男医学生高血压前期人体测量指标的比较研究

Vetinly Vetinly, Yunisa Astiarani, Katheryn Etania, J. Jeremy
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引用次数: 0

摘要

在年轻人中经常被忽视的高血压前期状态在导致心血管疾病的高风险方面并不亚于高血压。几种简单的人体测量指标可作为高血压前期预后工具,包括体重指数(BMI)、体型指数(ABSI)、腰围(WC)、体重与身高比(WHtr)和身体圆度指数(BRI)。本研究旨在比较几种人体测量方法对男医学生高血压前期的检测效果。采用横断面研究设计对107名男医学生进行研究。通过血压数据收集和人体测量检查对调查对象进行了直接测量。采用95%可信区间(CI)的受试者工作特征曲线下面积(area under The receiver-operating characteristic curve, AROC)分析,评估所有人体测量指标在评估受试者高血压前期风险方面的歧视性能力。高血压前期患者年龄相对较大,体力活动较少(p<0.05)。高血压前期组的BMI、BRI、WC、WHtR均显著高于正常血压组。然而,ABSI与血压没有任何关系。与人体测量相关的血压分类的95% CI过程表明,BMI在高血压前期状态的AROC值最高(AROC: 0.73, 95% CI: 0.63 - 0.82), WC的AROC值最低(AROC: 0.63, 95% CI: 0.52-0.63)。BMI、BRI、WC和WHtr可作为年轻成年男性高血压前期状态的预后评估。
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Comparison of the Anthropometric Indices to Identify Prehypertension Among Male Medical Students
The state of prehypertension that is often neglected in young adults is not inferior to hypertension in contributing to a higher risk of cardiovascular diseases. Several simple anthropometric indices may be used as prehypertension prognostic tools, including Body Mass Index (BMI), Body Shape Index (ABSI), Waist Circumference (WC), Weight to Height Ratio (WHtr), and Body Roundness Index (BRI). This study aimed to compare several anthropometric examinations for detecting prehypertension in male medical students. The cross-sectional study design was conducted on 107 male medical students. Direct measurements of the respondents were carried out with blood pressure data collection and anthropometric examination. The area under the receiver-operating characteristic curve (AROC) analysis with a 95% confidence interval (CI) was used to assess all anthropometric measures’ discriminatory power to assess the risk of prehypertension in the participants. Participants with prehypertension were relatively older and had less active physical activity than normotensive (p<0.05). The mean BMI, BRI, WC, and WHtR were significantly higher in the prehypertensive group than in the normotensive group. However, ABSI was not showing any relationship with blood pressure. The process with 95% CI of blood pressure classification related to anthropometric measures indicates that BMI showed the highest AROC values for the prehypertensive state (AROC: 0.73, 95% CI: 0.63–0.82), and WC had the lowest AROCs (AROC: 0.63, 95% CI: 0.52–0.63). BMI, BRI, WC, and WHtr may be applied as prognostic assessments for prehypertension states in young adult males.
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