Anthropometric indicators of obesity as screening tools for high blood pressure in the elderly

Neto, João de Souza Leal; Coqueiro, Raildo da Silva; Freitas, Roberta Souza; Fernandes, Marcos Henrique; Oliveira, Daniela Sousa; Barbosa, Aline Rodrigues

doi:10.1111/ijn.12085

Cited by 19 publications

(11 citation statements)

References 17 publications

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“…Therefore these obesity indices show different screening powers for hypertension [ 11 – 16 ]. Gender differences in associations between obesity indices and hypertension were found by some studies [ 11 , 15 , 16 ], though the evidences were equivocal [ 12 – 14 ]. Some studies found the efficiencies of obesity indices for identifying hypertension decreasing with age [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of bioelectrical body and visceral fat indices with anthropometric measures and optimal cutoffs in relation to hypertension by age and gender among Chinese adults

Zhang

Fan

Wang

et al. 2021

BMC Cardiovasc Disord

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Background Few studies have compared bioelectrical body and visceral fat indices with anthropometric measures, or evaluated their optimal cutoffs in relation to hypertension among Asians. We compared the efficiencies of bioelectrical indices (percentage of body fat, PBF; visceral fat area, VFA) with anthropometric measures (body mass index, BMI; waist-hip ratio, WHR) for hypertension and re-evaluated the optimal cutoffs of each index by age and gender. Methods We conducted a cross-sectional survey among 8234 adults for health examination. PBF, VFA, BMI, WHR, and data on hypertension and behaviors were collected. Receiver operating characteristic (ROC) curve and areas under curves (AUCs) were used to analyze the efficiencies of the indices for hypertension, optimal cutoffs were estimated using the Youden index. Results A total of 8234 individuals aged 21–91 with median age 44 (interquartile range [IQR] 33–56) years were included and 40.56% were men. The overall prevalence of hypertension was 27.47%. The studied indices were all associated with hypertension in all age-specific groups both among men and women except for WHR in 21–29 years old men and PBF in in 21–29 years old women. Among males, there were no statistical differences in powers of four indices for hypertension in all age-specific groups, except for 40–49 years, in which WHR was better than VFA. Among females, no differences were found among the indices in 30–39 and 70–79 years groups, while WHR was the best in 21–29 years group, VFA was better than PBF in 30–39 and 50–59 years groups, BMI was better than PBF and WHR in 60–69 years group. The optimal cutoffs of PBF, VFA, BMI and WHR ranged from 23.9 to 28.7%, 86.4 to 106.9cm2, 23.5 to 27.1 kg/m2, 0.92 to 0.96 across the age categories in males, and 32.8 to 36.3%, 75.9 to 130.9cm2, 21.9 to 26.4 kg/m2, 0.84 to 0.95 across the age categories in females, respectively. Conclusions The obesity indices’ efficiencies for hypertension varied by age and gender, and their cutoff values varied across the age categories and gender. Specific indices and cutoffs based on person’s age and gender should be used to identify individuals with hypertension.

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Section: Introductionmentioning

confidence: 99%

Comparison of bioelectrical body and visceral fat indices with anthropometric measures and optimal cutoffs in relation to hypertension by age and gender among Chinese adults

Zhang

Fan

Wang

et al. 2021

BMC Cardiovasc Disord

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“…23,22,50 These modifications increase the exposure to hypertension and cardiovascular disease, which can certainly be explained by the increased of the body fat mass. 50,22 Although not significant, there was a significant correlation from the clinical point of view between the number of diseases and BMI in men and women.…”

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confidence: 99%

“…19,20 Recent research have shown strong associations between overweight/ obesity and diabetes, 21 hypertension, 22,23 osteo-articular diseases 19 and disabilities. 21,24 On the other hand, low body weight is associated to chronic respiratory diseases and high mortality rate.…”

