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Comparison of various anthropometric indices for the identification of a predictor of incident hypertension: the ARIRANG study

Title
Comparison of various anthropometric indices for the identification of a predictor of incident hypertension: the ARIRANG study
Authors
Choi, J. R.Ahn, S. V.Kim, J. Y.Koh, S. B.Choi, E. H.Lee, G. Y.Jang, Y. E.
Ewha Authors
안성복
Issue Date
2018
Journal Title
JOURNAL OF HUMAN HYPERTENSION
ISSN
0950-9240JCR Link

1476-5527JCR Link
Citation
JOURNAL OF HUMAN HYPERTENSION vol. 32, no. 4, pp. 294 - 300
Publisher
NATURE PUBLISHING GROUP
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
We compared the predictive capability of weight, waist circumference (WC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), body mass index (BMI), body roundness index (BRI), and a body shape index (ABSI) to identify incident hypertension, and to determine whether any of these indices may be used as a better single predictor of incident hypertension. A total of 1718 participants aged 39-72 years were collected in a longitudinal study. Logistic regression models were used to evaluate various anthropometric indices as significant predictors of hypertension. During 2.8 years of follow-up, 185 new cases of hypertension (10.8%) were reported. The BRI and ABSI were significantly higher in the participants who had developed hypertension than in those who had not (4.15 +/- 1.01 vs. 3.57 +/- 1.03, 0.80 +/- 0.04 vs. 0.78 +/- 0.05; respectively, p < 0.001). After adjusting for confounding variables, logistic regression analysis indicated that participants within the highest quartile of WC and WHtR were 4.79 and 4.51 times more likely to have hypertension than those within the lowest quartile (OR 4.79, 95% CI 2.49-9.20 vs. OR 4.51, 95% CI 2.41-8.43, respectively, p < 0.0001); in contrast, no such correlation was found for BMI, WHR, BRI, and ABSI. WC (AUC: 0.672) showed a more powerful predictive ability for hypertension (p < 0.0001) than BMI (AUC: 0.623), and an equal predictive power for hypertension as WHtR (AUC: 0.662) and BRI (AUC: 0.662) in the general population. We concluded that WC and/or WHtR but not BMI, showed superior prediction capability compared to WHR, BRI, and ABSI, for determining the incidence of hypertension in a community-based prospective study.
DOI
10.1038/s41371-018-0043-4
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신산업융합대학 > 융합보건학과 > Journal papers
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