Associations of waist circumference, waist-hip ratio, waist-height ratio, and body mass index with hypertension incidence among 35 – 74 years old residents in Jiangsu province: a prospective cohort study

CHEN Feng-mei; GUO Zhi-rong; HAI Bo

doi:10.11847/zgggws1128795

Volume 37 Issue 12

Dec. 2021

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CHEN Feng-mei, GUO Zhi-rong, HAI Bo, . Associations of waist circumference, waist-hip ratio, waist-height ratio, and body mass index with hypertension incidence among 35 – 74 years old residents in Jiangsu province: a prospective cohort study[J]. Chinese Journal of Public Health, 2021, 37(12): 1774-1777. doi: 10.11847/zgggws1128795

Citation:

CHEN Feng-mei, GUO Zhi-rong, HAI Bo, . Associations of waist circumference, waist-hip ratio, waist-height ratio, and body mass index with hypertension incidence among 35 – 74 years old residents in Jiangsu province: a prospective cohort study[J]. Chinese Journal of Public Health, 2021, 37(12): 1774-1777. doi: 10.11847/zgggws1128795

Citation:

CHEN Feng-mei, GUO Zhi-rong, HAI Bo, . Associations of waist circumference, waist-hip ratio, waist-height ratio, and body mass index with hypertension incidence among 35 – 74 years old residents in Jiangsu province: a prospective cohort study[J]. Chinese Journal of Public Health, 2021, 37(12): 1774-1777. doi: 10.11847/zgggws1128795

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Associations of waist circumference, waist-hip ratio, waist-height ratio, and body mass index with hypertension incidence among 35 – 74 years old residents in Jiangsu province: a prospective cohort study

doi: 10.11847/zgggws1128795

1.
Department of Preventive Medicine, School of Clinical Medicine, Suzhou Health Vocation College, Suzhou, Jiangsu Province 215009, China

Received Date: 2020-03-08
Available Online: 2021-08-12
Publish Date: 2021-12-13

Abstract

Abstract

Objective To explore effects of body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR) and waist to height ratio (WHtR) on hypertension incidence among adult community population. Methods During April 1999 in Jiangsu province, a baseline survey was conducted among 8 865 residents aged 35 – 74 years in three urban communities and nine natural villages and then two follow-up studies were carried out among 4 582 and 3 847 residents 2 and 5 years after the baseline survey. Finally, physical examination and questionnaire interview were performed among 2 531 residents being followed-up 2 or 5 years later and without hypertension, diabetes, cardiovascular diseases and high fasting blood glucose (≥ 5.6 mmol/L) at the baseline survey. Multivariate Cox proportional hazard regression analysis was adopted to analyze the effects of WC, BMI, WHR and WHtR on hypertension incidence. Results Among the 2 531 participants with a median follow-up interval of 3.8 years, 469 new hypertension were diagnosed by the end of follow-up and the hypertension incidence rate was 18.53%. After adjusting for gender, age, education, occupation, family annual income per capita, smoking and alcohol drinking, significantly higher hypertension risks were estimated for the participants with the third and the highest quartile value of BMI (hazard risk [HR] = 1.46 and 2.42), WC (HR = 1.63 and 2.51), WHR (HR = 1.70 and 2.62), and WHtR (HR = 1.63 and 2.62) compared to the participants with the lowest quartile value of the four indicators, respectively; furthermore, the hypertension risk was significantly higher for the participants with the highest tertile value of BMI and the second or the highest tertile values of WC (HR = 1.86 and 2.55) in comparison with the participants with the lowest tertile value of BMI and WC. Conclusion High somatotype indexes including WC, BMI, WHR and WHtR are associated with increased risk of hypertension incidence among adult community residents.
- hypertension,
- incidence,
- body mass index,
- waist circumference,
- waist to hip ratio,
- waist to height ratio,
- influence,
- prospective cohort study

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References(16)

