Emergent Anthropometric Indices in Differential Prediction of Prehypertension and Hypertension in Mexican Population: Results according to Age and Sex.

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE International Journal of Hypertension Pub Date : 2022-07-07 eCollection Date: 2022-01-01 DOI:10.1155/2022/4522493

Oscar Zaragoza-García, Ilse Adriana Gutiérrez-Pérez, Pedro Delgado-Floody, Isela Parra-Rojas, Daniel Jerez-Mayorga, Christian Campos-Jara, Iris Paola Guzmán-Guzmán

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Abstract

Background: Hypertension (HTN) is recognized as a significant public health problem in the world. The objective of this study is to evaluate emergent anthropometric indices as predictors of preHTN and HTN according to age and sex in a sample of Mexican adults.

Methods: A cross-sectional study was conducted in 1,150 participants aged 18-80 years old. Anthropometric data and blood pressure measurements were analyzed. Comparisons between men and women were carried out by independent analysis. Cutoff points for each emergent anthropometric index were obtained using the values' upper second and third tertiles. Logistic regression models and receiver operating characteristics curve analyses were used to assess the association and the predictive value of several emergent anthropometric indices with the presence of preHTN and HTN.

Results: The prevalence of preHTN and HTN was 29.74% and 14.35%, respectively. In a logistic regression analysis adjusted by age and sex, the body roundness index (BRI) (OR = 2.08, p < 0.001) and conicity index (CI) (OR = 1.37, p=0.044) were associated with preHTN, while CI (OR = 2.47, p < 0.001) and waist to height squared (W/Ht²) (OR = 2.19, p < 0.001) were associated with HTN. Furthermore, in both sexes, BRI was the main predictor of preHTN (AUC: 0.634 and 0.656, respectively). Particularly, according to sex and age range, the predictive emergent anthropometric indices in men were the body shape index (ABSI) and waist to height cubic (W/Ht³) (AUC = 0.777 and 0.771, respectively), whereas in women, the predictors were CI and ABSI (AUC = 0.737 and 0.729, respectively). In men ≤40 years old, central body fat indices were predictors of preHTN and HTN, but in men >40 years old, the predictor indices were W/Ht³ and W/Ht². In women ≤40 years, the pulse mass index (PMI) was the best main predictor (AUC = 0.909) of HTN.

Conclusion: CI, PMI, W/Ht³, W/Ht², and ABSI could represent differential predictors of preHTN and HTN between men and women according to age range.

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墨西哥人口高血压前期和高血压差异预测中的新兴人体测量指标：根据年龄和性别得出的结果

背景：高血压（HTN）是世界公认的重大公共卫生问题。本研究的目的是在墨西哥成年人样本中，根据年龄和性别评估新出现的人体测量指数，作为高血压前期和高血压的预测指标：方法：对 1,150 名 18-80 岁的参与者进行了横断面研究。对人体测量数据和血压测量结果进行了分析。男女之间的比较通过独立分析进行。每项人体测量指标的临界点都是根据数值的第二和第三分位值确定的。采用逻辑回归模型和接收器操作特征曲线分析来评估几项紧急人体测量指数与高血压前期和高血压的相关性和预测价值：高血压前期和高血压并发症的发病率分别为 29.74% 和 14.35%。在根据年龄和性别调整的逻辑回归分析中，体圆指数（BRI）（OR = 2.08，P < 0.001）和圆锥指数（CI）（OR = 1.37，P = 0.044）与高血压前期相关，而圆锥指数（CI）（OR = 2.47，P < 0.001）和腰围与身高的平方（W/Ht2）（OR = 2.19，P < 0.001）与高血压前期相关。此外，在两性中，BRI 都是高血压前期的主要预测指标（AUC 分别为 0.634 和 0.656）。特别是，根据性别和年龄范围，男性的预测性人体测量指数是体形指数（ABSI）和腰围与身高的立方值（W/Ht3）（AUC 分别为 0.777 和 0.771），而女性的预测指数是 CI 和 ABSI（AUC 分别为 0.737 和 0.729）。在年龄小于 40 岁的男性中，中心体脂指数是高血压前期和高血压的预测指标，但在年龄大于 40 岁的男性中，预测指标是 W/Ht3 和 W/Ht2。在≤40 岁的女性中，脉搏质量指数（PMI）是高血压的最佳主要预测指标（AUC = 0.909）：结论：CI、PMI、W/Ht3、W/Ht2 和 ABSI 可代表不同年龄段男性和女性高血压前期和高血压的不同预测指标。

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.