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Article: Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?
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TitleIs central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?
 
AuthorsHuxley, R1
Barzi, F
Lee, CMY
Janus, E
Lam, TH
Caterson, I
Lear, S
Patel, J
Shaw, J
Adam, J
Oh, SW
Kang, JH
Zimmet, P
Woodward, M
 
Issue Date2008
 
PublisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.jhypertension.com/
 
CitationJournal Of Hypertension, 2008, v. 26 n. 2, p. 169-177 [How to Cite?]
DOI: http://dx.doi.org/10.1097/HJH.0b013e3282f16ad3
 
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.
 
ISSN0263-6352
2013 Impact Factor: 4.222
2013 SCImago Journal Rankings: 1.810
 
DOIhttp://dx.doi.org/10.1097/HJH.0b013e3282f16ad3
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorHuxley, R
 
dc.contributor.authorBarzi, F
 
dc.contributor.authorLee, CMY
 
dc.contributor.authorJanus, E
 
dc.contributor.authorLam, TH
 
dc.contributor.authorCaterson, I
 
dc.contributor.authorLear, S
 
dc.contributor.authorPatel, J
 
dc.contributor.authorShaw, J
 
dc.contributor.authorAdam, J
 
dc.contributor.authorOh, SW
 
dc.contributor.authorKang, JH
 
dc.contributor.authorZimmet, P
 
dc.contributor.authorWoodward, M
 
dc.date.accessioned2010-09-06T09:16:50Z
 
dc.date.available2010-09-06T09:16:50Z
 
dc.date.issued2008
 
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.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Hypertension, 2008, v. 26 n. 2, p. 169-177 [How to Cite?]
DOI: http://dx.doi.org/10.1097/HJH.0b013e3282f16ad3
 
dc.identifier.doihttp://dx.doi.org/10.1097/HJH.0b013e3282f16ad3
 
dc.identifier.epage177
 
dc.identifier.hkuros139811
 
dc.identifier.issn0263-6352
2013 Impact Factor: 4.222
2013 SCImago Journal Rankings: 1.810
 
dc.identifier.issue2
 
dc.identifier.openurl
 
dc.identifier.pmid18192826
 
dc.identifier.scopuseid_2-s2.0-38149120531
 
dc.identifier.spage169
 
dc.identifier.urihttp://hdl.handle.net/10722/86423
 
dc.identifier.volume26
 
dc.languageeng
 
dc.publisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.jhypertension.com/
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofJournal of Hypertension
 
dc.relation.referencesReferences in Scopus
 
dc.rightsJournal of Hypertension. Copyright © Lippincott Williams & Wilkins, Ltd.
 
dc.subject.meshAdult
 
dc.subject.meshArea Under Curve
 
dc.subject.meshAsian Continental Ancestry Group
 
dc.subject.meshBody Mass Index
 
dc.subject.meshEuropean Continental Ancestry Group
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshHypertension - epidemiology - ethnology
 
dc.subject.meshMale
 
dc.subject.meshMiddle Aged
 
dc.subject.meshObesity - complications
 
dc.subject.meshOceanic Ancestry Group
 
dc.subject.meshOdds Ratio
 
dc.subject.meshReference Values
 
dc.subject.meshRisk
 
dc.subject.meshWaist-Hip Ratio - adverse effects
 
dc.titleIs central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?
 
dc.typeArticle
 
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<contributor.author>Janus, E</contributor.author>
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Author Affiliations
  1. George Institute for International Health