埃塞俄比亚西南部米赞特皮大学员工筛查高血压的人体测量指标评估。

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2021-07-16 DOI:10.2147/IBPC.S317018
Rahel Dereje, Kalkidan Hassen, Getu Gizaw
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引用次数: 6

摘要

背景:在全球范围内,高血压正成为影响成年人口健康和福祉的一个严重问题。长期以来,体重指数(BMI)、腰围(WC)和腰臀比(WHR)等人体测量指标一直被用于筛查高血压;相反,其他证据表明,腰高比(WHtR)在筛查高血压方面具有优越的效用。关于高血压的最佳筛查指标,在不同环境下进行的不同研究得出了不确定的结果。此外,研究区域内用于筛查高血压的人体测量指标评估信息匮乏。因此,本研究评估了人体测量指标在埃塞俄比亚西南部米赞特皮大学员工中筛查高血压的效用。方法:在米赞特比大学员工中进行了一项基于机构的横断面研究。采用基于性别的分层简单随机抽样技术选择585名员工。采用Logistic回归分析来评估人体测量指标与高血压之间的关系。采用受试者操作特征曲线(ROC)评价筛查高血压的人体测量指标,并基于Youden指数(敏感性+特异性-1)制定最佳分界点,分别给出敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV),男性为22.5%,女性为18.7%。在男性中,WHtR、WHR和BMI与高血压显著相关,而在女性中,只有BMI与高血压相关。WHtR对高血压的筛查能力高于WC。对于男性,筛查高血压的WHR、WC、BMI和WHtR的临界点分别为0.897、85.17cm、24.6kg/m2和0.51。在女性中,筛查高血压WHR、WC、BMI和WHtR的临界点分别为0.92、85.67cm、24.8kg/m2和0.52。结论:与BMI、WC和WHR相比,腰高比是筛查高血压的最佳肥胖指标。这一发现支持在资源有限的环境中使用WHtR筛查高血压。
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Evaluation of Anthropometric Indices for Screening Hypertension Among Employees of Mizan Tepi University, Southwestern Ethiopia.

Background: Globally, hypertension is becoming a serious problem affecting the health and wellbeing of the adult population. Anthropometric indices like body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) have long been utilized to screen hypertension; in contrast, other evidence indicates the superior utility of waist-to-height ratio (WHtR) to screen hypertension. There are inconclusive results from different studies done in different settings regarding the best screening index for hypertension. In addition, there is a paucity of information on the evaluation of anthropometric indices for screening hypertension in the study area. Therefore, this study evaluates the utility of anthropometric indices for screening hypertension among Mizan Tepi University employees, southwestern Ethiopia.

Methods: An institution-based cross-sectional study was conducted among Mizan Tepi University employees. A gender-based stratified simple random sampling technique was used to select 585 employees. Logistic regression analysis was conducted to assess the association between anthropometric indices and hypertension. Receiver operating characteristic curve (ROC) was employed to evaluate anthropometric indices for screening hypertension, and optimal cutoff points were also developed based on Youden index (sensitivity + specificity - 1) and presented with sensitivity, specificity, positive predictive value (PPV), and negative predictive values (NPV).

Results: The overall prevalence of hypertension was 20.9%, which was 22.5% in males and 18.7% in females. Among males, WHtR, WHR, and BMI were significantly associated with hypertension, while, in females, only BMI was associated with hypertension. WHtR had a higher screening ability for hypertension followed by WC in both sexes. For males, the cutoff point for WHR, WC, BMI, and WHtR for screening hypertension was 0.897, 85.17cm, 24.6kg/m2, and 0.51, respectively. In females, the cutoff point developed for screening hypertension for WHR, WC, BMI, and WHtR were 0.92, 85.67cm, 24.8kg/m2, and 0.52, respectively.

Conclusion: The waist-to-height ratio was found to be the best obesity index to screen hypertension than BMI, WC, and WHR. The finding supports the use of WHtR for screening hypertension in resource-limited settings.

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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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