The Relation between Blood Pressure and Anthropometric Indices among Iranian Adults

Document Type : Original Article (s)

Authors

1 General Practitioner, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Professor, Hypertension Research Center AND Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

5 Assistant Professor, Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran,

6 Assistant Professor, Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

7 Professor, Interventional Cardiology Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

8 Professor, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: One of the most important factors in hypertension is overweight and obesity, which there are several methods in order to measure them. In this study, we aimed to evaluate the relation between hypertension and anthropometric indexes among Iranian adults.Methods: In this cross-sectional study, 2264 patients with at least 18 years of age were enrolled, and demographic information, blood pressure, and anthropometric indices including body mass index (BMI), waist circumference, waist-to-height ratio (WHtR), hip circumference and waist-to-hip ratio (WHR), and the relationship between these indices and blood pressure in the patients were investigated.Findings: Prevalence of hypertension was 21.3% and 18.7% in men and women, respectively. All anthropometric indices were correlated significantly with systolic blood and diastolic pressure (P < 0.001). In both genders suffering from hypertension, all those variables were significantly higher compared to normal individuals (P < 0.001).Conclusion: Our findings showed that there was a significant relationship between anthropometric variables and hypertension. At the same time, further studies are needed to find out the exact relationship between these indicators and hypertension.

Keywords

References

  1. Dutra MT, Reis DBV, Martins KG, Gadelha AB. Comparative evaluation of adiposity indices as predictors of hypertension among Brazilian adults. Int J Hypertens 2018; 2018: 8396570.
  2. Cheah WL, Majorie EJ, Helmy H, Chang CT. Hypertension and its association with Anthropometric indices among students in a public university. Malays Fam Physician 2018; 13(1): 2-9.
  3. Veghari G, Salehi A, Vaghari M. The comparison of waist circumference, waist-to-hip ratio, and waist-to-height ratio among rural women adults in the North of Iran, between the years 2004 and 2013. ARYA Atheroscler 2018; 14(4): 169-76.
  4. Panagiotakos DB, Chrysohoou C, Pitsavos C, Skoumas J, Lentzas Y, Katinioti A, et al. Hierarchical analysis of anthropometric indices in the prediction of 5-year incidence of hypertension in apparently healthy adults: the ATTICA study. Atherosclerosis 2009; 206(1): 314-20.
  5. Oda E, Kawai R. Body mass index is more strongly associated with hypertension than waist circumference in apparently healthy Japanese men and women. Acta Diabetol 2010; 47(4): 309-13.
  6. Guagnano MT, Ballone E, Colagrande V, Della VR, Manigrasso MR, Merlitti D, et al. Large waist circumference and risk of hypertension. Int J Obes Relat Metab Disord 2001; 25(9): 1360-4.
  7. Park SH, Choi SJ, Lee KS, Park HY. Waist circumference and waist-to-height ratio as predictors of cardiovascular disease risk in Korean adults. Circ J 2009; 73(9): 1643-50.
  8. Ramezankhani A, Ehteshami-Afshar S, Hasheminia M, Hajebrahimi MA, Azizi F, Hadaegh F. Optimum cutoff values of anthropometric indices of obesity for predicting hypertension: more than one decades of follow-up in an Iranian population. J Hum Hypertens 2018; 32(12): 838-48.
  9. Leung AA, Nerenberg K, Daskalopoulou SS, McBrien K, Zarnke KB, Dasgupta K, et al. Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension. Can J Cardiol 2016; 32(5): 569-88.
  10. Wang Q, Wang Z, Yao W, Wu X, Huang J, Huang L, et al. Anthropometric Indices Predict the Development of Hypertension in Normotensive and Pre-Hypertensive Middle-Aged Women in Tianjin, China: A Prospective Cohort Study. Med Sci Monit 2018; 24: 1871-9.
  11. Fuchs FD, Gus M, Moreira LB, Moraes RS, Wiehe M, Pereira GM, et al. Anthropometric indices and the incidence of hypertension: A comparative analysis. Obes Res 2005; 13(9): 1515-7.
  12. Lee JW, Lim NK, Baek TH, Park SH, Park HY. Anthropometric indices as predictors of hypertension among men and women aged 40-69 years in the Korean population: The Korean Genome and Epidemiology Study. BMC Public Health 2015; 15: 140.
  13. Choi JR, Ahn SV, Kim JY, Koh SB, Choi EH, Lee GY, et al. Comparison of various anthropometric indices for the identification of a predictor of incident hypertension: The ARIRANG study. J Hum Hypertens 2018; 32(4): 294-300.
  14. Papathanasiou G, Zerva E, Zacharis I, Papandreou M, Papageorgiou E, Tzima C, et al. Association of high blood pressure with body mass index, smoking and physical activity in healthy young adults. Open Cardiovasc Med J 2015; 9: 5-17.
  15. Uwaezuoke SN, Okoli CV, Ubesie AC, Ikefuna AN. Primary hypertension among a population of Nigerian secondary school adolescents: Prevalence and correlation with anthropometric indices: A cross-sectional study. Niger J Clin Pract 2016; 19(5): 649-54.
  16. Nkeh-Chungag BN, Mxhosa TH, Mgoduka PN. Association of waist and hip circumferences with the presence of hypertension and pre-hypertension in young South African adults. Afr Health Sci 2015; 15(3): 908-16.
  17. Lu N, Wang R, Ji M, Liu X, Qiang L, Ma C, et al. The value of hip circumference/height(x) ratio for identifying childhood hypertension. Sci Rep 2018; 8(1): 3236.
  18. Snijder MB, Zimmet PZ, Visser M, Dekker JM, Seidell JC, Shaw JE. Independent and opposite associations of waist and hip circumferences with diabetes, hypertension and dyslipidemia: the AusDiab Study. Int J Obes Relat Metab Disord 2004; 28(3): 402-9.
Journal of Isfahan Medical School
Volume 37, Issue 513 - Serial Number 513
January and February 2019
Pages 31-39

Files

History

  • Receive Date: 01 December 2018
  • Revise Date: 20 May 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics