scholarly journals Association of body mass index and waist circumference with high blood pressure in older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenli Zhang ◽  
Kun He ◽  
Hao Zhao ◽  
Xueqi Hu ◽  
Chunyu Yin ◽  
...  

Abstract Background The relationship between obesity and prevalent high blood pressure in older adults has predominantly been estimated using categorical measures of body mass index (BMI) and waist circumference (WC), masking the shape of the dose-response relationship. We aimed to examine the precise relationship of BMI, WC with high blood pressure and to assess the appropriate level of BMI and WC for high blood pressure. Methods We examined data for 126,123 individuals in Xinzheng city aged ≥60 years from a population based study from January to December 2019. Logistic regression and restricted cubic spline models were applied to assess the relationship and the appropriate level of BMI and WC for high blood pressure. An additive interaction analysis was used to test synergistic effects between a higher BMI and WC for high blood pressure. Results The full-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of an increase of 1 kg/m2 in BMI and 1 cm in WC for high blood pressure were 1.084 (1.080–1.087) and 1.026(1.024–1.027), respectively. Multivariable adjusted restricted cubic spline analyses showed the nonlinear relationships of BMI and WC with high blood pressure in both men and women (all P < 0.001). The risk of high blood pressure increased steeply with increasing BMI from ≥25 kg/m2 and WC ≥ 88 cm or 86 cm for males and females, respectively. And we observed a significant additive interaction between a higher BMI and WC such that the prevalence of high blood pressure was significantly enhanced. Conclusion These findings suggest increased high blood pressure prevalence in the older adults with increased BMI and WC. BMI ≤ 25 kg/m2 and WC ≤ 88 cm or 86 cm for males and females may be the best suggestion with regard to primary prevention of high blood pressure in older adults.

2020 ◽  
Author(s):  
Wenli Zhang ◽  
Kun He ◽  
Hao Zhao ◽  
Xueqi Hu ◽  
Chunyu Yin ◽  
...  

Abstract Background: The relationship between obesity and prevalent hypertension in older adults has predominantly been estimated using categorical measures of body mass index (BMI) and waist circumference (WC), masking the shape of the dose-response relationship. We aimed to examine the precise relationship of BMI, WC with hypertension, and to assess the appropriate level of BMI and WC for hypertension. Methods: We examined data for 126,123 individuals in Xinzheng city aged ≥60 years from a population based study from January to December 2019. Logistic regression and restricted cubic spline models were applied to assess the relationship and the appropriate level of BMI and WC for hypertension. An additive interaction analysis was used to test synergistic effects between a higher BMI and WC for hypertension. Results: The full-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) of an increase of 1 kg/m2 in BMI and 1 cm in WC for hypertension were 1.084 (1.080-1.087) and 1.025 (1.024-1.027), respectively. Multivariable adjusted restricted cubic spline analyses showed the nonlinear relationships of BMI and WC with hypertension in both men and women (all P<0.001). The risk of hypertension increased steeply with increasing BMI from ≥25 kg/m2 and WC ≥ 88 cm or 86 cm for males and females, respectively. And we observed a significant additive interaction between a higher BMI and WC such that the prevalence of hypertension was significantly enhanced. Conclusion: These findings suggest increased hypertension prevalence in the elderly population with increased BMI and WC. BMI ≤ 25 kg/m2 and WC ≤ 88 cm or 86 cm for males and females may be the best suggestion with regard to primary prevention of hypertension in older adults.


2017 ◽  
Vol 41 (2) ◽  
pp. 135-140 ◽  
Author(s):  
William Rodrigues Tebar ◽  
Raphael Mendes Ritti-Dias ◽  
Breno Quintella Farah ◽  
Edner Fernando Zanuto ◽  
Luiz Carlos Marques Vanderlei ◽  
...  

2016 ◽  
Vol 40 (2) ◽  
pp. 169-178
Author(s):  
Ratnabali Sengupta ◽  
Narayan Ghorai ◽  
Saikat Kumar Basu

Body mass index (BMI) and waist circumference (WC) are considered as the most important anthropometric indicators to investigate the risk factors for cardiovascular diseases, hypertension and other obesity-related diseases. This study assessed the relationship between blood pressure (BP) with BMI and WC in students (aged 8 - 16 years) of rural West Bengal (WB) in Eastern India. About 551 rural secondary school going students were surveyed for BP, height, weight and WC. Among them 283 were boys and 268 were girls. BMI was derived using standard formula; Pearsons’ correlation coefficient was done to assess the degree of correlation among BP with BMI and WC. A lower range of obesity was found in rural areas in both boys and girls. WC was found to be more correlated with BP than BMI. Increase of BP was found with a higher BMI and WC. Prevalence of higher BP was found among school boys than girls in rural WB.Journal of Bangladesh Academy of Sciences, Vol. 40, No. 2, 169-178, 2016


2013 ◽  
Vol 4 (3) ◽  
pp. 14-22
Author(s):  
Temsutola Maken ◽  
Lalmunlien Robert Varte

Objective: Hypertension is related to increased body fat, which can be evaluated by anthropometric indicators among the Aos, a tribe of North-East India. Methods: Cross-sectional study with a sample of 1804 Ao adults (male= 890) (females= 914) aged 18 to 70 years. We considered the following anthropometric indicators: body mass index, waist circumference, waist-tohip ratio and waist-to-stature ratio. To identify predictors of high blood pressure, we adopted the analysis of receiver operating characteristic curves with a confidence interval of 95%. Result: For males, the area under curve with confidence intervals were BMI = 0.691 (0.67-0.712); waist circumference=0.757 (0.739-0.775); waist-to-hip ratio=0.692 (0.671-0.713); waist-to-stature ratio = 0.763 (0.745-0.781) and Conicity index = 0.734 (0.716-0.716). For females, the values were BMI = 0.754 (0.732-0.776); waist circumference = 0.762 (0.74-0.784); waist-to-hip ratio = 0.690 (0.668-0.784), waist-to-stature ratio=0.776 (0.753-0.799) and Conicity index=0.722 (0.701-0.743). Different cut off points of anthropometric indicators with better predictive power and their relevant sensitivities and specificities were identified. Conclusion: BMI does not show a very good area under the ROC curve. It seems that waist-to-stature ratio is the best predictor, followed by waist circumference and Conicity index among the males and results in high sensitivity and specificity to hypertension. We suggest the use of both waistto- stature ratio and waist circumference to predict hypertension among males. Among females, waist-to-stature ratio is the best predictor, followed by waist circumference and body mass index. DOI: http://dx.doi.org/10.3126/ajms.v4i3.6275 Asian Journal of Medical Sciences 4(2013) 15-22


2009 ◽  
Vol 40 (3) ◽  
pp. 208-215 ◽  
Author(s):  
Samuel Flores-Huerta ◽  
Miguel Klünder-Klünder ◽  
Lorenzo Reyes de la Cruz ◽  
José Ignacio Santos

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