Research Center of Environmental and Non-Communicable Disease, School of Public Health, China Medical University, Shenyang 110122, China.
Department of Non-Communicable Disease, Shenhe Center for Disease Control and Prevention, Shenyang 110122, China.
Int J Environ Res Public Health. 2018 Dec 5;15(12):2748. doi: 10.3390/ijerph15122748.
The association of hypertension with skinfold thickness (ST) in adults is not clear. Our study was aimed at finding out the association of hypertension with ST in different gender and obesity categories. This is a cross-sectional study based on 2336 Chinese residents (767 men). Both subscapular skinfold thickness (SST) and tricep skinfold thickness (TST) were examined. We estimated the association of hypertension with per SD increase of SST and TST using multivariable logistic regression analyses in men and women. Six subgroups were stratified using cutoff points of body mass index (BMI) and ST: larger and smaller ST in normal weight (BMI < 24 kg/m²), overweight (24 kg/m² ≤ BMI < 28 kg/m²) and obesity (BMI ≥ 28 kg/m²), respectively. The association of hypertension with ST was only shown in women after adjustment for other risk factors. Among women of the normal weight subgroup, higher prevalence of hypertension was shown in those with larger ST. No difference of the prevalence of hypertension was found between women with larger ST in the normal weight subgroup and those with smaller ST in overweight or obesity subgroups. Our study suggested that even for people with normal weight, it was necessary to monitor the subcutaneous fat using ST for preventing hypertension at least in general Chinese women.
高血压与成年人的体脂厚度（ST）之间的关系尚不清楚。我们的研究旨在探讨不同性别和肥胖类别的高血压与 ST 的关系。这是一项基于 2336 名中国居民（767 名男性）的横断面研究。我们检查了肩胛下皮褶厚度（SST）和肱三头肌皮褶厚度（TST）。我们使用多元逻辑回归分析，在男性和女性中，估计了每增加 1 个标准差的 SST 和 TST 与高血压之间的关联。使用体重指数（BMI）和 ST 的截断点将 6 个亚组分层：正常体重（BMI < 24 kg/m²）、超重（24 kg/m²≤BMI < 28 kg/m²）和肥胖（BMI ≥ 28 kg/m²）的较大和较小 ST。调整其他危险因素后，仅在女性中显示高血压与 ST 之间存在关联。在正常体重亚组的女性中，较大 ST 的女性高血压患病率较高。在正常体重亚组中 ST 较大的女性与超重或肥胖亚组中 ST 较小的女性之间，高血压的患病率没有差异。我们的研究表明，即使对于正常体重的人，也有必要使用 ST 监测皮下脂肪，以至少在中国一般女性中预防高血压。
