Relationship between obesity indices and hypertension among middle-aged and elderly populations in Taiwan: a community-based, cross-sectional study

Lin, Yang-Hua; Chen, Ying-Jen; Tsao, Yu-Chung; Yeh, Wen‐Ling; Li, Wencheng; Tzeng, I‐Shiang; Chen, Jau-Yuan

doi:10.1136/bmjopen-2019-031660

Cited by 23 publications

(23 citation statements)

References 24 publications

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“…Purposive sampling was selected as the sampling design of this study. The appropriate sample size calculated based on the chosen correlation coefficient (r) by Lin et al (2019) was 113, and after adjusting for 10% of non-response rate, the minimum sample size needed in this study was 124 subjects. A total of 124 hospitalised elderly were recruited for this study (response rate of 100%).…”

Section: Participantsmentioning

confidence: 99%

Determination of the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly in Hospital Serdang, Selangor, Malaysia

Hashidi¹,

Omar²,

Adznam³

2021

Mal J Nutr

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Introduction: Increasing trends of hypertension has been recognised as a common disease among the elderly. This study aimed to determine the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly. Methods: This was a cross-sectional study involving 124 patients in Hospital Serdang, Selangor, Malaysia. Data on socio-demography, medical background, anthropometry, blood biochemistry and lifestyle were collected through face-to-face interviews and medical records. Dietary intake was obtained through two days of food history. Malnutrition risks and stress level were determined using the Mini Nutritional Assessment Short-Form (MNA-SF) and the Geriatric Depression Scale (GDS). Results: There were 59.7% males and 40.3% females with mean age of 66.81±5.35 years. Majority were found to have hypertension (72.6%). Approximately 38.7% had normal body mass index (BMI). Most of them reported insufficient dietary intakes except for trans fats, sodium, and caffeine. Nearly 62.1% were engaged with physical activity, 23.4% were smoking, and 4.8% were taking alcohol. Approximately 66.1% and 86.3% were classified as having normal nutritional status and normal stress levels. In this study, the prevalence of hypertension among elderly patients warded in Hospital Serdang, Selangor was 72.6% and factors such as length of stay, number of co-morbidities, number of medications, having co-morbidities of hypertension, dyslipidaemia and diabetes mellitus, polypharmacy, height, BMI, fibre, polyunsaturated fat, dietary cholesterol, caffeine, and duration of physical activity were found to be associated with blood pressure. Conclusion: The present study found that majority of patients (72.6%) had hypertension. Future studies regarding factors associated with blood pressure are recommended

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Section: Participantsmentioning

confidence: 99%

Determination of the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly in Hospital Serdang, Selangor, Malaysia

Hashidi¹,

Omar²,

Adznam³

2021

Mal J Nutr

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“…Obesity increases blood pressure and obese individuals are more likely to experience an increase in blood pressure than non-obese people. Even in older adults, a higher BMI is associated with an increased risk of hypertension 7,8 . In addition, it has been studied in many studies on socioeconomic status closely related to hypertension 9 .…”

Section: Introductionmentioning

confidence: 99%

The relationship between income and nutritional status with the incidence of hypertension in elderly

Sariyanti

Hanim

Anantanyu

2020

Int. J. Hum. Health Sci.

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Background:Blood pressure is a disease that is often found in the elderly. Many studies show that socioeconomic status is closely related to the incidence of hypertension especially in the elderly. In addition, since hypertension is generally associated with being overweight and obese, nutritional status can also be a factor for experiencing hypertension in the elderly.Objective:To analyze the relationship between income and nutritional status with the incidence of hypertension in the elderly.Method: This study used a cross-sectional study design involving 133 elderly respondents in the area of the Klaten Community Health Center. Income data were obtained using the respondents’ basic characteristic questionnaire. Nutritional status was obtained based on anthropometric measurements of body weight and height which were calculated using the Body Mass Index (BMI). While blood pressure data were obtained from Sphygmomanometer measurements. The data obtained were analyzed using the Spearman test with a p-value <0.05. This study was approved by Ethics Commission UniversitasSebelasMaret.Results: The results of this study indicate there is a relationship between income and the incidence of hypertension in the elderly (p=0.046) while the nutritional status has no relationship with the incidence of hypertension (p=0.640).Conclusion: High income has a low risk of the elderly experiencing hypertension, while nutritional status good or not they do not have a risk of hypertension.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 81-84

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“…Moreover, the abilities of obesity indices to identify hypertension varied more in women than in men. The gender differences had already been proven by previous studies [ 24 , 26 , 27 ], but very few studies examined the age-specific differences among various obesity indices [ 25 – 29 ]. Age was not only a key risk factor for hypertension but also strongly related to obesity.…”

Section: Discussionmentioning

confidence: 95%

“…Studies have proven that obesity indices are strongly associated with hypertension and can be used to identify the disease [ 12 , 24 – 29 ]. To date, the results on which index is the best for identifying hypertension are inconsistent.…”

Section: Discussionmentioning

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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Relationship between obesity indices and hypertension among middle-aged and elderly populations in Taiwan: a community-based, cross-sectional study

Cited by 23 publications

References 24 publications

Determination of the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly in Hospital Serdang, Selangor, Malaysia

Determination of the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly in Hospital Serdang, Selangor, Malaysia

The relationship between income and nutritional status with the incidence of hypertension in elderly

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

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