Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, China.
Center for Disease Control of Chongchuan District, Nantong, China.
Nutr Metab Cardiovasc Dis. 2021 Mar 10;31(3):793-801. doi: 10.1016/j.numecd.2020.11.022. Epub 2020 Dec 2.
To compare the relationships of five obesity-related routine anthropometric indicators (body mass index (BMI), body adiposity index (BAI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR)) for hypertension in both sexes and among different age groups of the Chinese population.
A total of 12,064 adult participants (5638 males and 6426 females) were included. Odds ratios (OR) and 95% confidence intervals were used with binary logistic regression models to estimate the risk of hypertension for each obesity index. For the males, WHtR had the highest OR value in all age groups. The degrees of correlation between hypertension and the obesity indices for different age groups were different among the females. WC, BMI, and WHtR were the highest in the 18-44, 45-59, and ≥60 years age groups, respectively. Furthermore, we compared the area under the ROC curve (AUC) of each obesity index for the criterion of hypertension under the influence of risk factors. For the males, the AUC of WHtR was the largest (0.814, 0.710, and 0.662). WC (AUC = 0.820), BMI (AUC = 0.765), and WHtR (AUC = 0.668) tended to be the best criteria for hypertension among females in the 18-44, 45-59, and ≥60 years age groups respectively. In addition, BAI, as an obesity indicator proposed in recent years, has a positive association with hypertension except in 18-44 years women, which was not stronger than other obesity indicators.
For males, WHtR appears to be the best obesity index related with hypertension. For young, middle-aged, and elderly women, the best obesity indices related with hypertension are WC, BMI, and WHtR, respectively.
比较 5 种肥胖相关常规人体测量指标（体重指数（BMI）、体脂指数（BAI）、腰围（WC）、腰臀比（WHR）、腰高比（WHtR））在男女两性及不同年龄组中国人群中与高血压的关系。
共纳入 12064 名成年参与者（男性 5638 名，女性 6426 名）。采用二项逻辑回归模型计算各肥胖指标发生高血压的比值比（OR）及其 95%置信区间。对于男性，各年龄组中 WHtR 的 OR 值最高。不同年龄组女性中，高血压与肥胖指标的相关性程度不同。在 18-44、45-59 和≥60 岁年龄组中，WC、BMI 和 WHtR 的相关性最高。此外，我们比较了各肥胖指标在受危险因素影响下预测高血压的 ROC 曲线下面积（AUC）。对于男性，WHtR 的 AUC 最大（0.814、0.710 和 0.662）。在 18-44、45-59 和≥60 岁年龄组女性中，WC（AUC=0.820）、BMI（AUC=0.765）和 WHtR（AUC=0.668）倾向于成为预测高血压的最佳指标。此外，作为近年来提出的肥胖指标，BAI 与高血压呈正相关，但除了 18-44 岁女性，其相关性并不强于其他肥胖指标。
对于男性，WHtR 似乎是与高血压相关性最强的肥胖指标。对于年轻、中年和老年女性，与高血压相关性最强的肥胖指标分别为 WC、BMI 和 WHtR。
