Ethnic differences in the association between body mass index and hypertension
Ethnic differences in the association between body mass index and hypertension
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DOI：
10.1093/aje/155.4.346
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发表时间：
2002-02-15
影响因子：
5
通讯作者：
Popkin, BM
中科院分区：
文献类型：
--
作者：
Bell, AC;Adair, LS;Popkin, BM
由于缺乏数据来澄清肥胖相关的共病状况是否发生在不同的体重指数（BMI）水平（体重（kg）/身高（m）（2））的不同种族群体中，因此对肥胖的种族特异性定义的兴趣受到阻碍。本研究的目的是检查BMI和高血压之间的关联强度的种族差异。使用了中国（1997年，n = 3，423）、菲律宾（1998年，n = 1，929）和美国（1988-1994年，n = 7，957）30-65岁成人的横断面数据。在所有种族群体中，较高的BMI与较高的高血压患病率相关。然而，在BMI水平小于25时，患病率差异数据表明，与非西班牙裔白人相比，中国男性和女性的BMI与高血压之间存在更强的相关性，而非西班牙裔黑人和菲律宾女性的高血压患病率高于非西班牙裔白人和墨西哥裔美国人。BMI和高血压之间的关联强度和潜在患病率的这些种族差异，需要进一步研究在临床环境中使用种族特异性BMI截止值，以更准确地识别肥胖风险个体。
Interest in ethnicity-specific definitions of obesity has been hindered by a lack of data clarifying whether or not obesity-related comorbid conditions occur at different levels of body mass index (BMI) (weight (kg)/height (m)(2)) in different ethnic groups. The objective of this study was to examine ethnic differences in the strength of the association between BMI and hypertension. Cross-sectional data obtained from adults aged 30-65 years in China (1997, n = 3,423), the Philippines (1998, n = 1,929), and the United States (1988-1994, n = 7,957) were used. Higher BMI was associated with a higher prevalence of hypertension in all ethnic groups. However, at BMI levels less than 25, prevalence difference figures suggested a stronger association between BMI and hypertension in Chinese men and women but not in Filipino women, compared with non-Hispanic Whites, Non-Hispanic Blacks and Filipino women had a higher prevalence of hypertension at every level of BMI compared with non-Hispanic Whites and Mexican Americans. These ethnic differences in the strength of association between BMI and hypertension and in underlying prevalence warrant further investigation into the use of ethnicity-specific BMI cutoffs in clinical settings to more accurately identify individuals at risk from obesity.