基于东苏丹青少年人体测量参数预测高血压：一项社区研究。

Prediction of Hypertension Based on Anthropometric Parameters in Adolescents in Eastern Sudan: A Community-Based Study.

机构信息

Department of Medicine, Faculty of Medicine, Gadarif University, Gadarif, 32211, Sudan.

Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

出版信息

Vasc Health Risk Manag. 2024 Nov 20;20:511-519. doi: 10.2147/VHRM.S491857. eCollection 2024.

DOI:10.2147/VHRM.S491857

PMID:39582713

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11585979/

Abstract

BACKGROUND

Anthropometric measures such as body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) are associated with elevated blood pressure and hypertension in adolescents. We aimed to assess these anthropometric measures (BMI, WC, and WHtR) and examine their association with hypertension in adolescents.

METHODS

Adolescents' BMI, mid-upper arm circumference (MUAC), WC, body roundness index (BRI), waist-to-hip ratio (WHR), WHtR, and a body shape index(ABSI) values were measured and calculated. Receiver operating characteristic curves (ROCs) were created to determine the discriminatory capacities of these anthropometric parameters for hypertension. The cutoff points for these parameters were identified using Youden's index.

RESULTS

A total of 401 adolescents [186(46.4%) were females and 215 (53.6%) were males] were included. The median (interquartile range, IQR) age was 14.0 (12.1‒16.2) years. Thirty-six adolescents were found to have hypertension. Among the anthropometric parameters, MUAC (area under the curve (AUC] = 0.76, at the cutoff 26.1 cm, sensitivity = 61.0, specificity = 83.0), WC (AUC= 0.74, at the cutoff 70.3 cm, sensitivity = 66.7, specificity = 77.0), BMI (AUC= 0.73, at the cutoff 17.4 kg/m, sensitivity = 83.3, specificity = 59.0), and hip circumference (HC) (AUC= 0.72, at the cutoff 91.0 cm, sensitivity = 55.6, specificity = 83.0) performed fairly in detecting hypertension in adolescents, whereas WHR, WHtR, ABSI, and BRI performed poorly. A univariate analysis showed that, except for WHR, all anthropometric parameters (BMI, MUAC, WC, HC, WHtR, BRI, and ABSI) were associated with hypertension. However, in a multivariate analysis, only increased MUAC (adjusted odds ratio [AOR]= 1.24, 95% CI= 1.03‒1.50) was associated with hypertension.

CONCLUSION

This study showed that MUAC, WC, BMI, and HC could be used to detect hypertension in adolescents. Other parameters,namelyWHR, WHtR, ABSI, and BRI, perform poorly in this regard. Larger studies are needed in the future.

摘要

背景

人体测量学指标，如体重指数（BMI）、腰围（WC）和腰高比（WHtR）与青少年高血压和高血压有关。我们旨在评估这些人体测量学指标（BMI、WC 和 WHtR），并检查它们与青少年高血压的关系。

方法

测量并计算青少年的 BMI、中上臂围（MUAC）、WC、体圆度指数（BRI）、腰臀比（WHR）、WHtR 和身体形状指数（ABSI）值。创建受试者工作特征曲线（ROC）以确定这些人体参数对高血压的区分能力。使用 Youden 指数确定这些参数的截断点。

结果

共纳入 401 名青少年[186（46.4%）为女性，215（53.6%）为男性]。中位（四分位距，IQR）年龄为 14.0（12.1-16.2）岁。发现 36 名青少年患有高血压。在人体测量参数中，MUAC（曲线下面积（AUC）=0.76，截断值 26.1cm，灵敏度=61.0，特异性=83.0）、WC（AUC=0.74，截断值 70.3cm，灵敏度=66.7，特异性=77.0）、BMI（AUC=0.73，截断值 17.4kg/m，灵敏度=83.3，特异性=59.0）和臀围（HC）（AUC=0.72，截断值 91.0cm，灵敏度=55.6，特异性=83.0）在检测青少年高血压方面表现相当，而 WHR、WHtR、ABSI 和 BRI 表现不佳。单因素分析表明，除 WHR 外，所有人体测量参数（BMI、MUAC、WC、HC、WHtR、BRI 和 ABSI）均与高血压相关。然而，在多因素分析中，只有 MUAC 增加（调整后的优势比[OR]=1.24，95%CI=1.03-1.50）与高血压相关。