that the model explained nearly 90% (R2 = 0.890) of the common variance between the composite score and the retained independent variables. Moreover, the model demonstrated a mean absolute error (MAE) of approximately 6 percentiles, confirming its high precision. Furthermore, these analyses yielded key thresholds for identifying adolescents at risk: the 70th percentile for high cardiometabolic risk and the 85th percentile for very-high risk. Conclusions: Individually, WC or WHtR seem to be better markers for evaluating cardiometabolic risk than BMI during adolescence. However, CRF showed comparable importance to anthropometric markers in determining cardiometabolic risk. The simultaneous inclusion of anthropometric and CRF markers provides a better picture of the global cardiometabolic risk in adolescents.

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Comparison of 10 obesity-related indices for predicting hypertension based on ROC analysis in Chinese adults

Cited by 7 publications

References 59 publications

Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015–2017)

Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015–2017)

Association between adiposity indices and hypertension in an urban population of adults in the north west region of Cameroon

Investigation of Underlying Association between Anthropometric and Cardiorespiratory Fitness Markers among Overweight and Obese Adolescents in Canada

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