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Relationship between obesity indices and hypertension among middle-aged and elderly populations in Taiwan: A community-based, cross-sectional study

BMJ Open Nov 06, 2019

Lin YA, Chen YJ, Tsao YC, et al. - In this cross-sectional observational study, a total of 396 individuals were enrolled from a northern Taiwan community in order to assess various anthropometric measurements for the prognostication of hypertension (HTN) in middle-aged and old populations in Taiwan. Two hundred of the 396 individuals enrolled had HTN. The age-adjusted Pearson’s coefficients of BMI, body fat (BF) percentage and waist circumference (WC) were 0.23, 0.14 and 0.26, respectively. Multiple logistic regression of the HTN-related obesity indices explicated that the ORs of BMI, BF percentage and WC were 1.15, 1.07 and 1.06, respectively. The AUCs of BMI, BF percentage and WC were 0.626, 0.556 and 0.640, respectively. Hence, WC is a more dependable predictor of HTN compared with BMI or BF percentage. Moreover, on blood pressure, the impact of abdominal fat distribution is greater than that of the total BF amount.
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