Differential Risk of Hypertension Among Lean and Nonlean Rural Subjects in Relation to Decadal Changes in Anthropometry

Deshpande-Joshi, Sayali S; Rao, Shobha

doi:10.1080/07315724.2017.1405750

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…On full-text assessment, most exclusions (n=85) were of studies performing only correlation analyses between anthropometric measures and CVD incidence. The number of participants in included studies varied between 140 and 59 037 24 25. There were 25 (83.3%) included studies in India19 24–47 and three (10%) in Bangladesh 48–50.…”

Section: Resultsmentioning

confidence: 99%

“…The number of participants in included studies varied between 140 and 59 037 24 25. There were 25 (83.3%) included studies in India19 24–47 and three (10%) in Bangladesh 48–50. The remaining two studies were conducted in Mauritian51 and Pakistani52 populations, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining two studies were conducted in Mauritian51 and Pakistani52 populations, respectively. The final analyses included two prospective cohort studies (one looking at HTN26 and one looking at CVD mortality51), four case-control studies44–47 (looking at CVD outcomes) and 24 cross-sectional studies19 24 25 27–43 48–50 52 (looking at HTN outcomes). In terms of exposure variables, 29 studies included BMI, 27 studies used WC, 21 studies used WHR and ten studies additionally used other measures, including WHtR (n=6) and hip circumference (n=2).…”

Section: Resultsmentioning

confidence: 99%

“…In terms of exposure variables, 29 studies included BMI, 27 studies used WC, 21 studies used WHR and ten studies additionally used other measures, including WHtR (n=6) and hip circumference (n=2). Overall, 18 studies looked at HTN,24 26 28–38 40 41 48–50 with or without blood pressure, eight looked at CVD,25 42–47 52 three looked at blood pressure alone19 27 39 and one study looked at CVD mortality 51…”

Section: Resultsmentioning

confidence: 99%

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Associations of general and central adiposity with hypertension and cardiovascular disease among South Asian populations: a systematic review and meta-analysis

Re,

Oguntade,

Bohrmann

et al. 2023

BMJ Open

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BackgroundThe relevance of measures of general and central adiposity for cardiovascular disease (CVD) risks in populations of European descent is well established. However, it is less well characterised in South Asian populations, who characteristically manifest larger waist circumferences (WC) for equivalent body mass index (BMI). This systematic review and meta-analysis provide an overview of the literature on the association of different anthropometric measures with CVD risk among South Asians.MethodologyMEDLINE and Embase were searched from 1990 to the present for studies in South Asian populations investigating associations of two or more adiposity measures with CVD. Random-effects meta-analyses were conducted on the associations of BMI, WC and waist-to-hip ratio (WHR) with blood pressure, hypertension and CVD. Quality assessment was performed using the Newcastle-Ottawa scale.ResultsTitles and abstracts were screened for 7327 studies, yielding 147 full-text reviews. The final sample (n=30) included 2 prospective, 5 case-control and 23 cross-sectional studies. Studies reported generally higher risks of hypertension and CVD at higher adiposity levels. The pooled mean difference in systolic blood pressure (SBP) per 5 kg/m2higher BMI was 3 mmHg (2.90 (95% CI 1.30 to 4.50)) and 6 mmHg (6.31 (95% CI 4.81 to 7.81) per 13 cm larger WC. The odds ratio (OR) of hypertension per 5 kg/m2higher BMI was 1.33 (95% CI 1.18 to 1.51), 1.45 (95% CI 1.05 to 1.98) per 13 cm larger WC and 1.22 (95% CI 1.04 to 1.41) per 0.1-unit larger WHR. Pooled risk of CVD for BMI-defined overweight versus healthy-weight was 1.65 (95% CI 1.55 to 1.75) and 1.48 (95% CI 1.21 to 1.80) and 2.51 (95% CI 0.94 to 6.69) for normal versus large WC and WHR, respectively. Study quality was average with significant heterogeneity.ConclusionsMeasures of both general and central adiposity had similar, strong positive associations with the risk of CVD in South Asians. Larger prospective studies are required to clarify which measures of body composition are more informative for targeted CVD primary prevention in this population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Associations of general and central adiposity with hypertension and cardiovascular disease among South Asian populations: a systematic review and meta-analysis

