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Predictive effect of different obesity indexes on hypertension in adult residents of Anlu City, Hubei Province / 公共卫生与预防医学
Journal of Public Health and Preventive Medicine ; (6): 96-100, 2023.
Article in Chinese | WPRIM | ID: wpr-965192
ABSTRACT
Objective To investigate the predictive value of body mass index (BMI), waist circumference (WC), waist to height ratio (WHtR) and visceral obesity index (VAI) in the prevalence of hypertension in adult residents of Anlu City.  Methods A multi-stage stratified random sampling method was used to investigate adult residents in Anlu. T test, χ2 test, Pearson correlation analysis and logistic regression model were used to analyze relationship between the obesity indicators and the prevalence of hypertension. The receiver operating curve (ROC) was used to analyze the predictive power of different obesity indexes for the prevalence of hypertension.  Results A total of 2 518 subjects were included in this study, including 705 patients with hypertension, with a prevalence rate of 28.00%. Occupation, marital status, educational level, abnormal blood glucose, dyslipidemia and obesity were the risk factors of hypertension. The correlation coefficients of BMI, WC, WHtR and VAI with systolic blood pressure were 0.32, 0.30, 0.34 and 0.10, respectively, and with diastolic blood pressure were 0.27, 0.26, 0.29 and 0.08, respectively. Logistic regression analysis showed that overweight OR=1.79 (CI 1.43 - 2.25), obesity 2.94 (CI 2.04 - 4.24), waist circumference OR=1.86 (CI 1.43-2.40), waist height ratio OR=2.52 (CI 1.97-3.20) and higher VAI OR=1.08 (CI 1.02-1.15) were associated with a higher risk than those with normal weight. The AUCs of the four obesity indicators for predicting the prevalence of hypertension were WHtR (0.74) >BMI (0.70) >WC (0.69) >VAI (0.56), and the difference was statistically significant (P<0.001). Conclusion BMI, WC, WHtR and VAI are positively correlated with hypertension, and WHtR has a higher predictive value for hypertension.

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Index: WPRIM (Western Pacific) Language: Chinese Journal: Journal of Public Health and Preventive Medicine Year: 2023 Type: Article

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Index: WPRIM (Western Pacific) Language: Chinese Journal: Journal of Public Health and Preventive Medicine Year: 2023 Type: Article