Jicheng Jiang1, Songyuan Deng2, Yi Chen1, Shuying Liang3, Nan Ma3, Yajuan Xu1, Xiaolin Chen1, Xiaoqin Cao1, Chunhua Song1, Wei Nie3, Kaijuan Wang4. 1. Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan Province, China; Key Laboratory of Tumor Epidemiology of Henan Province, Zhengzhou City, Henan Province, China. 2. Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA. 3. The Henan Academy of Medical Sciences, Zhengzhou 40003, China. 4. Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan Province, China; Key Laboratory of Tumor Epidemiology of Henan Province, Zhengzhou City, Henan Province, China. Electronic address: kjwang@163.com.
Abstract
BACKGROUND: The aim of the study was to compare the efficiency of bioelectrical indices (percentage body fat, PBF; visceral fat index, VFI) and various anthropometric measures (body mass index, BMI; waist circumference, WC; waist-to-height ratio, WHtR) on determining hypertension in Chinese. METHODS: We conducted the community-based cross-sectional survey during August of 2013 to August of 2015 in 66 sample sites selected by multistage random sampling method from Henan province. 14,364 residents were included in the study. RESULTS: In both genders, VFI and PBF tended to rise with age. However, for each age-specific group, men consistently had significantly greater VFI than women (all P<0.0001) and women had considerably higher PBF (all P<0.0001). The odds ratios and area under the ROC curves (AUCs) for hypertension associated with adiposity indices decreased with age. In younger (15~34year) men and women, VFI had the highest crude (2.43-7.95) and adjusted (2.40-11.63) odds ratio for hypertension. The AUCs for PBF, VFI and WHtR were significantly larger than those for BMI and WC (all P<0.01). Whereas no statistically significant difference were found in AUCs among PBF, VFI and WHtR (all P>0.10). Additionally, VFI and PBF yielded the greatest Youden index in identifying hypertension in men (0.27) and women (0.34), respectively. Optimal cutoffs for VFI/PBF were 11.70/24.45 and 7.55/33.65 in men and women, respectively. CONCLUSIONS: VFI and PBF could be better candidates for identifying hypertension in men and women, respectively. Adolescents and young adults should be highlighted in preventing hypertension by control of excess body and visceral fat.
BACKGROUND: The aim of the study was to compare the efficiency of bioelectrical indices (percentage body fat, PBF; visceral fat index, VFI) and various anthropometric measures (body mass index, BMI; waist circumference, WC; waist-to-height ratio, WHtR) on determining hypertension in Chinese. METHODS: We conducted the community-based cross-sectional survey during August of 2013 to August of 2015 in 66 sample sites selected by multistage random sampling method from Henan province. 14,364 residents were included in the study. RESULTS: In both genders, VFI and PBF tended to rise with age. However, for each age-specific group, men consistently had significantly greater VFI than women (all P<0.0001) and women had considerably higher PBF (all P<0.0001). The odds ratios and area under the ROC curves (AUCs) for hypertension associated with adiposity indices decreased with age. In younger (15~34year) men and women, VFI had the highest crude (2.43-7.95) and adjusted (2.40-11.63) odds ratio for hypertension. The AUCs for PBF, VFI and WHtR were significantly larger than those for BMI and WC (all P<0.01). Whereas no statistically significant difference were found in AUCs among PBF, VFI and WHtR (all P>0.10). Additionally, VFI and PBF yielded the greatest Youden index in identifying hypertension in men (0.27) and women (0.34), respectively. Optimal cutoffs for VFI/PBF were 11.70/24.45 and 7.55/33.65 in men and women, respectively. CONCLUSIONS: VFI and PBF could be better candidates for identifying hypertension in men and women, respectively. Adolescents and young adults should be highlighted in preventing hypertension by control of excess body and visceral fat.
Authors: Omar Yaxmehen Bello-Chavolla; Neftali E Antonio-Villa; Arsenio Vargas-Vázquez; Alexandro J Martagón; Roopa Mehta; Olimpia Arellano-Campos; Donaji V Gómez-Velasco; Paloma Almeda-Valdés; Ivette Cruz-Bautista; Marco A Melgarejo-Hernandez; Liliana Muñoz-Hernandez; Luz E Guillén; José de Jesús Garduño-García; Ulices Alvirde; Yukiko Ono-Yoshikawa; Ricardo Choza-Romero; Leobardo Sauque-Reyna; Ma Eugenia Garay-Sevilla; Juan M Malacara-Hernandez; María T Tusié-Luna; Luis M Gutierrez-Robledo; Francisco J Gómez-Pérez; Rosalba Rojas; Carlos A Aguilar-Salinas Journal: J Clin Hypertens (Greenwich) Date: 2019-07-18 Impact factor: 3.738
Authors: Jia Liu; Lap Ah Tse; Zhiguang Liu; Sumathy Rangarajan; Bo Hu; Lu Yin; Darryl P Leong; Wei Li Journal: J Am Heart Assoc Date: 2019-08-09 Impact factor: 5.501