Associação positiva entre razão cintura‐estatura e presença de hipertensão em adolescentes

Madruga, Juliana Gomes; Silva, Flávia Moraes; Adami, Fernanda Scherer

doi:10.1016/j.repc.2016.03.004

Cited by 11 publications

(10 citation statements)

References 25 publications

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“…Several studies have demonstrated that individuals with the same WC but different heights are unlikely to have the same cardiometabolic risks [ 10 ]. The early detection of hypertension is crucial for its control and prevention, in adults; however, since BP is not routinely tested in most adolescents, it is difficult to monitor the condition in them [ 11 , 25 ]. Recently, the WHtR was shown to be the most important predictor of BP and hypertension, in Saudi Arabian adult populations [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…WHtR is a simple and practical tool used for the measurement of metabolic risk factors [ 1 , 10 , 11 ]. A systematic review inferred that WHtR may be beneficial, regardless of the age-, gender-, and ethnicity-specific values [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review inferred that WHtR may be beneficial, regardless of the age-, gender-, and ethnicity-specific values [ 12 ]. Studies have shown anthropometric indicators can predict hypertension in adolescents [ 11 ]. Additionally, it has been observed that obese children with a higher WHtR are more likely to have a higher cardiometabolic risk, and a single WHtR cut-off of 0.5 seems to be suitable for use in children as well as in adults, without age-related distinctions [ 1 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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

2018

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BackgroundSeveral 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.MethodsA 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.ResultsDuring 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).ConclusionA 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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2018

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“…Regarding abdominal adiposity, in this study 4.2% of the study sample presented enlarged values, whereas 95.8% presented eutrophic values. Th e opposite prevalence was found in a research carried out with 1030 adolescents in the countryside of the state of Rio Grande do Sul (Southern Brazil), which identifi ed abdominal obesity in 24% of adolescents; (20) and a study carried out in Fortaleza, state of Ceará (Northeastern Brazil), with 702 students, which showed a prevalence of enlarged WC in 13.6% of participants. (24) Considering NC levels, it was observed that 30% of the sample present inadequate parameters.…”

Section: Discussionmentioning

confidence: 91%

“…Likewise, studies carried out with this public to investigate risk factors and/or excessive weight, as well as other studies that investigated community health/illness situation, portrayed that the female sex was the most frequent one. (20) Regarding the distribution of clinical variable among adolescents, it was noticed that 18.5% of adolescents presented excessive weight (overweight/ obesity) when assessed for BMI, split between 12.9% overweight and 5.6% obese. Th is is a higher result than the one in a study carried out with 305 adolescents in Petrolina, state of Pernambuco, which showed excessive weight in 16% of students.…”

Section: Discussionmentioning

confidence: 99%

Alterações clínicas, metabólicas e resistência à insulina entre adolescentes

et al. 2019

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Resumo Objetivo Analisar as alterações clínicas, metabólicas e sua relação com a resistência à insulina entre adolescentes. Métodos Estudo analítico, realizado com 357 adolescentes de escolas públicas estaduais de um município do Nordeste brasileiro. O formulário aplicado continha as variáveis Índice de Massa Corporal, Circunferência da Cintura, Circunferência do Pescoço, Índice de Conicidade, Pressão Arterial Média; Triglicerídeos, Glicemia, High — Density Lipoprotein Coiesteroi, Insulina e Índice Homeostasis Model Assessment, analisadas por medidas descritivas para variáveis quantitativas; e frequências para variáveis qualitativas. Foram realizados testes de associações através do Qui-quadrado e do teste Odds Ratio. Resultados A prevalência de resistência à insulina foi de 33,9%. As médias da circunferência da cintura, circunferência do pescoço, índice de conicidade, pressão arterial sistólica média e pressão arterial diastólica média estiveram elevadas respectivamente em 4,2%; 30%; 10,9%; 4,2% e 14% dos adolescentes. Os níveis de High – Density Lipoprotein colesterol estiveram diminuídos em 30,5% da amostra, ao passo que os triglicerídeos estavam elevados em 18,8%. Não foi identificada alteração na glicemia. Aqueles que apresentaram índice de massa corporal, circunferência da cintura, circunferência do pescoço, índice de conicidade e triglicerídeos com valores alterados possuíam maiores chances de apresentar resistência à insulina (OD: 3,62; 11,54; 3,50; 4,49; 3,05, respectivamente). De maneira oposta, os adolescentes com pressão arterial sistólica média, pressão arterial diastólica média e High — Density Lipoprotein colesterol alterados não apresentaram significância estatística (p<0,05). Conclusão A resistência à insulina está presente entre os adolescentes, com associações positivas e significativas com alterações clínicas e metabólicas.

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Association Between Obesity and Blood Pressure Among Iranian Children and Adolescents: A Sub-analysis from the SHED LIGHT Study

et al. 2022

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Associação positiva entre razão cintura‐estatura e presença de hipertensão em adolescentes

Abstract: A positive association was found between WHR and the presence of hypertension in adolescents.

Cited by 11 publications

References 25 publications

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

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

Alterações clínicas, metabólicas e resistência à insulina entre adolescentes

Association Between Obesity and Blood Pressure Among Iranian Children and Adolescents: A Sub-analysis from the SHED LIGHT Study

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