Association between different measurements of obesity and the incidence of hypertension

Gus, Miguel

doi:10.1016/j.amjhyper.2003.08.010

Cited by 110 publications

(93 citation statements)

References 19 publications

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“…BMI, which reflects body fat mass, was shown to be an independent risk factor for hypertension, which was consistent with previous studies indicating an association between high body fat levels and hypertension 37, 38. BMI is easily measured and is a simple and effective tool for screening hypertension, making it suitable for use in comprehensive public health strategies.…”

Section: Discussionsupporting

confidence: 92%

Association of Body Fat Mass and Fat Distribution With the Incidence of Hypertension in a Population‐Based Chinese Cohort: A 22‐Year Follow‐Up

Chen

Liu

Zheng

et al. 2018

JAHA

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BackgroundThere have been few studies on the association between the incidence of hypertension and the presence and distribution of body fat. The aim of this article was to evaluate this association.Methods and ResultsData were obtained from the China Health Nutrition Survey, a 22‐year cohort study of 12 907 participants. Body mass index and triceps skinfold thickness were used as markers of body fat, whereas waist circumference (WC) was used as a marker of fat distribution. Cox regression was used to examine the association of body mass index, WC, and skinfold thickness with the incidence of hypertension. The interval between the baseline and hypertension diagnosis was the time variable, and hypertension was the end event. The mean age and proportion of men and women were 38.29 and 38.03 years and 45.63% and 54.37%, respectively. Compared with normal WC, abdominal obesity was associated with hypertension (P<0.001; crude hazard ratio, 2.11; 95% confidence interval, 1.89–2.37). Similarly, overweight (crude hazard ratio, 1.75; 95% confidence interval, 1.64–1.87) and obesity (crude hazard ratio, 3.19; 95% confidence interval, 2.80–3.63) were risk factors for hypertension (all P<0.001). When stratified by sex, the results confirmed that WC and body mass index predicted the development of hypertension in both men and women but not skinfold thickness in women.ConclusionsBody mass index and WC were independent risk factors for hypertension, but skinfold thickness was a poor marker of body fat and could not be used to predict hypertension.

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Section: Discussionsupporting

confidence: 92%

Association of Body Fat Mass and Fat Distribution With the Incidence of Hypertension in a Population‐Based Chinese Cohort: A 22‐Year Follow‐Up

Chen

Liu

Zheng

et al. 2018

JAHA

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“…Excess of adiposity, particularly with a central distribution, has been recognized as a major cause of hypertension. We have previously demonstrated in this cohort that waist circumference was more consistently associated with the incidence of hypertension than the BMI, 5 and that the correction of waist by the stature of the individual increased its predictive performance. 10 A consistent positive association between alcohol intake and blood pressure has been established in populations throughout the world.…”

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confidence: 65%

“…3 The baseline evaluation of the participants of this population-based cohort was carried out from 1989 to 1991. 4,5 In total, 1089 individuals were interviewed at home, after obtaining informed consent. Assessment of demographic data, education (number of years at school), cigarette smoking, alcoholic beverage consumption and other characteristics was made with a structured and pre-tested questionnaire.…”

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confidence: 99%

Incidence of hypertension in Porto Alegre, Brazil: a population-based study

et al. 2007

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“…Obesity and overweight contribute significantly to morbidity and mortality and account for a significant percentage of overall health-care costs. 17 Excess body weight has been linked to many diseases 17 such as cardiovascular disease, 18 diabetes 19 and other metabolic disorders, 20 cancer, 21 pulmonary obstructive disease, 22 gallbladder stone, 23 arthritis. 24 Health-care expenditures associated with obesity are substantial and increasing.…”

Section: Introductionmentioning

confidence: 99%

Hospital admissions associated with body mass index in Canadian adults

2007

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Objective: To examine the associations between excess weight and health-care utilization in general Canadian population. Design: A national survey with a multistage stratified sampling design. Subjects: A total of 113 603 adults 20 years of age or more in 2003. Measurements: Self-reported overnight stay as an in-patient during the past 12 months, length of stay, height and weight.Results: The 12-month cumulative incidence of being an in-patient was 6.6% for men and 10.4% for women, with the length of stay in median of 3 nights for the patients. The adjusted odds ratio for obesity associated with being an in-patient was 1.24 (95% confidence interval: 1.109, 1.40) for men and 1.25 (1.14, 1.37) for women. The association between obesity and being an in-patient was significant or marginally significant in all categories of length of stay with an exception of the '1 night' category for men. Underweight men and women had an increased risk of approximately 30%. Underweight was only significantly associated with being an in-patient with a stay of '47 nights' in both sexes, and only small proportion of participants were underweight. Obesity contributed slightly more than 4% of being an in-patient in the Canadian adults. The population attributable fraction was very small for underweight because of low proportion of cases in that category. Conclusion: Obesity burdens the universal health-care system in Canada.

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Association between different measurements of obesity and the incidence of hypertension

Abstract: We conclude that the risk for hypertension may be better identified by obesity defined by higher WC than higher BMI.

Cited by 110 publications

References 19 publications

Association of Body Fat Mass and Fat Distribution With the Incidence of Hypertension in a Population‐Based Chinese Cohort: A 22‐Year Follow‐Up

Association of Body Fat Mass and Fat Distribution With the Incidence of Hypertension in a Population‐Based Chinese Cohort: A 22‐Year Follow‐Up

Incidence of hypertension in Porto Alegre, Brazil: a population-based study

Hospital admissions associated with body mass index in Canadian adults

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