Stronger associations of obesity with prehypertension and hypertension in young women than in young men

Wakabayashi, Ichiro

doi:10.1097/hjh.0b013e3283544881

Cited by 30 publications

(15 citation statements)

References 19 publications

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“…As reported by a cohort study, 50% of individuals aged>65 years with stage 2 prehypertension progressed to hypertension compared with 37% individuals aged<65 years . Similarly, Wakabayashi reported that the association of obesity with prehypertension or hypertension are greater in women than men . Moreover, another study showed that the effect of obesity (BMI > 27 kg/m 2 ) on the incidence of hypertension is stronger in women than in men .…”

Section: Discussionmentioning

confidence: 70%

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Wang

Peng

Liang

et al. 2018

Clinical Cardiology

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Background To compare the efficiency of bioelectrical indices (visceral fat index [VFI], percentage body fat [PBF]) and anthropometric indices (body mass index, waist circumference, waist‐to‐height ratio, a body shape index ) in the relation to prehypertension (120‐139/80‐89 mm Hg) among the Chinese population. Methods Using stratified multistage random sampling method, a general population‐based sample of 11 175 adults in Henan province were selected from 2013 to 2015. The individuals were divided into three categories by blood pressure levels: normotension (<120 and 80 mm Hg), stage 1 prehypertension (120‐129/80‐84 mm Hg) and stage 2 prehypertension (130‐139/85‐89 mm Hg). Results VFI and PBF tended to increase with age in men and women. However, for each age‐specific group, men tended to have higher VFI than women (all P < 0.01) and women tended to have greater PBF (all P < 0.0001). The odds ratios (OR) and area under the receiver operating characteristic curves for prehypertension associated with adiposity indices declined with age. VFI and PBF showed higher standardized adjusted ORs for prehypertension in young (~40 years) men (VFI: 2.02‐3.05; PBF: 1.82‐2.80) and young women (VFI: 1.90‐2.58; PBF:1.70‐2.29). Moreover, based on Youden's index, VFI and PBF exhibited the superiority for identifying prehypertension in men (0.20‐0.32) and women (0.31‐0.39), respectively. Conclusion In summary, there was stronger association of VFI and PBF with prehypertension in men than in women, respectively, especially for young adults.

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Section: Discussionmentioning

confidence: 70%

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Wang

Peng

Liang

et al. 2018

Clinical Cardiology

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“…Furthermore, a greater change in SBP was noted among chronically obese white and Hispanic women compared to normal weight women than effects noted among White and Hispanic men. Gender differences in the association between obesity and hypertension have been previously noted 15 , however results have not been consistent, with some studies reporting a stronger association among men while others report stronger associations among women. The discrepancy in results could be due to the different age groups and ethnicities represented in these studies.…”

Section: Discussionmentioning

confidence: 82%

Adolescent Obesity, Change in Weight Status, and Hypertension

2013

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We sought to determine whether change in weight status between adolescence and young adulthood was associated with the risk of developing hypertension among adolescents and whether gender and racial/ethnic group differences existed in the National Longitudinal Study of Adolescent Health. The sample was restricted to participants who self-identified as African-American, Hispanic or White Non-Hispanic (N=8543). Height and weight were measured in adolescence (mean 16yrs), and again in adulthood (mean 29yrs). We categorized the participants weight into four groups: stayed normal weight; gained weight (normal weight in adolescence and obese in adulthood); lost weight (overweight/obese in adolescence non-obese in adulthood); chronically overweight/obese. Hypertension was defined as measured systolic blood pressure of at least 140mmHg or diastolic blood pressure of at least 90mmHG measured in adulthood, or use of antihypertensive medications. A higher risk of hypertension was noted for all gender and racial/ethnic groups who became obese in adulthood. Furthermore, those who were chronically overweight/obese were at higher risk of hypertension for all groups with odds ratios ranging from 2.7 in Hispanic men to 6.5 in Hispanic women. Except for African-American men, those who lost weight during follow up had no significant increased risk compared to those who maintained normal weight. Overall, there was an increased risk of hypertension for those who gained weight in adulthood and among those who remained obese from adolescence to young adulthood. These data give further evidence for prevention strategies that begin earlier in life to reduce or delay the onset of chronic disease in young adults.

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“…Recently, the waist-to-height ratio (WHtR) has been proposed as a better screening tool than WC and BMI for adult cardiometabolic risk factors [5]. However, studies remain inconsistent with regard to the use of obesity indices, especially in Asia populations [6]–[9].…”

Section: Introductionmentioning

confidence: 99%

Waist-to-Height Ratio and Cardiovascular Risk Factors among Chinese Adults in Beijing

et al. 2013

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ObjectivesTo examine whether waist-to-height ratio (WHtR) performed better than, body mass index (BMI) or waist circumference (WC) in relation to hypertension, diabetes, and dyslipidemia among Chinese adults in Beijing.MethodsA total of 5720 adults (2371 men and 3349 nonpregnant women) aged 18 to 79 years were selected from the general population in a cross-sectional study. Data from a standardized questionnaire, physical examination, and blood sample were obtained.ResultsThe area under curve (AUC) values for WHtR (0.661–0.773) were significantly higher than those for BMI for all outcomes in both sexes, except that WHtR and BMI had similar AUCs for dyslipidemia in men. The AUCs for WHtR were significantly higher than those for WC with respect to hypertension in both sexes, and to diabetes in women. AUCs for the relationships between anthropometric indices and the three outcomes were larger in women than in men, and tended to decrease with age. Optimal cutoffs for WHtR were 0.51–0.53 and 0.48–0.50 in men and women, respectively. With regard to the current Chinese criteria for BMI (≥24 kg/m2), WC (≥90 cm for men, and ≥85 cm for women), and the recommended cutoff of WHtR (≥0.5), WHtR yielded the greatest odds ratio for hypertension and diabetes in both sexes, and dyslipidemia in women. BMI had the highest odds ratio for dyslipidemia in men. The odds ratios of anthropometric indices for hypertension and diabetes, but not for dyslipidemia, were higher in women than in men. The association between anthropometric indices and the three outcomes decreased with age.ConclusionWHtR performed better than BMI and WC for the association with hypertension and diabetes. More studies should be conducted to explore the age differences in the relationships between obesity indices and cardiovascular risk factors.

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Stronger associations of obesity with prehypertension and hypertension in young women than in young men

Abstract: The results suggest that the associations of obesity with prehypertension and hypertension are stronger in women than in men.

Cited by 30 publications

References 19 publications

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Adolescent Obesity, Change in Weight Status, and Hypertension

Waist-to-Height Ratio and Cardiovascular Risk Factors among Chinese Adults in Beijing

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