Yalcin Bektas Murat, Sahin Erkan Melih, Yalcin Esra
Ondokuz Mayis University Faculty of Medicine, Department of Family Medicine, Kurupelit/Samsun, Turkey.
Fam Pract. 2005 Oct;22(5):541-7. doi: 10.1093/fampra/cmi043. Epub 2005 Jun 17.
Epidemiological studies find a progressive increase in the prevalence of elevated blood pressure with increasing adipose tissue. But there is no common opinion about which effectiveness of the anthropometric measurement tools indicating general or android obesity are most important to follow up in patients with elevated blood pressures.
To identify which anthropometric measurements are most closely related to blood pressure elevation.
A cross-sectional descriptive study of 1727 subjects [894 (50.6%) men and 833 (48.2%) women, aged 18-65 years old] was held in Edirne, Turkey. Each subject's weight, height, waist and hip circumference, triceps skin fold and blood pressures was measured; waist to hip ratio and body mass index were calculated. The relations between blood pressure and different anthropometric variables in both genders were investigated in linear regression models.
The mean systolic and diastolic blood pressures were 123.49 +/- 17.60 and 78.79 +/- 10.37 mmHg. According to body mass index 23.7% of the subjects were obese (.29.9 kg/m(2)). When waist circumference cut-off points were compared with waist to hip ratio the android obesity ratio was doubled (32.3% versus 16.6%). 119 subjects (6.8%) were not obese according to body mass index but nonetheless had waist circumference measurements above the cut-off points suggesting a high cardiovascular risk. In the linear regression models waist circumference was found to be an independent risk factor for blood pressure in men; however body mass was more important index and waist circumference somewhat less so for women.
In primary care waist circumference should be a useful tool screening for and following android obesity in patients with elevated blood pressure.
流行病学研究发现，随着脂肪组织增加，血压升高的患病率呈逐渐上升趋势。但对于指示全身性或腹部肥胖的人体测量工具中，哪一种对血压升高患者的随访最为重要，尚无统一意见。
确定哪些人体测量指标与血压升高关系最为密切。
在土耳其埃迪尔内对1727名受试者[894名（50.6%）男性和833名（48.2%）女性，年龄在18 - 65岁之间]进行了一项横断面描述性研究。测量了每位受试者的体重、身高、腰围、臀围、肱三头肌皮褶厚度和血压；计算了腰臀比和体重指数。在线性回归模型中研究了男女血压与不同人体测量变量之间的关系。
收缩压和舒张压的平均值分别为123.49±17.60 mmHg和78.79±10.37 mmHg。根据体重指数，23.7%的受试者肥胖（≥29.9 kg/m²）。当将腰围切点与腰臀比进行比较时，腹部肥胖率翻倍（32.3%对16.6%）。119名受试者（6.8%）根据体重指数不肥胖，但腰围测量值高于切点，提示心血管风险高。在线性回归模型中，腰围被发现是男性血压的独立危险因素；然而，体重对女性来说是更重要的指标，腰围的重要性稍低。
在初级保健中，腰围应是筛查和随访血压升高患者腹部肥胖的有用工具。