Re,

Oguntade,

Bohrmann

et al. 2023

BMJ Open

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“…The tape was placed on the widest part of the forehead and around the widest part of the back of the head while measuring. The body fat % was measured using an analyzer HBF 210 Omron Corporation validated and used in other Indian studies [ 21 , 22 ] as well.…”

Section: Methodsmentioning

confidence: 99%

Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Gokhale

Rao²

2021

BMC Nutr

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Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromised maternal nutritional status in early pregnancy affects the birth size of rural Indian mothers. Methods It was a prospective observational study on singleton pregnant women (n = 204) from 14 villages in Mulshi Taluka of Pune District, Maharashtra, India. Maternal weight (Wt), height (Ht), body fat percent (BF%), head circumference (HC), and sitting height (SHT) were measured at early pregnancy (< 13 weeks of gestation) and infants’ weight and length were measured within 24 h of birth. Groups means were tested using a ‘t’ test while the trend in means was tested using ANOVA. Results Mothers were young (21.46 ± 2.09 yrs), thin (46.46 ± 6.1 kg), short (153.39 ± 5.79 cm), and poorly nourished (19.74 ± 2.41 kg/m2). Mean birth weight was low (2655 ± 507 g) and prevalence of LBW and stunting at birth was highest among mothers in the lower tertile of each of the anthropometric indicators. In particular, stunting was significantly higher for mothers in lower tertile compared to higher tertile of Wt (44.6 Vs 64.6%) and was also true for HC (43.7 Vs 60.6%). Risk for LBW and stunting at birth was almost similar and was significant (p < 0.01) for mothers in the lower tertile of Wt, Ht, BMI, SHT, HC, and BF% as compared to those in the higher tertile of these measurements. Conclusion All the anthropometric indicators of current undernutrition at first trimester as well as that in utero reflected by smaller HC, impose risk for LBW and stunting at birth especially among young rural mothers.

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Association of triglyceride glucose index and its combination of obesity indices with prehypertension in lean individuals: A cross‐sectional study of Chinese adults

Zeng

Liu

et al. 2020

J of Clinical Hypertension

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For normal‐weight population, the management of prehypertension may be more beneficial by identifying insulin resistance (IR) status than relying solely on traditional indicators of obesity. We investigated the association of triglyceride glucose (TyG) index, a simple surrogate marker of IR, and its combination of obesity indices with prehypertension in lean individuals. A total of 105 070 lean adults without hypertension were included in this analysis. Body mass index (BMI), waist circumference (WC), waist‐to‐height ratio (WtHR), and TyG were calculated according to the corresponding formula; TyG‐BMI, TyG‐WC, and TyG‐WHtR were calculated by multiplying the corresponding two parameters. Gardner‐Altman plots, partial correlation, and logistic regression analyses were applied to explore the associations in continuous variables and quartiles. The prehypertensive ones had higher mean values of TyG, TyG‐BMI, TyG‐WC, and TyG‐WHtR than normotensive individuals. All the four indicators showed positive correlations with systolic blood pressure and diastolic blood pressure. After full adjustment, only TyG‐BMI and TyG‐WC were significantly associated with prehypertension in both genders. Furthermore, TyG‐BMI had the highest OR for prehypertension. Our study showed that TyG‐BMI might be an accessible and complementary monitor in the hierarchical management of non‐obese prehypertensive patients.

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Differential Risk of Hypertension Among Lean and Nonlean Rural Subjects in Relation to Decadal Changes in Anthropometry

Abstract: For similar level of change in adiposity indicators, lean subjects were at greater risk of hypertension than nonlean subjects, probably due to higher VF deposition.

Cited by 4 publications

References 26 publications

Associations of general and central adiposity with hypertension and cardiovascular disease among South Asian populations: a systematic review and meta-analysis

Associations of general and central adiposity with hypertension and cardiovascular disease among South Asian populations: a systematic review and meta-analysis

Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Association of triglyceride glucose index and its combination of obesity indices with prehypertension in lean individuals: A cross‐sectional study of Chinese adults

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