Body mass index and waist circumference combined predicts obesity-related hypertension better than either alone in a rural Chinese population.
Body mass index and waist circumference combined predicts obesity-related hypertension better than either alone in a rural Chinese population.
复制标题
在中国农村人口中，体重指数和腰围结合起来预测肥胖相关高血压的效果比单独使用其中任何一个都更好。
DOI：
10.1038/srep31935
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发表时间：
2016-08-22
影响因子：
4.6
通讯作者：
Hu D
中科院分区：
文献类型：
--
作者：
Zhang M;Zhao Y;Wang G;Zhang H;Ren Y;Wang B;Zhang L;Yang X;Han C;Pang C;Yin L;Zhao J;Hu D
关于以体重指数和腰围定义的肥胖与中国农村高血压事件之间的关系的信息有限。队列研究对象为9,174名≥受试者，年龄18岁，来自中国中部农村，无高血压、糖尿病、心肌梗死、卒中史。在基线(2007-2008年)和后续(2013-2014年)进行了问卷调查、访谈、人体测量和实验室测量。在6年的随访中，733/3620名男性和1051/5554名女性患上了高血压。在控制了年龄、教育程度、吸烟、饮酒、体力活动和高血压家族史后，在18-39岁和40-59岁男性中，体重指数高但腰围正常的参与者患高血压的相对风险低于体重指数和腰围肥胖者。BMI正常但WC高的18~39岁女性患高血压的危险性是BMI正常者的1.96倍，BMI正常但WC正常的女性40~59岁与高血压发病独立相关。在男女人群中，BMI与高血压的关系比与WC更相关。高腰围往往会增加年轻女性患高血压的风险。
Limited information is available on the association of obesity defined by both body mass index (BMI) and waist circumference (WC) with incident hypertension in rural China. A total of 9,174 participants ≥18 years old from rural areas in middle of China, free of hypertension, diabetes, myocardial infarction and stroke, were selected in this cohort study. Questionnaire interview and anthropometric and laboratory measurements were performed at baseline (2007–2008) and follow-up (2013–2014). During the 6 years of follow-up, hypertension developed in 733/3,620 men and 1,051/5,554 women. After controlling for age, education level, smoking, drinking, physical activity, and family history of hypertension, the relative risk of hypertension was lower for participants with high BMI but normal WC than those with both BMI and WC obesity for men 18–39 and 40–59 years old. Women 18–39 years old with normal BMI but high WC showed a 1.96-fold risk of hypertension, and being female with age 40–59 years and high BMI but normal WC was independently associated with hypertension incidence as compared with both normal BMI and WC. BMI is more associated with hypertension as compared with WC in both genders. High WC tends to add additional risk of hypertension in young women.