Shuaibing Wang1,2,3, Rui Peng1,2,3, Shuying Liang4, Kaiyan Dong2,3,5, Wei Nie4, Qian Yang2,3, Nan Ma4, Jianying Zhang2,3,6, Kaijuan Wang2,3, Chunhua Song2,3. 1. The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China. 2. Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, China. 3. Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, China. 4. Henan Academy of Medical Sciences, Zhengzhou, China. 5. Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, China. 6. Henan Academy of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, China.
Abstract
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.
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.
Authors: Zdenka Pausova; Michal Abrahamowicz; Amel Mahboubi; Catriona Syme; Gabriel T Leonard; Michel Perron; Louis Richer; Suzanne Veillette; Daniel Gaudet; Tomas Paus Journal: Hypertension Date: 2010-01-18 Impact factor: 10.190
Authors: Jens Tank; Karsten Heusser; Andre Diedrich; Dagmara Hering; Friedrich C Luft; Andreas Busjahn; Krzysztof Narkiewicz; Jens Jordan Journal: J Clin Endocrinol Metab Date: 2008-09-09 Impact factor: 5.958