The association between obesity indices and hypertension: Which index is the most notable indicator of hypertension in different age groups stratified by sex?

Wu, Xiao Y.; Li, Bo; Lin, Wei‐De; Huang, Lingling; Wang, Xiaoxiao; Fu, Li-Ying; Li, Bingbing; Wang, Pei‐Xi

doi:10.1080/10641963.2018.1489546

Cited by 23 publications

(27 citation statements)

References 29 publications

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“…This study examined three different indicators of fat distribution-BMI, WHpR, and WHtR-which have reportedly been associated with the prevalence of hypertension in both genders. In previous cross-sectional studies, ROC curve analyses demonstrated that WHtR was a better indicator than other indices among young men and women, but BMI and WC were more sensitive markers among middle-aged men and women [16]. Meanwhile, for middle-aged and elderly Brazilians, Dutra et al [8] reported that WC and WHpR had a stronger relationship with prevalence of hypertension compared to other indices.…”

Section: Discussionmentioning

confidence: 93%

“…Men tend to have greater skeletal muscles than women and women tend to have a higher percentage of body fat than men [25]. Thus, the inconsistent association of obesity indices and hypertension may be due to different races, age groups, and sexes [16]. The mechanisms that lead to increased incidence of hypertension in individuals with increased WHtR remain to be elucidated.…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, cross-sectional and prospective studies have demonstrated a strong association between WHtR and hypertension [4,5,12]. However, which index best predicts the development of hypertension remains controversial [13][14][15][16], and more specifically, there is a lack of consensus on the best predictive indicator of hypertension among Japanese middle-aged and elderly individuals.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of waist-to-height ratio in screening incident hypertension among Japanese community-dwelling middle-aged and elderly individuals

et al. 2020

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Background: The incidence of hypertension is increasing worldwide and obesity is one of the most significant risk factors. Obesity can be defined by various anthropometric indices such as body mass index (BMI), waist-to-hip ratio (WHpR), and waist-to-height ratio (WHtR). This study examined a range of anthropometric indices and their relationships with hypertension. Methods: This study included 768 men aged 70 ± 10 years and 959 women aged 70 ± 8 years from a rural village. The relationship between anthropometric indices (BMI, WHpR, and WHtR) and hypertension was examined using cross-sectional (baseline, N = 1727) and cohort data (follow-up, N = 419). Receiver operating characteristic (ROC) analysis was used to determine the predictive ability of obesity indices for hypertension in both genders. Logistic regression models were used to evaluate WHtR as a significant predictor of hypertension. Results: In the cross-sectional study, WHtR, BMI, and WHpR showed significant predictive abilities for hypertension in both genders, with WHtR showing the strongest predictive ability. Also, in the cohort study, WHtR showed a significant predictive ability for incident hypertension in both genders, and, for women, BMI as well as WHtR had also predictive ability. In the cross-sectional study, the optimal WHtR cutoff values were 0.53 (sensitivity, 44.3%; specificity, 80.2%) for men and 0.54 (sensitivity, 60.9%; specificity, 68.6%) for women. In the cohort study, the optimal WHtR values were 0.47 (sensitivity, 85.4%; specificity, 39.8%) for men and 0.51 (sensitivity, 66.7%; specificity, 58.2%) for women. Conclusions: The results suggest that WHtR is a useful screening tool for hypertension among Japanese middleaged and elderly community-dwelling individuals.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Usefulness of waist-to-height ratio in screening incident hypertension among Japanese community-dwelling middle-aged and elderly individuals

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“…The ABSI had the lowest discriminatory power, in agreement with our findings. The results depend to a large extent on the ethnicity [37,38], sex [36,37], and age of the participants [39], and also on the indices selected for analysis. According to the National Cholesterol Education Program, Adult Treatment Panel III (NCEP ATP III), the cut-off point for abdominal obesity is 102 cm for men and 88 cm for women [21].…”

