Comparison of visceral and body fat indices and anthropometric measures in relation to untreated hypertension by age and gender among Chinese

Jiang, Jian; Deng, Songyuan; Chen, Yi; Liang, Shuying; Ma, Nan; Xu, Yajuan; Chen, Xiaolin; Cao, Xiaoqin; Song, Chunhua; Nie, Wei; Wang, Kaijuan

doi:10.1016/j.ijcard.2016.06.032

Cited by 49 publications

(56 citation statements)

References 45 publications

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“…Overall, this confirms that prediction of hypertension risk using METS‐IR could be explained by the increased cardiovascular risk associated with both IR and MS. Individual components of the METS‐IR score have also been linked independently to incident hypertension, including triglycerides and HDL‐C as well as BMI as a marker of whole‐body fat content . As demonstrated by our results, besides BMI, glucose levels are also highly predictive of arterial stiffness and incident arterial hypertension; despite this, the better model assessed by decreased in AIC was comprised by METS‐IR and not by its individual components.…”

Section: Discussionsupporting

confidence: 52%

“…Individual components of the METS-IR score have also been linked independently to incident hypertension, including triglycerides and HDL-C as well as BMI as a marker of whole-body fat content. 24,25 As demonstrated by our results, besides BMI, glucose levels are also highly predictive of arterial stiffness and incident arterial hypertension; despite this, the better model assessed by decreased in AIC was comprised by METS-IR and not by its individual components. This is significant, since it confirms that METS-IR is useful as a complementary metabolic evaluation tool when assessing risk of arterial hypertension.…”

Section: Discussionmentioning

confidence: 54%

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Prediction of incident hypertension and arterial stiffness using the non–insulin‐based metabolic score for insulin resistance (METS‐IR) index

Bello‐Chavolla

Antonio-Villa

Vargas‐Vázquez

et al. 2019

J of Clinical Hypertension

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Hypertension is associated with insulin resistance (IR), metabolic syndrome (MS), and arterial stiffness. Non–insulin‐based IR indexes were developed as tools for metabolic screening. Here, we aimed to evaluate the novel non–insulin‐based Metabolic Score for IR (METS‐IR) index for the prediction of incident hypertension and arterial stiffness evaluated using pulse wave velocity (PWV) analysis, compared with other non–insulin‐based IR indexes. We evaluated two populations, a cross‐sectional evaluation of high‐risk individuals (n = 305) with a wide range of metabolic comorbidities and dyslipidemia in whom PWV measurement was performed and a 3‐year prospective cohort of normotensive individuals (N = 6850). We observed a positive correlation between METS‐IR and PWV in the cross‐sectional cohort, which was higher compared with other non–insulin‐based fasting IR indexes; furthermore, PWV values >75th percentile were associated with the upper tercile of METS‐IR values. In the prospective cohort, we observed an increased risk for incident hypertension for the upper METS‐IR tercile (METS‐IR ≥ 46.42; HR: 1.81, 95% CI: 1.41‐2.34), adjusted for known cardiovascular risk factors, and observed that METS‐IR had greater increases in the predictive capacity for hypertension along with SBP and the Framingham Hypertension Risk Prediction Model compared with other non–insulin‐based IR indexes. Therefore, METS‐IR is a novel non–insulin‐based IR index which correlates with arterial stiffness and is a predictor of incident hypertension, complementary to previously validated risk prediction models.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 54%

Prediction of incident hypertension and arterial stiffness using the non–insulin‐based metabolic score for insulin resistance (METS‐IR) index

Bello‐Chavolla

Antonio-Villa

Vargas‐Vázquez

et al. 2019

J of Clinical Hypertension

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“…At individual levels, no adiposity indices could not replace BP measures in distinguishing prehypertension. However, we assumed that there were different time intervals between adiposity accumulation and prehypertension in different age and gender groups . The cross‐sectional survey addressed the value of adiposity indices not in the diagnosis of prehypertension at individual level but the predicting, early warning and prevention of prehypertension at population level.…”

Section: Discussionmentioning

confidence: 99%

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Wang

Peng

Liang

et al. 2018

Clinical Cardiology

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Background To compare the efficiency of bioelectrical indices (visceral fat index [VFI], percentage body fat [PBF]) and anthropometric indices (body mass index, waist circumference, waist‐to‐height ratio, a body shape index ) in the relation to prehypertension (120‐139/80‐89 mm Hg) among the Chinese population. Methods Using stratified multistage random sampling method, a general population‐based sample of 11 175 adults in Henan province were selected from 2013 to 2015. The individuals were divided into three categories by blood pressure levels: normotension (<120 and 80 mm Hg), stage 1 prehypertension (120‐129/80‐84 mm Hg) and stage 2 prehypertension (130‐139/85‐89 mm Hg). Results VFI and PBF tended to increase with age in men and women. However, for each age‐specific group, men tended to have higher VFI than women (all P < 0.01) and women tended to have greater PBF (all P < 0.0001). The odds ratios (OR) and area under the receiver operating characteristic curves for prehypertension associated with adiposity indices declined with age. VFI and PBF showed higher standardized adjusted ORs for prehypertension in young (~40 years) men (VFI: 2.02‐3.05; PBF: 1.82‐2.80) and young women (VFI: 1.90‐2.58; PBF:1.70‐2.29). Moreover, based on Youden's index, VFI and PBF exhibited the superiority for identifying prehypertension in men (0.20‐0.32) and women (0.31‐0.39), respectively. Conclusion In summary, there was stronger association of VFI and PBF with prehypertension in men than in women, respectively, especially for young adults.

