Waist height ratio and waist circumference in relation to hypertension, Framingham risk score in hospitalized elderly Egyptians

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Egyptian Heart Journal Pub Date : 2018-09-01 DOI:10.1016/j.ehj.2017.12.008

Heba M. Tawfik

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引用次数: 9

Abstract

Background

Hypertension is a public health problem and obesity is becoming an epidemic, increasing the risk of hypertension. Both are risk factors for cardiovascular diseases (CVD).

Methods

A case control study recruiting 102 patients aged ≥60 years, divided into 55 cases with hypertension and 47 controls without. Body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR) were measured as well as lipid profile then Framingham risk score (FRS) was calculated.

Results

Odds ratio (OR) for hypertension and medium to high risk cardiovascular events was the same in female patients using WC and WHtR. In male patients, only WHtR increased the risk for hypertension and for cardiovascular events, OR significantly increased with higher WHtR compared to WC.

Conclusion

WHtR and WC are strong risk factors for hypertension and cardiovascular events in Egyptian elderly female patients. WHtR is the best anthropometric predictor for hypertension and cardiovascular events in male patients.

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埃及住院老年人腰高比、腰围与高血压、Framingham危险评分的关系

高血压是一个公共卫生问题，肥胖正在成为一种流行病，增加了高血压的风险。两者都是心血管疾病(CVD)的危险因素。方法采用病例对照研究方法，招募年龄 ≥60 岁的102例患者，分为高血压患者55例和非高血压患者47例。测定体重指数(BMI)、腰围(WC)、腰高比(WHtR)及血脂，计算Framingham风险评分(FRS)。结果使用WC和WHtR的女性患者高血压和中高危心血管事件的发生率(OR)相同。在男性患者中，只有WHtR增加了高血压和心血管事件的风险，与WC相比，更高的WHtR显著增加了OR。结论whtr和WC是埃及老年女性高血压和心血管事件的重要危险因素。WHtR是男性患者高血压和心血管事件的最佳人体测量预测指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Egyptian Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Egyptian Heart Journal is the official journal of the Egyptian Society of Cardiology. It is an international journal that publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies and translational investigations. The journal publishes research, review articles, case reports and commentary articles, as well as editorials interpreting and commenting on the research presented. In addition, it provides a forum for the exchange of information on all aspects of cardiovascular medicine, including educational issues.