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Article: Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?

TitleIs central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?
Authors
Issue Date2008
PublisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.jhypertension.com/
Citation
Journal Of Hypertension, 2008, v. 26 n. 2, p. 169-177 How to Cite?
AbstractOBJECTIVE: To compare the performance of body mass index (BMI) against waist circumference, waist: hip ratio (WHR) and waist: height ratio in the discrimination of hypertension in ethnically diverse populations. METHODS: Meta-analysis of 19 cross-sectional studies. MAIN OUTCOME MEASURES: Discrimination of hypertension (SBP/DBP ≥ 140/90 mmHg) was adjudicated from Receiver Operating Characteristic curves; optimum thresholds were defined as those that maximized sensitivity plus specificity. RESULTS: Irrespective of which measure of overweight was used, the strength of the association with blood pressure was consistently greater among Asians compared with Caucasians or Pacific Islanders; however, in all regions, and for all anthropometric measures, the increment in blood pressure, and the additional risk of hypertension, were broadly similar for the same relative increment in each of the four measures. Optimum thresholds varied by region; WHR was the most consistent between the regions, with thresholds of 0.92-0.94 for men and 0.80-0.88 for women. No anthropometric variable was systematically better than others at the discrimination of hypertension. CONCLUSIONS: Blood pressure is similarly associated with each of the four measures of overweight chosen, but the associations were stronger among Asians. WHR has advantages in terms of consistency of thresholds for hypertension across ethnic groups in the Asia-Pacific. © 2008 Lippincott Williams & Wilkins, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/86423
ISSN
2014 Impact Factor: 4.720
2013 SCImago Journal Rankings: 1.810
References

 

DC FieldValueLanguage
dc.contributor.authorHuxley, Ren_HK
dc.contributor.authorBarzi, Fen_HK
dc.contributor.authorLee, CMYen_HK
dc.contributor.authorJanus, Een_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorCaterson, Ien_HK
dc.contributor.authorLear, Sen_HK
dc.contributor.authorPatel, Jen_HK
dc.contributor.authorShaw, Jen_HK
dc.contributor.authorAdam, Jen_HK
dc.contributor.authorOh, SWen_HK
dc.contributor.authorKang, JHen_HK
dc.contributor.authorZimmet, Pen_HK
dc.contributor.authorWoodward, Men_HK
dc.date.accessioned2010-09-06T09:16:50Z-
dc.date.available2010-09-06T09:16:50Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Hypertension, 2008, v. 26 n. 2, p. 169-177en_HK
dc.identifier.issn0263-6352en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86423-
dc.description.abstractOBJECTIVE: To compare the performance of body mass index (BMI) against waist circumference, waist: hip ratio (WHR) and waist: height ratio in the discrimination of hypertension in ethnically diverse populations. METHODS: Meta-analysis of 19 cross-sectional studies. MAIN OUTCOME MEASURES: Discrimination of hypertension (SBP/DBP ≥ 140/90 mmHg) was adjudicated from Receiver Operating Characteristic curves; optimum thresholds were defined as those that maximized sensitivity plus specificity. RESULTS: Irrespective of which measure of overweight was used, the strength of the association with blood pressure was consistently greater among Asians compared with Caucasians or Pacific Islanders; however, in all regions, and for all anthropometric measures, the increment in blood pressure, and the additional risk of hypertension, were broadly similar for the same relative increment in each of the four measures. Optimum thresholds varied by region; WHR was the most consistent between the regions, with thresholds of 0.92-0.94 for men and 0.80-0.88 for women. No anthropometric variable was systematically better than others at the discrimination of hypertension. CONCLUSIONS: Blood pressure is similarly associated with each of the four measures of overweight chosen, but the associations were stronger among Asians. WHR has advantages in terms of consistency of thresholds for hypertension across ethnic groups in the Asia-Pacific. © 2008 Lippincott Williams & Wilkins, Inc.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.jhypertension.com/en_HK
dc.relation.ispartofJournal of Hypertensionen_HK
dc.rightsJournal of Hypertension. Copyright © Lippincott Williams & Wilkins, Ltd.en_HK
dc.subject.meshAdulten_HK
dc.subject.meshArea Under Curveen_HK
dc.subject.meshAsian Continental Ancestry Groupen_HK
dc.subject.meshBody Mass Indexen_HK
dc.subject.meshEuropean Continental Ancestry Groupen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshHypertension - epidemiology - ethnologyen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshObesity - complicationsen_HK
dc.subject.meshOceanic Ancestry Groupen_HK
dc.subject.meshOdds Ratioen_HK
dc.subject.meshReference Valuesen_HK
dc.subject.meshRisken_HK
dc.subject.meshWaist-Hip Ratio - adverse effectsen_HK
dc.titleIs central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0263-6352&volume=26&issue=2&spage=169&epage=177&date=2008&atitle=Is+central+obesity+a+better+discriminator+of+the+risk+of+hypertension+than+body+mass+index+in+ethnically+diverse+populations?en_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/HJH.0b013e3282f16ad3en_HK
dc.identifier.pmid18192826en_HK
dc.identifier.scopuseid_2-s2.0-38149120531en_HK
dc.identifier.hkuros139811en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-38149120531&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume26en_HK
dc.identifier.issue2en_HK
dc.identifier.spage169en_HK
dc.identifier.epage177en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridHuxley, R=6701828350en_HK
dc.identifier.scopusauthoridBarzi, F=7003545543en_HK
dc.identifier.scopusauthoridLee, CMY=15923348700en_HK
dc.identifier.scopusauthoridJanus, E=7006936536en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridCaterson, I=7005056126en_HK
dc.identifier.scopusauthoridLear, S=7003829555en_HK
dc.identifier.scopusauthoridPatel, J=8562612200en_HK
dc.identifier.scopusauthoridShaw, J=35563820200en_HK
dc.identifier.scopusauthoridAdam, J=14049802700en_HK
dc.identifier.scopusauthoridOh, SW=36833017900en_HK
dc.identifier.scopusauthoridKang, JH=20934732900en_HK
dc.identifier.scopusauthoridZimmet, P=7102179242en_HK
dc.identifier.scopusauthoridWoodward, M=7102510958en_HK

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