Association of Waist-to-Height Ratio, Metabolic Syndrome, and Carotid Atherosclerosis in Individuals with a High Risk of Stroke: A Cross-Sectional Study of 9605 Study Participants

2020 ◽  
Vol 18 (8) ◽  
pp. 381-388
Author(s):  
Li Zhang ◽  
Baoxin Chen ◽  
Xinran Xie ◽  
Jiayi Zhao ◽  
Jingjing Wei ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
High Risk ◽  
Carotid Atherosclerosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Height Ratio ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
Study Participants

scholarly journals BMI, waist to height ratio and waist circumference as a screening tool for hypertension in hospital out patients: a cross-sectional study

2020 ◽  
Author(s):  
Rajan Shrestha ◽  
Bijay Khatri ◽  
Madan P. Upadhyay ◽  
Janak R. Bhattarai ◽  
Manish Kayastha ◽  
...  
Keyword(s):  
Risk Factor ◽  
Waist Circumference ◽  
Low Income ◽  
Cross Sectional Study ◽  
Anthropometric Measurement ◽  
Sectional Study ◽  
Height Ratio ◽  
Cross Sectional ◽  
Obesity And Overweight ◽  
Waist To Height Ratio

Abstract BackgroundObesity has become a global epidemic and an important risk factor for non-communicable diseases. Earlier thought to be a problem of developed world, it has now become a problem of low- and middle-income countries like Nepal. In absence of a routine surveillance or a registry system, the actual burden and trend of obesity in Nepal is unknown. Obesity and overweight are recognized risk factors for hypertension and associated with cardiovascular disease. The aim of the study was to find out burden of obesity, using three commonly employed metrics in hospital outpatient setting of a low-income country as predictors of hypertension, and compare ability of different anthropometric measurements through a non-inferiority study to predict hypertension.MethodsThis cross-sectional study was conducted among 40-69 years outpatients in a tertiary Eye and ENT hospital in a semi-urban area of Nepal among randomly selected 2,256 participants from 6,769 outpatients who were evaluated in Health Promotion and risk factor screening service. We did correlation analysis to determine the relationship between anthropometric measurement and blood pressure. The area under the Receiver Operating characteristic curve of Body Mass Index (BMI), Waist to Height Ratio (WHtR) and Waist Circumference (WC) was calculated and compared. ResultsThe prevalence of obesity and overweight by BMI was 16.09% and 42.20% respectively; by Waist-to-Height-Ratio was 32.76% which is two times higher than obesity measured by BMI. High waist circumference was observed among 66.76% participants. Female participants had greater prevalence of high WC (77.46%) than male (53.73%) (p<0.001). Prevalence of hypertension and pre-hypertension was 40.67% and 36.77% respectively. The areas under the curve were significantly higher than 0.5 for BMI (0.593), WHtR (0.602) and WC (0.610).ConclusionWaist circumference correlated well with obesity and hypertension. It also had higher predicting ability than WHtR and BMI to predict hypertension. Waist circumference thus proved to be non-inferior to two other commonly used metrics. It proved superior in detecting obesity in female. This simple and inexpensive tape measurement may play an important role in future diagnosis of obesity and prediction of HTN in resource constrained settings of developing countries.

scholarly journals Using Anthropometric Indicator to Identify Hypertension in Adolescents: A Study in Sarawak, Malaysia

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Whye Lian Cheah ◽  
Ching Thon Chang ◽  
Helmy Hazmi ◽  
Grace Woei Feng Kho
Keyword(s):  
Predictive Power ◽  
School Setting ◽  
Cross Sectional Study ◽  
Cutoff Point ◽  
Sectional Study ◽  
Height Ratio ◽  
Cross Sectional ◽  
Anthropometric Indicators ◽  
Significant Area ◽  
Waist To Height Ratio

