Associations of body mass index, waist circumference, waist height ratio and hypertension in the elderly

SUN Zhuo-yu; LI Yi-jun; DU Zhuo; LIU Qian; FU Jing-zhu; ZHOU Dong-tao; HUANG Guo-wei; WANG Guang-shun; SUN Zhang-qing

doi:10.16462/j.cnki.zhjbkz.2020.02.010

Volume 24 Issue 2

Feb. 2020

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2020 > 24(2): 170-175

SUN Zhuo-yu, LI Yi-jun, DU Zhuo, LIU Qian, FU Jing-zhu, ZHOU Dong-tao, HUANG Guo-wei, WANG Guang-shun, SUN Zhang-qing. Associations of body mass index, waist circumference, waist height ratio and hypertension in the elderly[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 170-175. doi: 10.16462/j.cnki.zhjbkz.2020.02.010

Citation:

SUN Zhuo-yu, LI Yi-jun, DU Zhuo, LIU Qian, FU Jing-zhu, ZHOU Dong-tao, HUANG Guo-wei, WANG Guang-shun, SUN Zhang-qing. Associations of body mass index, waist circumference, waist height ratio and hypertension in the elderly[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 170-175. doi: 10.16462/j.cnki.zhjbkz.2020.02.010

Citation:

SUN Zhuo-yu, LI Yi-jun, DU Zhuo, LIU Qian, FU Jing-zhu, ZHOU Dong-tao, HUANG Guo-wei, WANG Guang-shun, SUN Zhang-qing. Associations of body mass index, waist circumference, waist height ratio and hypertension in the elderly[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(2): 170-175. doi: 10.16462/j.cnki.zhjbkz.2020.02.010

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Associations of body mass index, waist circumference, waist height ratio and hypertension in the elderly

doi: 10.16462/j.cnki.zhjbkz.2020.02.010

SUN Zhuo-yu^{1, 6},
LI Yi-jun²,
DU Zhuo^{3, 6},
LIU Qian^{4, 6},
FU Jing-zhu^{4, 6},
ZHOU Dong-tao^{4, 6},
HUANG Guo-wei^{4, 6
,
,},
WANG Guang-shun^{5, 6},
SUN Zhang-qing^{5, 6
,
,}

1.
Department of Epidemiology & Biostatislics, School of Public Health, Tianjin Medical University, Tianjin 300070, China
2.
Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China
3.
Department of Social Medicine and Health Management, School of Public Health, Tianjin Medical Lniirrsity, Tianjin 300070, China
4.
Department of Nutrition & Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China
5.
Baodi Clinical College of Tianjin Medical University, Tianjin 301800, China
6.
Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China

SUN Zhuo-yu and LI Yi-jun contributed equally to this article

Funds: National Natural Science Foundation of China(81730091)

More Information

Corresponding author: HUANG Guo-wei, E-mail:huangguowei@tmu.edu.cn; SUN Chang-qing, E-mail:husband88@163.com
Received Date: 2019-08-26
Rev Recd Date: 2019-12-01
Publish Date: 2020-02-10

Abstract

Abstract

Objective To explore the associations of body mass index(BMI), waist circumference(WC), waist height ratio(WHtR) and the prevalence of hypertension in elderly residents over 60 years in Baodi district, Tianjin. Methods Residents over 60 who underwent medical examinations in the Koudong Health Center, Baodi district, Tianjin, were all invited to participate in the study from April to May, 2018. Participants were asked to fill out structured questionnaires and undergo physical examinations. Stratified analysis and logistic regression analysis were applied to examine joint effects and interactions of BMI and WC(or WHtR) on the risk of hypertension. Results A total of 1 417 residents(83.75%) out of 1 692 residents participated in the study. The prevalence of hypertension in the participants was 46.36%. 66.50% of the participants were BMI overweight or obese. Participants with central obesity accounted for 74.66%(measured by the WC) and 75.38%(by the WHtR). Compared to the normal weight measured by the BMI or the WC, BMI overweight(OR=1.65, 95%CI: 1.19-2.30) or obesity(OR=3.41, 95%CI: 2.23-5.20) and WC central obesity(OR: 1.49, 95%CI: 1.00-2.23) were associated with increased risk of hypertension. The joint effects of BMI and WC(OR=2.49, 95%CI: 1.78-3.46), or BMI and WHtR(WHtR overweight: OR=2.05, 95%CI: 1.41-2.99; WHtR obesity: OR=2.37, 95%CI: 1.50-3.76) were greater than the single effect of the latter(WC overweight/obesity: OR=1.39, 95%CI: 0.90-2.15; WHtR overweight: OR=1.02, 95%CI: 0.62-1.66; WHtR obesity: OR=1.44, 95%CI:0.55-3.81). Conclusions Of the three indices, BMI is strongly correlated with the risk of hypertension. BMI overweight or obesity has enhanced the association of WC or WHtR and the risk of hypertension, suggesting that weight control in the normal range, especially measured by the BMI index, may prevent and control hypertension.
- Hypertension,
- Obesity,
- Body mass index,
- Waist circumference,
- Waist-to-height ratio

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References(18)

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