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Comparison of various anthropometric indices for the identification of a predictor of incident hypertension: the ARIRANG study.
Choi, J R; Ahn, S V; Kim, J Y; Koh, S B; Choi, E H; Lee, G Y; Jang, Y E.
Afiliación
  • Choi JR; Institute of Genomic Cohort, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
  • Ahn SV; Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
  • Kim JY; Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
  • Koh SB; Institute of Genomic Cohort, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea. kohhj@yonsei.ac.kr.
  • Choi EH; Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea. kohhj@yonsei.ac.kr.
  • Lee GY; Institute of Lifestyle Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
  • Jang YE; Department of Dental Hygiene, Yonsei University Graduate School, Seoul, Republic of Korea.
J Hum Hypertens ; 32(4): 294-300, 2018 04.
Article en En | MEDLINE | ID: mdl-29581555
We compared the predictive capability of weight, waist circumference (WC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), body mass index (BMI), body roundness index (BRI), and a body shape index (ABSI) to identify incident hypertension, and to determine whether any of these indices may be used as a better single predictor of incident hypertension. A total of 1718 participants aged 39-72 years were collected  in a longitudinal study. Logistic regression models were used to evaluate various anthropometric indices as significant predictors of hypertension. During 2.8 years of follow-up, 185 new cases of hypertension (10.8%) were reported. The BRI and ABSI were significantly higher in the participants who had developed hypertension than in those who had not (4.15 ± 1.01 vs. 3.57 ± 1.03, 0.80 ± 0.04 vs. 0.78 ± 0.05; respectively, p < 0.001). After adjusting for confounding variables, logistic regression analysis indicated that participants within the highest quartile of WC and WHtR were 4.79 and 4.51 times more likely to have hypertension than those within the lowest quartile (OR 4.79, 95% CI 2.49-9.20 vs. OR 4.51, 95% CI 2.41-8.43, respectively, p < 0.0001); in contrast, no such correlation was found for BMI, WHR, BRI, and ABSI. WC (AUC: 0.672) showed a more powerful predictive ability for hypertension (p < 0.0001) than BMI (AUC: 0.623), and an equal predictive power for hypertension as WHtR (AUC: 0.662) and BRI (AUC: 0.662) in the general population. We concluded that WC and/or WHtR but not BMI, showed superior prediction capability compared to WHR, BRI, and ABSI, for determining the incidence of hypertension in a community-based prospective study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antropometría / Hipertensión Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Hum Hypertens Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antropometría / Hipertensión Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Hum Hypertens Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido