ANTHROPOMETRIC INDICES AS THE INDICATORS OF ARTERIAL HYPERTENSION RISK IN A GROUP OF ELDERLY WOMEN OF THE CITY OF BELGOROD

Author(s):  
В.Ю. Бахолдина ◽  
С.В. Кощавка

Было проведено сравнительное изучение трёх антропометрических индексов в качестве обобщённых характеристик морфологического статуса в связи с показателями АД в группе 50 женщин города Белгорода. Возраст участниц находился в возрастном диапазоне 50-79 лет, средний возраст - 61 год. В современной научной литературе широко обсуждается проблема выбора среди антропометрических индексов наиболее достоверного предиктора метаболических нарушений и связанных с ними заболеваний, в том числе повышенного АД. В работе рассмотрены три наиболее широко применяемых антропометрических индекса - ИМТ, индекс талия-бедра (ИТБ) и индекс талия-длина тела (ИТДТ). Индексы ИМТ и ИТДТ лучше, чем ИТБ отражают морфологические особенности выборки, которая отличается тенденцией к повышенной массе тела и повышенным обхватным размерам. Наиболее высокие и достоверные связи с АД в изученной выборке женщин выявлены для ИМТ. Итоги проведённого исследования подтверждают высокую прогностическую значимость ИМТ как показателя риска артериальной гипертензии и связанных с этим метаболических нарушений. A comparative study of three anthropometric indices as generalized characteristics of the morphological status of elderly women of Belgorod (sample size 50) in the connection with blood pressure (BP) was conducted. The age of the participants ranges from 50 to 79, with the average age of 61. In modern scientific literature, the problem of choosing among anthropometric indices the most reliable predictor of metabolic disorders and related diseases, including high BP, is widely discussed. The paper considers three most widely used anthropometric indices - body mass index (BMI), waist-to-hip ratio (WHR) and waist-to-height ratio (WtHR). BMI and WtHR better reflect morphological specificity of the sample, with a tendency to increased body mass and girths. The highest and most reliable associations with BP are identified for BMI. The results of the study confirm the high predictive value of BMI as an indicator of the risk of arterial hypertension and associated metabolic disorders

Author(s):  
Sally Sonia Simmons ◽  
John Elvis Hagan ◽  
Thomas Schack

Hypertension is a major public health burden in Bangladesh. However, studies considering the underlying multifaceted risk factors of this health condition are sparse. The present study concurrently examines anthropometric parameters and intermediary factors influencing hypertension risk in Bangladesh. Using the 2018 World Health Organisation (WHO) STEPwise approach to non-communicable disease risk factor surveillance (STEPS) study conducted in Bangladesh and involving 8019 nationally representative adult respondents, bivariate and multivariate logistic regression analyses were performed to determine the association between anthropometrics, other intermediary factors and hypertension. The regression results were presented using the odds ratio (OR) and adjusted odds ratio (AOR) at 95% confidence intervals (CIs). The risk of hypertension was higher among females and males who were 40 years and older. However, among females, those who were age 60 years and older were more than twice and thrice more likely to be hypertensive compared to those in the younger age groups (18–39, 40–59). Females who were obese (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]) or had high waist circumference [WC] were twice as likely to be hypertensive. Males and females who were physically active, consuming more fruits and vegetables daily and educated had lower odds of developing hypertension. Key findings suggest that the association between anthropometric indices (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]), waist circumference [WC]), other intermediary determinants (e.g., education, physical activity) and hypertension exist across gender and with increasing age among adults in Bangladesh. Developing appropriate public health interventions (e.g., regular assessment of anthropometric parameters) for early identification of the risk and pattern of hypertension through appropriate screening and diagnosis is required to meet the specific health needs of the adult Bangladesh population.


2018 ◽  
Vol 28 (3) ◽  
pp. 252-257
Author(s):  
Arieli Fernandes Dias ◽  
Caroline Brand ◽  
Vanilson Batista Lemes ◽  
Adroaldo Cezar Araujo Gaya ◽  
Anelise Reis Gaya