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“…Jiang et al [34] encontraram um ponto de corte de GC≥33,65% (AUC 0,73; IC95% 0,71-0,74) para a predição da HAS em mulheres chinesas, tendo sido a GC um melhor preditor da HAS do que IMC e CC, como observado em mulheres quilombolas, e ainda do que o índice de gordura visceral e a RCE.…”

Section: Artigo Originalunclassified

“…Diversos trabalhos têm utilizado as curvas ROC procurando identificar os melhores pontos de corte de diferentes parâmetros antropométricos para a predição da HAS em diferentes populações [8][9][10][33][34][35], em virtude da magnitude dessa doença e de que os pontos de corte propostos pela OMS foram estabelecidos para caucasianos [14]. Nesse sentido, destaca-se que o presente estudo foi o primeiro que visou identificar o melhor preditor antropométrico de HAS em mulheres de comunidades remanescentes de quilombos.…”

Section: Artigo Originalunclassified

Preditores antropométricos de hipertensão arterial sistêmica em mulheres afrodescendentes

Padilha

Diniz

Ferreira

et al. 2017

Sci Med

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RESUMOOBJETIVOS: Investigar a associação entre parâmetros antropométricos e hipertensão arterial sistêmica e identificar os melhores preditores antropométricos dessa condição em mulheres afrodescendentes, de comunidades remanescentes de quilombos. MÉTODOS: Estudo transversal realizado com mulheres quilombolas do Estado de Alagoas. Foram investigados pressão arterial, parâmetros antropométricos (índice de massa corporal, circunferência da cintura, razão cintura-quadril, razão cintura-estatura, índice de conicidade, gordura corporal), variáveis sociodemográficas, tabagismo e paridade. As associações entre parâmetros antropométricos e hipertensão arterial sistêmica foram averiguadas por meio da regressão de Poisson com ajuste robusto da variância. A capacidade desses parâmetros em predizer a presença de hipertensão arterial sistêmica foi analisada por meio de curvas ROC (Receiver Operating Characteristic). RESULTADOS: Foram avaliadas 1.553 mulheres, com idades entre 20 e 59 anos. A prevalência de hipertensão arterial sistêmica foi 35,8% e a de excesso de peso foi 48,5%. A presença de hipertensão arterial sistêmica associou-se a índice de massa corporal, circunferência da cintura, razão cintura-quadril, razão cintura-estatura e gordura corporal, mesmo após o ajuste para idade, classe socioeconômica e tabagismo. A partir das curvas ROC, foram encontrados os seguintes pontos de corte: índice de massa corporal ≥26,2 kg/m², circunferência da cintura ≥81,6 cm, razão cintura-quadril ≥0,84, razão cintura-estatura ≥0,54, índice de conicidade ≥1,20 e gordura corporal ≥35,4%. Gordura corporal, razão cintura-quadril e razão cintura-estatura apresentaram igual capacidade em predizer a hipertensão arterial sistêmica. CONCLUSÕES: Todos os indicadores de obesidade global e os de obesidade central, excetuando-se o índice de conicidade, associaram-se à hipertensão arterial sistêmica nessa amostra de mulheres afrodescendentes quilombolas. Os melhores preditores antropométricos de hipertensão arterial sistêmica foram porcentagem de gordura corporal, razão cintura-quadril e razão cintura-estatura. Essas medidas tiveram igual, embora baixo, poder discriminatório para a presença de hipertensão arterial sistêmica nessa população. DESCRITORES:Afro-americanos; etnia e saúde; gordura abdominal; obesidade; pressão arterial; curva ROC. ABSTRACTAIMS: To determine the association between anthropometric parameters and systemic arterial hypertension and to identify the best anthropometrics predictors of this disease in afro-descendant women from remaining quilombo communities. METHODS: A cross-sectional study was conducted with quilombola women from Alagoas State. Blood pressure, anthropometric parameters (body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio, conicity index, body fat), sociodemographic variables, smoking and parity were investigated. The associations between anthropometric parameters and systemic arterial hypertension were investigated using Poisson regression with robust variance adjustment. The ability...

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Comparison of visceral and body fat indices and anthropometric measures in relation to untreated hypertension by age and gender among Chinese

Cited by 49 publications

References 45 publications

Prediction of incident hypertension and arterial stiffness using the non–insulin‐based metabolic score for insulin resistance (METS‐IR) index

Prediction of incident hypertension and arterial stiffness using the non–insulin‐based metabolic score for insulin resistance (METS‐IR) index

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Preditores antropométricos de hipertensão arterial sistêmica em mulheres afrodescendentes

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