Waist-to-height ratio and elevated blood pressure among children in Taiwan

Chen, Ta-Liang; Choy, Cheuk-Sing; Chan, Wan Yu; Chen, Chien Hsin; Liao, Chien-Chang

doi:10.1007/s13312-012-0075-8

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…Thus, it can be inferred that the observed high prevalence may be due to increased central obesity in the studied population. Previous studies reported that increased WHtR strongly predicted the probability of developing hypertension in both children and adults [33,34].…”

Section: Discussionmentioning

confidence: 99%

The magnitude of hypertension and its risk factors in southern Ethiopia: A community based study

2019

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Background Prevention and control of hypertension has not been given due attention though previous studies indicated that hypertension is growing public health problem. Objective This study aimed to determine the prevalence of hypertension and associated factors in Bona district, southern Ethiopia. Methods A community based cross-sectional study was conducted on 1952 participants aged ≥25 years in Bona District, southern Ethiopia. Data were collected from consented participants recruited using multistage sampling technique. Data were entered, checked for quality and analyzed by SPSS for Windows version 20.0. Since the outcome variables were ordered categorical, we used multinomial logistic regression model to identify associated factors. Among the independent variables included in the model no multicolinearity was observed. The level of significance was set at P value ≤ 0.05. Results The observed prevalence of hypertension (21.8%) was remarkable in rural setting. Out of hypertensive participants, 195 (45.9%) were newly diagnosed. About one third of the participants (31.4%) had central obesity measured by waist-to-height ratio ≥0.50. Being male, age advancement, high BMI (≥25.0 kg/m 2 ) and central obesity (waist-to-height ratio ≥0.50) were positively associated with both systolic and diastolic hypertension. Systolic hypertension was negatively associated with high family income. The likely hood of developing diastolic hypertension increased in participants with family history of hypertension. Conclusion The overall prevalence of hypertension, 21.8%, is alarmingly high that it can be said that hypertension is becoming a silent epidemic in Ethiopia. Nationwide survey is needed to get the clear magnitude of hypertension so that early detection and management strategies can be enforced.

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Section: Discussionmentioning

confidence: 99%

The magnitude of hypertension and its risk factors in southern Ethiopia: A community based study

2019

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“…Data from a cross-sectional study among 6–7 year-old children in Taiwan showed that in the combined group of boys and girls, high WC was significantly associated with HBP (aORs were 1.78, 2.45, and 6.03 in the second, third, and fourth quartiles of WC) 41 . A study that included Taiwanese children aged 7 years found that aORs of elevated BP, elevated SBP, and elevated DBP were significant in the second, third, and fourth quartiles of WHtR 42 .…”

Section: Discussionmentioning

confidence: 99%

Associations between body mass index, waist circumference, waist-to-height ratio, and high blood pressure among adolescents: a cross-sectional study

Kučienė

Dulskienė

2019

Sci Rep

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The purpose of the present study was to examine the associations between body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), and high blood pressure (HBP), and to determine which anthropometric parameters can best predict HBP among Lithuanian adolescents aged 12–15 years. Data from the survey of “Prevalence and Risk Factors of HBP in 12–15-Year-Old Lithuanian Children and Adolescents (Study 1, 2010–2012)” were used; a total of 7,457 respondents (3,494 boys and 3,963 girls) were included in this analysis. Adolescents with BP above the 90th percentile were measured on two different occasions. Logistic regression analysis was used to assess the associations and to calculate odds ratios. Receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive ability of the three anthropometric parameters to predict HBP. The adjusted odds ratios (aOR) in the highest quartiles of BMI, WC, and WHtR were statistically significant for both sexes separately (reference group – the first quartile): in boys, prehypertension – 4.91, 4.09, and 1.59; hypertension – 7.96, 6.44, and 2.81; and prehypertension/hypertension – 6.85, 5.65, and 2.37, respectively; and in girls, prehypertension – 3.42, 2.70, and 1.66; hypertension – 5.71, 3.54, and 2.90; and prehypertension/hypertension – 4.62, 3.17, and 2.31, respectively). According to the analyses of the ROC curve, BMI z-score provided the largest area under the curve (AUC) value, followed by WC z-score, while WHtR z-score showed the lowest AUC value in predicting elevated BP in both sexes separately. Among Lithuanian adolescents aged 12–15 years, both anthropometric indices – BMI and WC (but particularly BMI) – showed stronger associations with HBP and were better for the prediction of HBP, compared to WHtR.

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“…Higher WHtR ratios were associated with higher MSBP and MDBP in both boys and girls though it was significant in the boys only. Indeed, Chen et al (33) reported an association between higher WHtR ratios and higher MSBP and MDBP in 7 year old boys compared to girls. A recent report by Kruger et al (34) showed that lower WHtR cut-off values (< 41%) are required for the prevention of the metabolic syndrome in black South African adolescents.…”

Section: Correlations Between Msbp/mdbp With Wc Hc and Whtrmentioning

confidence: 99%

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

Nkeh-Chungag¹,

Sekokotla²,

Sewani-Rusike³

et al. 2015

Cent Eur J Public Health

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SUMMARYBackground: Hypertension is one of the most common risk factors for cardiovascular diseases (CVDs), yet not much effort is being invested in early diagnosis and control of the condition in susceptible children. The aim of this study was to investigate the prevalence of pre-hypertension and hypertension in peri-urban school-attending adolescents and explore the relationship between blood pressure and selected anthropometric measurements.Methods: A cross-sectional study of adolescents aged 13-17 years was performed. Data on height, weight, waist and hip circumferences as well as blood pressure were collected from all participants. Body mass index (BMI) and blood pressure percentiles were calculated.Results: The overall prevalence of obesity was 20.4% while the prevalence of hypertension and pre-hypertension was 21.2% and 12.3%, respectively. The prevalence of hypertension and pre-hypertension in males was 22.0% and 13.6% compared to 20.9% and 16.5% in females, respectively. Both conditions were associated with higher BMI in both girls and boys. While mean systolic blood pressure (SBP) was positively associated with higher BMI and waist circumference (WC) in males and females, it correlated negatively with hip circumference (HC) in males. On the other hand, mean diastolic blood pressure (DBP) correlated better with HC in males but only weakly in females.Conclusion: Adolescent learners in Mthatha had a high prevalence of hypertension and pre-hypertension which were associated with overweight and obesity. Results highlight the urgent need for screening in view of early detection and implementation of intervention strategies to prevent a high incidence of CVDs in this country.

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Waist-to-height ratio and elevated blood pressure among children in Taiwan

Abstract: WHtR, simple to measure, is an important factor associated with elevated BP in children.

Cited by 14 publications

References 17 publications

The magnitude of hypertension and its risk factors in southern Ethiopia: A community based study

The magnitude of hypertension and its risk factors in southern Ethiopia: A community based study

Associations between body mass index, waist circumference, waist-to-height ratio, and high blood pressure among adolescents: a cross-sectional study

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

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