Introduction: Metabolic disorders in childhood and adolescence have been increasing considerably. Thus, the importance of performing an early diagnosis is emphasized. Objective: To analyse the occurrence of metabolic risk using a non-invasive marker in schoolchildren. Methods: This is a descriptive study with a quantitative approach, with random sample of 174 schoolchildren (70 boys and 104 girls) from 10 state high schools in the city of Passo Fundo, Rio Grande do Sul, Brazil. The height (cm) was verified according to the procedures of the Brazilian Sport Project and the waist circumference (cm) was measured with a flexible and inelastic tape measure. From this the waist-to-height ratio was calculated, which takes into account the proportion of abdominal fat by the individual’s height, considering the cut-off point of Ashwell & Hsieh. For data analysis we used descriptive and chi-square statistics. Results: The metabolic risk of schoolchildren was 13.8%, when stratified by sex, the occurrences were 11.4% for males and 15.4% for females, but there was no significant difference between the sexes (X2= 0.54; p= 0.45). Conclusion: The use of non-invasive markers for the diagnosis of metabolic risk indicated a high occurrence of it in schoolchildren, with the girls presenting a higher risk. The use of this method is important because it allows the evaluation of a greater number of schoolchildren and the early identification of health risk. In addition to being a low-cost, easy-to-apply method.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sooyoung Cho ◽  
Aesun Shin ◽  
Ji-Yeob Choi ◽  
Sang Min Park ◽  
Daehee Kang ◽  
...  

Abstract Background Obesity is well known as a risk factor for cardiovascular disease. We aimed to determine the performance of and the optimal cutoff values for obesity indices to discriminate the presence of metabolic abnormalities as a primary risk factor for cardiovascular diseases in a Health Examinees study (HEXA). Methods The current study analyzed 134,195 participants with complete anthropometric and laboratory information in a Health Examinees study, consisting of the Korean population aged 40 to 69 years. The presence of metabolic abnormality was defined as having at least one of the following: hypertension, hyperglycemia, or dyslipidemia. The area under the receiver operating characteristic curve (AUC) and 95% confidence intervals (CIs) were calculated for body mass index, waist to hip ratio, waist to height ratio, waist circumference, and conicity index. Results The AUC of metabolic abnormalities was the highest for waist-to-height ratio (AUC [95% CIs], 0.677 [0.672–0.683] among men; 0.691 [0.687–0.694] among women), and the lowest for the C index (0.616 [0.611–0.622] among men; 0.645 [0.641–0.649] among women) among both men and women. The optimal cutoff values were 24.3 kg/m2 for the body mass index, 0.887 for the waist-to-hip ratio, 0.499 for the waist-to-height ratio, 84.4 cm for waist circumference and 1.20 m3/2/kg1/2 for the conicity index among men, and 23.4 kg/m2 for the body mass index, 0.832 for the waist-to-hip ratio, 0.496 for the waist-to-height ratio, 77.0 cm for the waist circumference and 1.18 m3/2/kg1/2 for the conicity index among women. Conclusion The waist-to-height ratio is the best index to discriminate metabolic abnormalities among middle-aged Koreans. The optimal cutoff of obesity indices is lower than the international guidelines for obesity. It would be appropriate to use the indices for abdominal obesity rather than general obesity and to consider a lower level of body mass index and waist circumference than the current guidelines to determine obesity-related health problems in Koreans.


2021 ◽  
Vol 21 (2) ◽  
pp. 379-388
Author(s):  
Marcela Martins Soares ◽  
Leidjaira Lopes Juvanhol ◽  
Andreia Queiroz Ribeiro ◽  
Patrícia Feliciano Pereira ◽  
Sylvia C. C. Franceschini ◽  
...  

Abstract Objectives: to investigate the relation between maternal overweight and child’s anthropometric indices, identifying the interaction with the child's age. Methods: a cross-sectional study with mothers and their children under 2 years old. The mothers’ body mass index (BMI), waist-to-hip ratio and waist-to-height ratio was calculated. In children, we calculated height/age (H/A), body mass index/age (BMI/A), weight/height (W/H) and weight/age (W/A) indices. The means of the anthropometric indices of children with excess weight and maternal cardiometabolic risk were compared. Mothers and children’s anthropometric indices were correlated. Linear regression models were proposed. We investigated the child's age interaction with anthropometric variables of the dyad. Results: the means of BMI/A and W/H were higher in children of overweight mothers and the means of BMI/A, W/H and W/A were higher when mothers had increased risk for cardiometabolic diseases. There was an association of maternal weight and height with the W/A index; maternal BMI with W/H; maternal height with H/A; maternal weight, BMI and waist circumference with BMI/A. The children's age did not interact with the assessed parameters. Conclusion: children under 2 years of age, whose mothers are overweight, tend to show changes in weight, regardless of age.


2018 ◽  
Vol 85 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Annelie Lindholm ◽  
Josefine Roswall ◽  
Bernt Alm ◽  
Gerd Almquist-Tangen ◽  
Ann Bremander ◽  
...  

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