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confidence: 99%

“…49 The high BMI has been associated with risk factors for blood hypertension. 23 Individuals with higher BMI scores show physiological changes in the sympathetic nervous system, reninangiotensin-aldosterone system, endothelial dysfunction and functional abnormalities. 23,22,50 These modifications increase the exposure to hypertension and cardiovascular disease, which can certainly be explained by the increased of the body fat mass.…”

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confidence: 99%

“…23 Individuals with higher BMI scores show physiological changes in the sympathetic nervous system, reninangiotensin-aldosterone system, endothelial dysfunction and functional abnormalities. 23,22,50 These modifications increase the exposure to hypertension and cardiovascular disease, which can certainly be explained by the increased of the body fat mass. 50,22 Although not significant, there was a significant correlation from the clinical point of view between the number of diseases and BMI in men and women.…”

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confidence: 99%

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Association between Body Mass Index and Chronic Non-Communicable Diseases among the Elderly

Rocha¹

2017

MOJGG

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The associations between a high body mass index (BMI) related to overweight/obesity and the increase in the incidence of NCD's in the elderly population becomes increasingly evident 16 The quality of nutritional intake, one of the underlying aspects of malnutrition in the elderly and low levels of physical activity, for example, appears to be associated with weight gain, with multimorbidities and it also seems to be strongly related to low socioeconomic status.17 Furthermore, susceptibility to the contraction of NCDs is directly proportional to the socioeconomic status, especially those related to cardiometabolic diseases. Association between body mass index and chronic non-communicable diseases among the elderly chronic diseases, body mass index and elderly AbstractObjective: The aim of this study was to verify the association between body mass index (BMI) and multimorbidity in elderly.Methods: three-hundred and ten (n=310;71,62±8,15years) subjects were recruited in a cross-sectional study in the city of Ibicuí-BA, randomly selected and enrolled to the program "Estratégia de Saúde da Família"/ "Strategy of Family health". The data were collected through self-report questionnaires and consultation of the clinical record when socio-demographic information; global health; diseases and pathologies associated; lifestyles/risk behavior and body composition were consulted. Results:Multiple linear regression analysis revealed significant associations existing between non-communicable diseases (NCD's), multimorbidity and BMI (p≤0,05). The highest values of BMI were associated with hypercholesterolemia in women, while in men there was a correlation with hypertension. Conclusion:The results corroborate the scientific evidence that the increased BMI is directly related to increased exposure to multimorbidity by NCD's. 21,24 On the other hand, low body weight is associated to chronic respiratory diseases and high mortality rate. 25 Limited access to primary health care, 26 little control of the nutritional status in the elderly as well as the access to inappropriate drug therapies, 27 are recurring aspects in the elderly and have a direct influence on the health related quality of life in the elderly person. 28,29 The studies that try to establish these relationships, that use evaluation methods establishing models of association of variables in an independent and combined way 30 are still uncommon, mainly among the elderly with a low socioeconomic profile. 29 In spite of the existence of public primary care health services and hospital services in these regions, there's a great challenge with regard to its proper scope. Factors such as population density, low investment in areas not regarded as urban centers, 31 the number of health agents, 31 the demand for medical services 28 are all common factors to these regions and may cause differences in the health profile of these populations. In this sense, the purpose of this study was to analyze the association between body mass index and NCD's in elderly patients with low ec...

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“Chair stand testˮ as simple tool for sarcopenia screening in elderly women

Pinheiro

Carneiro

Coqueiro

et al. 2015

J Nutr Health Aging

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Anthropometric indicators of obesity as screening tools for high blood pressure in the elderly

Cited by 19 publications

References 17 publications

Comparison of bioelectrical body and visceral fat indices with anthropometric measures and optimal cutoffs in relation to hypertension by age and gender among Chinese adults

Comparison of bioelectrical body and visceral fat indices with anthropometric measures and optimal cutoffs in relation to hypertension by age and gender among Chinese adults

Association between Body Mass Index and Chronic Non-Communicable Diseases among the Elderly

“Chair stand testˮ as simple tool for sarcopenia screening in elderly women

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