Comparison of adiposity indices in relation to prehypertension by age and gender: A community‐based survey in Henan, China

Background To compare the efficiency of bioelectrical indices (visceral fat index [VFI], percentage body fat [PBF]) and anthropometric indices (body mass index, waist circumference, waist‐to‐height ratio, a body shape index ) in the relation to prehypertension (120‐139/80‐89 mm Hg) among the Chinese...

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Published inClinical cardiology (Mahwah, N.J.) Vol. 41; no. 12; pp. 1583 - 1592
Main Authors Wang, Shuaibing, Peng, Rui, Liang, Shuying, Dong, Kaiyan, Nie, Wei, Yang, Qian, Ma, Nan, Zhang, Jianying, Wang, Kaijuan, Song, Chunhua
Format Journal Article
LanguageEnglish
Published New York Wiley Periodicals, Inc 01.12.2018
John Wiley & Sons, Inc
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Summary:Background To compare the efficiency of bioelectrical indices (visceral fat index [VFI], percentage body fat [PBF]) and anthropometric indices (body mass index, waist circumference, waist‐to‐height ratio, a body shape index ) in the relation to prehypertension (120‐139/80‐89 mm Hg) among the Chinese population. Methods Using stratified multistage random sampling method, a general population‐based sample of 11 175 adults in Henan province were selected from 2013 to 2015. The individuals were divided into three categories by blood pressure levels: normotension (<120 and 80 mm Hg), stage 1 prehypertension (120‐129/80‐84 mm Hg) and stage 2 prehypertension (130‐139/85‐89 mm Hg). Results VFI and PBF tended to increase with age in men and women. However, for each age‐specific group, men tended to have higher VFI than women (all P < 0.01) and women tended to have greater PBF (all P < 0.0001). The odds ratios (OR) and area under the receiver operating characteristic curves for prehypertension associated with adiposity indices declined with age. VFI and PBF showed higher standardized adjusted ORs for prehypertension in young (~40 years) men (VFI: 2.02‐3.05; PBF: 1.82‐2.80) and young women (VFI: 1.90‐2.58; PBF:1.70‐2.29). Moreover, based on Youden's index, VFI and PBF exhibited the superiority for identifying prehypertension in men (0.20‐0.32) and women (0.31‐0.39), respectively. Conclusion In summary, there was stronger association of VFI and PBF with prehypertension in men than in women, respectively, especially for young adults.
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Funding information General Program of National Natural Science Foundation of China, Grant/Award Number: 81372371; Henan university science and technology innovation talents support program, Grant/Award Number: 19HASTIT005; Medical Science and technology key projects of Henan Province, Grant/Award Number: 201501016201602295; the National Key R&D Program in the Twelfth Five‐year Plan, Grant/Award Number: 2011BAI11B01
ISSN:0160-9289
1932-8737
1932-8737
DOI:10.1002/clc.23086