南非年轻成年人的腰围和臀围与高血压及高血压前期的相关性
Association of waist and hip circumferences with the presence of hypertension and pre-hypertension in young South African adults.
作者信息
Nkeh-Chungag Benedicta N, Mxhosa Thozama H, Mgoduka Papama N
机构信息
Zoology Department, Faculty of Science Engineering & Technology, Walter Sisulu University, PBX1, Mthatha 5117, South Africa.
Walter Sisulu University, PBX1, Mthatha 5117, South Africa.
出版信息
Afr Health Sci. 2015 Sep;15(3):908-16. doi: 10.4314/ahs.v15i3.27.
BACKGROUND
Obesity is one of the most important risk factors for cardiovascular diseases (CVDs) including hypertension (HT) which is itself a risk factor for CVDs. Recent studies suggest that waist circumference (WC) may be more sensitive than Body Mass Index (BMI) in determining individual risk scores for CVDs.
OBJECTIVES
The current study aimed at investigating the influence of various anthropometric variables on blood pressure status in a group of students from Walter Sisulu University.
METHODS
Informed consent was obtained from 216 male and female students from Walter Sisulu University with a mean age of 22.1±0.2 years. Anthropometric measurements were performed for each participant. Blood pressure was measured in triplicates after 10 minutes of rest and the average computed.
RESULTS
Just over 46% of the subjects were diagnosed with hypertension (HT) and pre-HT. The gender specific prevalence of HT/pre-HT was higher in the male (76.7%) compared to the female (30.5%) group. Waist circumference (WC) and total body fat (TBF) correlated significantly with blood pressure and HT/pre-HT in females but not males. ROC analysis showed that with the exception of waist-to-hip (WHR), all other anthropometric measurements and ratios studied can be used to discriminate blood pressure in young adult females not males.
CONCLUSION
Increased WC and HC were associated with HT and pre-HT in young adult females in the Walter Sisulu University.
背景
肥胖是心血管疾病（CVD）最重要的风险因素之一，包括高血压（HT），而高血压本身又是心血管疾病的一个风险因素。最近的研究表明，在确定个体心血管疾病风险评分方面，腰围（WC）可能比体重指数（BMI）更敏感。
目的
本研究旨在调查各种人体测量变量对沃尔特·西苏鲁大学一组学生血压状况的影响。
方法
从沃尔特·西苏鲁大学招募了216名男女学生，平均年龄为22.1±0.2岁，并获得了他们的知情同意。对每位参与者进行了人体测量。休息10分钟后测量三次血压，并计算平均值。
结果
略多于46%的受试者被诊断为高血压（HT）和高血压前期。男性（76.7%）的HT/高血压前期的性别特异性患病率高于女性（30.5%）组。腰围（WC）和全身脂肪（TBF）与女性的血压和HT/高血压前期显著相关，而与男性无关。ROC分析表明，除腰臀比（WHR）外，研究的所有其他人体测量指标和比率均可用于区分年轻成年女性而非男性的血压。
结论
在沃尔特·西苏鲁大学的年轻成年女性中，腰围和臀围增加与高血压和高血压前期有关。
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