Section: Plos Onementioning

confidence: 99%

Anthropometric indices and cut-off points in the diagnosis of metabolic disorders

et al. 2020

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Identifying metabolic disorders at the earliest phase of their development allows for an early intervention and the prevention of serious consequences of diseases. However, it is difficult to determine which of the anthropometric indices of obesity is the best tool for diagnosing metabolic disorders. The aims of this study were to evaluate the usefulness of selected anthropometric indices and to determine optimal cutoff points for the identification of single metabolic disorders that are components of metabolic syndrome (MetS). Design Cross-sectional study. Participants We analyzed the data of 12,328 participants aged 55.7±5.4 years. All participants were of European descent. Primary outcome measure Four MetS components were included: high glucose concentration, high blood triglyceride concentration, low high-density lipoprotein cholesterol concentration, and elevated blood pressure. The following obesity indices were considered: waist circumference (WC), body mass index (BMI), waist-to-height ratio (WHtR), body fat percentage (%BF), Clínica Universidad de Navarra-body adiposity estimator (CUN-BAE), body roundness index (BRI), and a body shape index (ABSI). Results The following indices had the highest discriminatory power for the identification of at least one MetS component: CUN-BAE, BMI, and WC in men (AUC = 0.734, 0.728, and 0.728, respectively) and WHtR, CUN-BAE, and WC in women (AUC = 0.715, 0.714, and 0.712, respectively) (p<0.001 for all). The other indices were similarly useful, except for the ABSI.

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“…For physical examination and treatment planning, measurement of body mass index (BMI) and the assessment of 10-year CV risk were similarly low in both clinics. Both of these aspects are useful for raising of awareness in patients [22][23][24] and their physicians and enhance the efficacy of treatment [10,[25][26][27][28]. Technology could be used to help fill in the indices and CV risk results prior to the examination.…”

Section: Discussionmentioning

confidence: 99%

Incorporating the patient-centered approach into clinical practice helps improve quality of care in cases of hypertension: a retrospective cohort study

et al. 2020

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Background: Treating hypertensive patients by integrating the patient-centered approach would influence the practice and outcome of treatment. Our purpose was to determine whether the implementation of a patientcentered approach in health care delivery can improve adhering to guidelines and the quality-of-care. Methods: A retrospective study was conducted using secondary data from the electronic medical records of the patients treated in the two primary care outpatient settings at the Family Medicine (FM) and Social Security (SS) clinics. A key feature of the FM clinic is the incorporation of a patient-centered approach in its service delivery. Individual information regarding initial assessment and treatment at the follow-up visits was reviewed for 1 year. Comparison of adherence to treatment guidelines between the two primary care clinics was performed by using chi-square, Fisher's exact test or a t-test. To explore the difference in blood pressure and BP control between the two clinics, linear and logistic regression analysis respectively were performed with an adjustment for CV risk score in 2016 as a key confounder. Results: The evidence included 100 records from each clinic, showed variation between the two primary care sites. The FM clinic had more complete records regarding family history of hypertension, assessment for secondary causes, prescription for lifestyle modification and appropriate adjustment of medication. Higher levels of blood pressure control were recorded in the FM clinic, specifically systolic pressure 2.92 mmHg (p = 0.073) and diastolic pressure 5.38 mmHg (p < 0.001) lower than those recorded in the SS clinic. There was a 2.96 times higher chance for BP goals to be achieved in patients in receipt of hypertensive care at the FM clinic (p = 0.004). Conclusions: Adopting a patient-centered approach in service delivery could improve the quality of care for hypertension patients in primary care in Thailand.

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The association between obesity indices and hypertension: Which index is the most notable indicator of hypertension in different age groups stratified by sex?

Abstract: In this Chinese population, the association of obesity indices and hypertension is inconsistent in different age groups and sexes. It is important to choose appropriate indicators for specific groups of people.

Cited by 23 publications

References 29 publications

Usefulness of waist-to-height ratio in screening incident hypertension among Japanese community-dwelling middle-aged and elderly individuals

Usefulness of waist-to-height ratio in screening incident hypertension among Japanese community-dwelling middle-aged and elderly individuals

Anthropometric indices and cut-off points in the diagnosis of metabolic disorders

Incorporating the patient-centered approach into clinical practice helps improve quality of care in cases of hypertension: a retrospective cohort study

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