Anthropometric Indexes for Predicting High Blood Pressure in Vietnamese Adults: A Cross-Sectional Study.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2020-12-01 eCollection Date: 2020-01-01 DOI:10.2147/IBPC.S281996
Quan Nguyen Minh, Minh Hoang Nguyen Vo
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引用次数: 5

Abstract

Background: The rate of hypertension and obesity is increasing in Vietnamese society. This study aimed to focus on assessing the relationship between anthropometric indexes (body mass index (BMI), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR)) and high blood pressure to determine which is the best predictor for high blood pressure among adults over 18 years in Vietnam.

Methods: A cross-sectional study of 1636 people was conducted. People who were over 18 years old, healthy or had hyperlipidemia and on the treatment were recruited. Patients with cancer, heart disease, diabetes, kidney disease, and hypertension were excluded. Information on demographics, smoking and drinking habits, weight, height, waist circumference, and blood pressure was collected. Areas under receiver operating characteristic curves (AUCs) were examined to determine the predictability of anthropometric indicators for high blood pressure in men and women. Logistic regression analysis, stratified by gender, was performed to examine the association between anthropometric indexes and high blood pressure.

Results: In this study, the percentage of people with high blood pressure was 10.51%. The AUC for the WHtR was significantly greater than for the BMI for both genders. Logistic regression demonstrated that only WHtR had a significant positive association with high blood pressure among women. The optimal WHtR cut-off value for predicting high blood pressure in men and women were 0.47 and 0.50, respectively.

Conclusion: Among the indicators analyzed in this study, WHtR was the best for the predicting of the presence of high blood pressure, in both men and women. However, WHtR could only explain the changes of high blood pressure in women.

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预测越南成人高血压的人体测量指标:一项横断面研究。
背景:越南社会高血压和肥胖率呈上升趋势。本研究旨在重点评估人体测量指数(身体质量指数(BMI)、腰高比(WHtR)、腰臀比(WHR))与高血压之间的关系,以确定哪一个是越南18岁以上成年人高血压的最佳预测指标。方法:对1636人进行横断面研究。研究人员招募了年龄在18岁以上、健康或患有高脂血症并正在接受治疗的人。排除了癌症、心脏病、糖尿病、肾病和高血压患者。收集了人口统计、吸烟和饮酒习惯、体重、身高、腰围和血压等信息。检查受试者工作特征曲线(auc)下的区域,以确定男性和女性高血压人体测量指标的可预测性。采用Logistic回归分析,按性别分层,检验人体测量指标与高血压之间的关系。结果:本研究中高血压患者的比例为10.51%。无论男女,WHtR的AUC都明显大于BMI。Logistic回归显示,女性中只有WHtR与高血压有显著正相关。预测男性和女性高血压的最佳WHtR临界值分别为0.47和0.50。结论:在本研究分析的指标中,WHtR在男性和女性中都是预测高血压存在的最佳指标。然而,WHtR只能解释女性高血压的变化。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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