Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?

Journal of Hypertension
Obesity in Asia Collaboration

Abstract

To compare the performance of body mass index (BMI) against waist circumference, waist: hip ratio (WHR) and waist: height ratio in the discrimination of hypertension in ethnically diverse populations. Meta-analysis of 19 cross-sectional studies. Discrimination of hypertension (SBP/DBP > or = 140/90 mmHg) was adjudicated from Receiver Operating Characteristic curves; optimum thresholds were defined as those that maximized sensitivity plus specificity. Irrespective of which measure of overweight was used, the strength of the association with blood pressure was consistently greater among Asians compared with Caucasians or Pacific Islanders; however, in all regions, and for all anthropometric measures, the increment in blood pressure, and the additional risk of hypertension, were broadly similar for the same relative increment in each of the four measures. Optimum thresholds varied by region; WHR was the most consistent between the regions, with thresholds of 0.92-0.94 for men and 0.80-0.88 for women. No anthropometric variable was systematically better than others at the discrimination of hypertension. Blood pressure is similarly associated with each of the four measures of overweight chosen, but the associations were stronger amo...Continue Reading

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Citations

Jul 4, 2012·Journal of Immigrant and Minority Health·Sarah E ChoiShayna Henry
Aug 13, 2009·European Journal of Clinical Nutrition·S A LearS Kumanyika
Apr 18, 2009·Cardiovascular Diabetology·Latifa M BaynounaSameh Abdouni
Dec 2, 2014·Obesity Research & Clinical Practice·Odewumi Oluwarotimi Adegbija, Zhiqiang Wang
May 12, 2009·The Medical Clinics of North America·Efrain Reisin, Avanelle V Jack
Dec 21, 2010·Journal of Traumatic Stress·Eric A DedertJean C Beckham
Jun 6, 2009·American Journal of Hypertension·Roberta S L CassaniAndré Schmidt
Jun 25, 2013·The Diabetes Educator·Sarah E ChoiShayna L Henry
Mar 25, 2016·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hirochika RyunoHiromi Rakugi
Jan 17, 2013·Circulation. Cardiovascular Imaging·Gerard P AurigemmaTimothy P Fitzgibbons
Aug 10, 2017·Journal of Ophthalmic & Vision Research·Khalil Ghasemi FalavarjaniKaveh Abri Aghdam
Nov 15, 2019·The Journal of Clinical Endocrinology and Metabolism·Bo XiPascal Bovet
Jul 16, 2009·Expert Opinion on Pharmacotherapy·Peter BramlageCaroline Hacker
Nov 24, 2011·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M AshwellS Gibson
May 25, 2016·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·W Timothy GarveyUNKNOWN Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines
May 14, 2021·Interactive Journal of Medical Research·Rahila BhattiAmar Hassan Khamis
Jun 24, 2021·Journal of Human Hypertension·Peng LuXiaoshu Cheng

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