References

[1]	王宏宇, 姜方平, 覃玉, 等. 镇江市 ≥ 35岁居民超重肥胖与高血压关系[J]. 中国公共卫生, 2013, 29(12): 1825 – 1827. doi: 10.11847/zgggws2013-29-12-34
[2]	Haynes A, Kersbergen I, Sutin A, et al. A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes[J]. Obesity Reviews, 2018, 19(3): 347 – 363. doi: 10.1111/obr.12634
[3]	Shieh C, Knisely MR, Clark D, et al. Self-weighing in weight management interventions: a systematic review of literature[J]. Obesity Research and Clinical Practice, 2016, 10(5): 493 – 519. doi: 10.1016/j.orcp.2016.01.004
[4]	Mantovani A, Rigolon R, Pichiri I, et al. Hyperuricemia is asso-ciated with an increased prevalence of atrial fibrillation in hospi-talized patients with type 2 diabetes[J]. Journal of Endocrinological Investigation, 2016, 39(2): 159 – 167. doi: 10.1007/s40618-015-0354-z
[5]	夏云婷, 刘少博, 王丽敏, 等. 2013年我国18岁及以上高血压患者体重测量及自评情况[J]. 中国健康教育, 2019, 35(8): 685 – 690, 696.
[6]	Vinuthinee-Naidu M, Zunaina E, Azreen-Redzal R, et al. Correla-tion of retinal nerve fibre layer and macular thickness with serum uric acid among type 2 diabetes mellitus[J]. BMC Ophthalmology, 2017, 17(1): 91. doi: 10.1186/s12886-017-0486-3
[7]	陈冯梅, 郭志荣, 武鸣, 等. 腰围和BMI动态变化对2型糖尿病发病的影响[J]. 中华预防医学杂志, 2015, 49(12): 1092 – 1097. doi: 10.3760/cma.j.issn.0253-9624.2015.12.014
[8]	吴蕾, 姜斌, 何耀, 等. 戒烟干预模式及方法研究的国内外进展[J]. 中华保健医学杂志, 2014, 16(2): 157 – 159. doi: 10.3969/.issn.1674-3245.2014.02.031
[9]	曾红菊, 胡细玲, 陈波, 等. 体重管理在成人肥胖伴原发性高血压病病人中的应用效果观察[J]. 全科护理, 2017, 15(14): 1738 – 1740. doi: 10.3969/j.issn.1674-4748.2017.14.030
[10]	刘延锦, 朱娇娇, 王爱霞. IMB健康教育对酒精依赖脑卒中病人戒酒依从性的影响[J]. 护理研究, 2015, 29(12A): 4328 – 4330.
[11]	王永志, 王宏, 景燕翔, 等. 高尿酸血症与2型糖尿病合并血管并发症的相关性研究[J]. 国际检验医学杂志, 2016, 37(3): 314 – 315. doi: 10.3969/j.issn.1673-4130.2016.03.010
[12]	刘秀容, 李俊娟, 杨春伟, 等. 空腹血糖受损人群腰围变化对新发糖尿病的影响[J]. 中华预防医学杂志, 2013, 47(7): 622 – 626. doi: 10.3760/cma.j.issn.0253-9624.2013.07.010
[13]	Bramante CT, Clark JM, Gudzune KA. Access to a scale and self-weighing habits among public housing residents[J]. Clinical Obesity, 2018, 8(4): 258 – 264. doi: 10.1111/cob.12255
[14]	吴逸海, 陈诗颖, 林少炜, 等. 福建长乐市居民高血压现况及影响因素分析[J]. 中国公共卫生, 2015, 31(1): 56 – 59. doi: 10.11847/zgggws2015-31-01-17
[15]	苏健, 向全永, 吕淑荣, 等. 成年人体质指数、腰围与高血压、糖尿病和血脂异常的关系[J]. 中华疾病控制杂志, 2015, 19(7): 696 – 700.
[16]	刘剑峰, 刘湘琳, 吕淑荣, 等. 江苏省居民血压变化趋势及与BMI和腰围关系[J]. 中国公共卫生, 2013, 29(6): 792 – 795. doi: 10.11847/zgggws2013-29-06-04