Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, QuZhou, Zhejiang Province, China.
Front Public Health. 2023 Oct 6;11:1210669. doi: 10.3389/fpubh.2023.1210669. eCollection 2023.
The main objective was to examine the relationship between weight-adjusted waist index (WWI) and the prevalence of hypertension among individuals aged ≥60 years who participated in the NHANES between 2011 and 2018 years.
The data for this study were obtained from the National Health and Nutrition Examination Survey (NHANES) 2011-2018. In this population-based study, we focused on participants who were over 60 years old. Data were collected from the aforementioned survey, and the variable of interest was WWI, which was calculated as waist (cm) divided by the square root of body weight (kg). Multivariable logistic regression model was applied to calculate adjusted ORs with 95% CIs in order to explore any possible correlation between WWI and the prevalence of hypertension. Subgroup analysis were used to verify the stability of the relationship between WWI and the prevalence of hypertension. The interaction tests were also conducted in this research.
Results revealed that adults aged ≥60 years who were in the highest WWI quartile had significantly higher chances of developing hypertension when compared to those in the lowest quartile, after adjusting for covariates and potential confounders ( < 0.001).
These findings suggest that there is a strong correlation between elevated levels of WWI and the risk of developing hypertension among older adults. As such, WWI could serve as a unique and valuable biomarker for identifying hypertension risk at an earlier stage in the older adults population.
本研究旨在探讨体重调整腰围指数(WWI)与 2011 年至 2018 年期间参加 NHANES 的≥60 岁人群高血压患病率之间的关系。
本研究数据来自国家健康与营养调查(NHANES)2011-2018 年的数据。在这项基于人群的研究中,我们关注的是≥60 岁的参与者。数据来自上述调查,我们关注的变量是 WWI,它是通过将腰围(cm)除以体重(kg)的平方根计算得出的。多变量逻辑回归模型用于计算调整后的 OR 值和 95%置信区间,以探讨 WWI 与高血压患病率之间可能存在的相关性。亚组分析用于验证 WWI 与高血压患病率之间关系的稳定性。本研究还进行了交互检验。
结果表明,在调整了协变量和潜在混杂因素后,与最低 quartile 相比,处于最高 quartile 的≥60 岁成年人患高血压的几率显著更高( < 0.001)。
这些发现表明,WWI 水平升高与老年人患高血压的风险之间存在很强的相关性。因此,WWI 可以作为识别老年人高血压风险的独特而有价值的生物标志物。