M
Matti Narkia
Guest
According to a recent study the risk for hypertension may be better identified by obesity defined by
higher waist circumference than higher BMI. The study is
Gus M, Fuchs SC, Moreira LB, Moraes RS, Wiehe M, Silva AF, Albers F, Fuchs FD. Association between
different measurements of obesity and the incidence of hypertension. Am J Hypertens. 2004 Jan;17(1):50-
3. PMID: 14700512 [PubMed - in process] <URL:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retr-
ieve&db=PubMed&list_uids=14700512&dopt=Abstract>
Abstract:
"BACKGROUND: Obesity is a risk factor for the incidence of hypertension, but it is still unclear
whether this risk can be better estimated by body mass index (BMI) or waist circumference (WC).
METHODS: In the baseline evaluation of a population-based cohort, 1089 adults answered a
pretested questionnaire and had their baseline blood pressure (BP) and anthropometric
measurements assessed according to standardized recommendations. Excluding the individuals with
hypertension at baseline, and those deceased or lost during the follow-up, 592 individuals
(80.5% of those eligible) were visited again. Obesity was defined as BMI >/=30 kg/m(2) for both
genders, and WC >/=102 cm for men and WC >/=88 cm for women. Incident cases of hypertension were
characterized by BP >/=140/90 mm Hg or use of BP medication in the follow-up visit. RESULTS:
After a mean follow-up of 5.6 +/- 1.1 years, 127 incident cases of hypertension were identified.
The hazard ratios (Cox model), adjusted for age and baseline systolic BP (95% CI and P), for BMI
higher than 30 kg/m(2) were 1.08 (0.52-2.24, P =.82) in men and 1.74 (0.93-3.26, P =.08) in
women. The corresponding figures were 1.78 (0.76-4.09, P =.18) for men with WC >/=102, and 1.72
(1.09-2.73, P =.02) for women with WC >/=88 cm. CONCLUSIONS: We conclude that the risk for
hypertension may be better identified by obesity defined by higher WC than higher BMI."
--
Matti Narkia
higher waist circumference than higher BMI. The study is
Gus M, Fuchs SC, Moreira LB, Moraes RS, Wiehe M, Silva AF, Albers F, Fuchs FD. Association between
different measurements of obesity and the incidence of hypertension. Am J Hypertens. 2004 Jan;17(1):50-
3. PMID: 14700512 [PubMed - in process] <URL:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retr-
ieve&db=PubMed&list_uids=14700512&dopt=Abstract>
Abstract:
"BACKGROUND: Obesity is a risk factor for the incidence of hypertension, but it is still unclear
whether this risk can be better estimated by body mass index (BMI) or waist circumference (WC).
METHODS: In the baseline evaluation of a population-based cohort, 1089 adults answered a
pretested questionnaire and had their baseline blood pressure (BP) and anthropometric
measurements assessed according to standardized recommendations. Excluding the individuals with
hypertension at baseline, and those deceased or lost during the follow-up, 592 individuals
(80.5% of those eligible) were visited again. Obesity was defined as BMI >/=30 kg/m(2) for both
genders, and WC >/=102 cm for men and WC >/=88 cm for women. Incident cases of hypertension were
characterized by BP >/=140/90 mm Hg or use of BP medication in the follow-up visit. RESULTS:
After a mean follow-up of 5.6 +/- 1.1 years, 127 incident cases of hypertension were identified.
The hazard ratios (Cox model), adjusted for age and baseline systolic BP (95% CI and P), for BMI
higher than 30 kg/m(2) were 1.08 (0.52-2.24, P =.82) in men and 1.74 (0.93-3.26, P =.08) in
women. The corresponding figures were 1.78 (0.76-4.09, P =.18) for men with WC >/=102, and 1.72
(1.09-2.73, P =.02) for women with WC >/=88 cm. CONCLUSIONS: We conclude that the risk for
hypertension may be better identified by obesity defined by higher WC than higher BMI."
--
Matti Narkia