Cheah Whye Lian, Chang Ching Thon, Hazmi Helmy, Kho Grace Woei Feng
Department of Community Medicine & Public Health, Faculty of Medicine & Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Department of Nursing, Faculty of Medicine & Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Int J Hypertens. 2018 Aug 1;2018:6736251. doi: 10.1155/2018/6736251. eCollection 2018.
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/m and 20.7 kg/m 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.
本横断面研究旨在确定人体测量指标的预测能力，并推荐用于区分马来西亚砂拉越州青少年高血压的切点。共有2461名年龄在12 - 17岁的受访者参与了本研究，平均年龄为14.5±1.50岁。所有人体测量指标的ROC曲线下面积均具有显著性，体重指数（BMI）和腰围（WC）范围为0.7至0.8。预测男孩高血压的最佳人体测量指标是WC、BMI和腰高比（WHtR）。对于女孩，BMI是最佳指标，其次是WHtR和WC。男孩的推荐BMI切点为20kg/m²，女孩为20.7kg/m²。对于WC，男孩的推荐切点为67.1cm，女孩为68.2cm。建议在学校环境中使用BMI和WC指标，因为在学校可以轻松进行测量。
