Which anthropometric and metabolic index is superior in hypertension prediction among overweight/obese adults?

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2021-11-08 eCollection Date: 2021-01-01 DOI:10.2147/IBPC.S340664
Maryam Abolhasani, Nastaran Maghbouli, Shahrokh Karbalai Saleh, Ziba Aghsaeifar, Faeze Sazgara, Maryam Tahmasebi, Haleh Ashraf, Jemal Haidar Ali
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引用次数: 2

Abstract

Background: Although the effectiveness of some combined anthropometric and metabolic scores were evaluated in hypertension prediction, none of them had addressed their accuracy in association with overweight/obese populations. This study examined the accuracy of several anthropometric parameters in this regard and compared the novel indices to the ancient ones.

Methods: Through a cross-sectional study, 5115 patients have been evaluated at the weight loss clinic. Data on demographic information, anthropometric indices, and biochemical measurements were assembled into a checklist. Multivariable regression modeling and the area under the receiver-operating characteristic (ROC) were analyzed using SPSS version 20. To find new combined scores, SEM (structural equation modeling) analysis was also adopted. P-values < 0.05 were considered statistically significant.

Results: Considering ancient indices, WHtR (waist-to-height ratio) showed a sufficient area under the curve in predicting hypertension among both genders concomitant with WC (waist circumference) in men, and BRI (body roundness index) in women as highest AUC. The highest odds ratio (OR) for the presence of hypertension, based on the age-adjusted model, was BRI in females (OR, 3.335; 95% confidence interval [CI], 1.58-7.28) and WC in males (OR, 13.478; 95% CI: 1.99-45.02). The combined scores were not superior to the single ones.

Conclusion: The most powerful association between hypertension and sufficient discrimination ability of normotensives from hypertensive patients was detected for BRI in women and WC among men. However, neither the BSI and BAI nor FMI and FFMI showed superiority to WC or WHtR in predicting the presence of hypertension.

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哪种人体测量和代谢指标在超重/肥胖成人高血压预测中更优越?
背景:虽然一些人体测量和代谢综合评分在高血压预测中的有效性得到了评估,但它们都没有解决其与超重/肥胖人群相关的准确性。本研究检验了这方面几个人体测量参数的准确性,并将新指标与古代指标进行了比较。方法:通过一项横断面研究,对5115例减肥门诊患者进行了评估。人口统计信息、人体测量指数和生化测量数据被汇编成一个核对表。采用SPSS version 20对多变量回归模型和受试者工作特征下面积(ROC)进行分析。为了寻找新的组合分数,还采用了结构方程模型(SEM)分析。p值< 0.05认为有统计学意义。结果:考虑到古老的指标,WHtR(腰高比)与男性WC(腰围)的曲线下面积足够预测男女高血压,女性BRI(身体圆度指数)的AUC最高。基于年龄校正模型,高血压存在的最高优势比(OR)是女性BRI (OR, 3.335;95%可信区间[CI], 1.58-7.28)和男性WC (OR, 13.478;95% ci: 1.99-45.02)。综合得分不优于单项得分。结论:在高血压患者中,女性患者的BRI和男性患者的WC与血压正常者的充分识别能力之间的相关性最强。然而,BSI和BAI、FMI和FFMI在预测高血压存在方面都没有WC或WHtR的优势。
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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
期刊最新文献
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