Waist-to-height ratio index for predicting incidences of hypertension: the ARIRANG study

被引:50
作者
Choi, Jung Ran [1 ]
Koh, Sang Baek [1 ,2 ]
Choi, Eunhee [3 ]
机构
[1] Yonsei Univ, Inst Genom Cohort, Wonju Coll Med, Wonju, South Korea
[2] Yonsei Univ, Dept Prevent Med, Wonju Coll Med, Wonju, South Korea
[3] Yonsei Univ, Inst Lifestyle Med, Wonju Coll Med, Wonju, South Korea
基金
新加坡国家研究基金会;
关键词
Waist-to-height ratio; Hypertension; Community-based prospective study; Predictor; Korean adults; CARDIOVASCULAR RISK-FACTORS; BODY-MASS INDEX; SIMPLE ANTHROPOMETRIC INDEXES; FAT DISTRIBUTION; CARDIOMETABOLIC RISK; BLOOD-PRESSURE; METABOLIC RISK; SCREENING TOOL; JAPANESE MEN; ASSOCIATION;
D O I
10.1186/s12889-018-5662-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Several anthropometric indices such as body mass index (BMI) and waist circumference (WC) have been examined as indicators of cardiovascular diseases, in both adults and children. However, the waist-to-height ratio (WHtR) is considered a better predictor for the detection of cardiovascular risk factors, than BMI. We investigated the association between the WHtR and incident hypertension. Methods: A total of 1718 participants, aged 39-72 years, were recruited in this longitudinal study. Participants were divided into 2 groups according to the development of hypertension during 2005-2008 (baseline) and 2008-2011 (follow-up). Logistic regression models were used to evaluate the WHtR as a significant predictor of hypertension. Results: During the 2.8 years of follow-up, 185 new cases of hypertension (10.8%) were diagnosed, with an incidence rate of approximately 4% per year. The WHtR was significantly higher in the participants who had developed hypertension than in those who had not (0.54 +/- 0.05 vs. 0.51 +/- 0.05, p < 0.001). After adjusting for age, sex, smoking status, alcohol intake, regular exercise status, total cholesterol, and systolic blood pressure, at the baseline, the logistic regression analysis indicated that the participants with the highest quartile of the WHtR (WHtR >= 0.54) were 4.51 times more likely to have hypertension than those with the lowest quartile (odds ratio 4.51; 95% confidence interval 2.41-8.43; p < .0001). The area under the curve for the WHtR, in identifying hypertension risk, was significantly greater than that for the BMI (p = 0.0233). Conclusion: A positive association between WHtR and the incidence of hypertension was observed in Korean adults. The findings of the present community-based prospective study suggest that the WHtR may be a better predictor of incident hypertension.
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页数:6
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