This cross-sectional study was conducted to determine the predictive power of anthropometric indicators and recommend cutoff points to discriminate hypertension among adolescents in Sarawak, Malaysia. A total of 2461 respondents aged 12-17 years participated in this study with mean age of 14.5±1.50 years. All anthropometric indicators had significant area under the ROC curve, with body mass index (BMI) and waist circumference (WC) ranging from 0.7 to 0.8. The best anthropometric indicators for predicting hypertension for boys were WC, BMI, and waist-to-height ratio (WHtR). For girls, BMI was the best indicators followed by WHtR and WC. The recommended BMI cutoff point for boys was 20 kg/m2 and 20.7 kg/m2 for girls. For WC, the recommended cutoff point was 67.1 cm for boys and 68.2 cm for girls. BMI and WC indicators were recommended to be used at the school setting where the measurement can easily be conducted.

scholarly journals Prevalence of Elevated Blood Pressure and Association with Obesity in Egyptian School Adolescents

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Mostafa A. Abolfotouh ◽  
Sunny A. Sallam ◽  
Mohammed S. Mohammed ◽  
Amany A. Loutfy ◽  
Ali A. Hasab
Keyword(s):  
Blood Pressure ◽  
Central Obesity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Height Ratio ◽  
Measures Of Association ◽  
Cross Sectional ◽  
Fourth Report ◽  
Waist To Height Ratio ◽  
The Relationship

Aim. To investigate the relationship between high blood pressure (HBP) and obesity in Egyptian adolescents.Methods. A cross-sectional study of 1500 adolescents (11–19 years) in Alexandria, Egypt, was conducted. Resting BP was measured and measurements were categorized using the 2004 fourth report on blood pressure screening recommendations. Additional measures included height, weight, and waist and hip circumferences. Obesity was determined based on BMI, waist circumference (WC) and waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) indicators. Crude and adjusted odds ratios were used as measures of association between BP and obesity.Results. Prevalence rates of prehypertension and hypertension were 5.7% and 4.0%, respectively. Obesity was seen in 34.6%, 16.1%, 4.5%, and 16.7% according to BMI, WHR, WC, and WHtR, respectively. Adjusting for confounders, HBP was significantly associated with overall obesity based on BMI (OR=2.18, 95%,CI=1.38-3.44) and central obesity based on WC(OR=3.14, 95%,CI=1.67-5.94).Conclusion. Both overall obesity and central obesity were significant predictors of HBP in Egyptian adolescents.

scholarly journals Fresh vegetable and fruit consumption and carotid atherosclerosis in high-cardiovascular-risk population: a cross-sectional study in Jiangsu, China

2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Fangyu Zhu ◽  
Yu Qin ◽  
Yuan Bi ◽  
Jian Su ◽  
Lan Cui ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Plaque ◽  
Carotid Atherosclerosis ◽  
Cross Sectional Study ◽  
Fruit Intake ◽  
Sectional Study ◽  
Cvd Risk ◽  
Fruit Consumption ◽  
Cross Sectional ◽  
Fresh Vegetables

This study aimed to investigate the association of vegetable and fruit consumption with carotid plaque (CP) and carotid intima-media thickness (CIMT), two predictors of carotid atherosclerosis, within urban and rural adults at high risk of developing cardiovascular diseases (CVDs) in regional China. A total of 11,392 adults at high CVD risk were identified from general population of 71,511 in this cross-sectional study, conducted between November of 2015 and May of 2016 in the Jiangsu Province. Among these 11,392 high risk participants, CP prevalence was 36.7%. The independent variables, vegetable and fruit intake frequency, were assessed by a food frequency questionnaire. The outcome variables, CIMT and CP, were measured by ultrasound examination. The ANCOVA analysis showed no association between CIMT values and vegetable and fruit intake frequencies. Multivariate logistic regression models were introduced to examine the association between vegetable and fruit intake and CP. After adjustment for potential confounders, the odds ratios (ORs) for participants who occasionally and daily consumed vegetable to experience any CP were 0.67 (95%CI: 0.58-0.78) and 0.70 (95%CI: 0.62-0.79), respectively, compared with those rarely consumed vegetable. While the adjusted ORs were 0.77 (95%CI: 0.64-0.92) and 0.80 (95%CI: 0.68-0.94), separately, for occasional and daily vegetable consumers to develop single CP relative to their counterparts who rarely consumed any vegetables. However, no significant association between fruit consumption and CP was observed. Among the Chinese population at high CVD risk, consumption of fresh vegetables was negatively associated with the risk of developing carotid plaque.

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