Association of normal-weight central obesity with hypertension: a cross-sectional study from the China health and nutrition survey.

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Tytuł:: Association of normal-weight central obesity with hypertension: a cross-sectional study from the China health and nutrition survey.
Autorzy:: Ren H; Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China.; Branch of National Clinical Research Center for Metabolic Disease, Hubei, People's Republic of China.
Guo Y; Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China.
Wang D; Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China.
Kang X; Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China.
Yuan G; Department of Endocrinology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, People's Republic of China. .; Branch of National Clinical Research Center for Metabolic Disease, Hubei, People's Republic of China. .
Źródło:: BMC cardiovascular disorders [BMC Cardiovasc Disord] 2023 Mar 08; Vol. 23 (1), pp. 120. Date of Electronic Publication: 2023 Mar 08.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Obesity*/diagnosis
Obesity*/epidemiology
Obesity*/complications
Hypertension*/diagnosis
Hypertension*/epidemiology
Adult ; Humans ; Female ; Middle Aged ; Aged ; Male ; Cross-Sectional Studies ; Body Mass Index ; Risk Factors ; Obesity, Abdominal/diagnosis ; Obesity, Abdominal/epidemiology ; Obesity, Abdominal/complications ; Waist-Hip Ratio ; Waist Circumference ; Nutrition Surveys ; China/epidemiology
References:: Circulation. 2018 Mar 27;137(13):1391-1406. (PMID: 29581366)
Mayo Clin Proc. 2016 Mar;91(3):343-51. (PMID: 26860580)
J Am Coll Cardiol. 2013 Feb 5;61(5):553-60. (PMID: 23369419)
J Am Coll Cardiol. 2011 Jun 21;57(25):2461-73. (PMID: 21679848)
Eur J Epidemiol. 2018 Aug;33(8):711-722. (PMID: 29417316)
Hypertension. 2020 May;75(5):1167-1178. (PMID: 32172619)
JAMA Intern Med. 2018 Jan 1;178(1):28-36. (PMID: 29131895)
Lancet. 2017 Dec 16;390(10113):2627-2642. (PMID: 29029897)
Lancet Diabetes Endocrinol. 2021 Jun;9(6):373-392. (PMID: 34022156)
Circulation. 2016 Feb 16;133(7):639-49. (PMID: 26746176)
Eur Heart J. 2010 Mar;31(6):737-46. (PMID: 19933515)
JAMA. 2013 Jan 2;309(1):71-82. (PMID: 23280227)
Biomed Environ Sci. 2002 Mar;15(1):83-96. (PMID: 12046553)
Cardiovasc Diabetol. 2021 Dec 18;20(1):239. (PMID: 34922553)
J Diabetes. 2014 Nov;6(6):527-34. (PMID: 24698481)
Nutrients. 2020 Apr 16;12(4):. (PMID: 32316150)
Hypertension. 2020 Feb;75(2):285-292. (PMID: 31865786)
Prog Cardiovasc Dis. 2014 Jan-Feb;56(4):426-33. (PMID: 24438734)
BMJ. 2020 Sep 23;370:m3324. (PMID: 32967840)
Nat Rev Dis Primers. 2017 Jun 15;3:17034. (PMID: 28617414)
Circ Res. 2020 May 22;126(11):1477-1500. (PMID: 32437302)
Eur J Intern Med. 2018 Feb;48:6-17. (PMID: 29100895)
Clin Nutr. 2018 Aug;37(4):1259-1263. (PMID: 28583324)
Am J Cardiol. 2015 Feb 1;115(3):307-15. (PMID: 25499404)
Lancet. 2016 Aug 20;388(10046):776-86. (PMID: 27423262)
Lancet. 2014 Aug 30;384(9945):766-81. (PMID: 24880830)
Nutrition. 2012 Jan;28(1):46-52. (PMID: 21621392)
J Am Heart Assoc. 2019 Sep 17;8(18):e013471. (PMID: 31480883)
Hypertension. 2021 Nov;78(5):e38-e50. (PMID: 34538096)
Nat Rev Endocrinol. 2019 May;15(5):288-298. (PMID: 30814686)
Hypertension. 2019 Aug;74(2):331-340. (PMID: 31230539)
J Am Coll Cardiol. 2018 May 15;71(19):e127-e248. (PMID: 29146535)
Nutrition. 2001 Jan;17(1):26-30. (PMID: 11165884)
J Am Coll Cardiol. 2011 May 10;57(19):1877-86. (PMID: 21545944)
BMJ Open. 2019 Feb 11;9(2):e023817. (PMID: 30755447)
Diabetologia. 2005 Nov;48(11):2254-61. (PMID: 16211373)
Int J Epidemiol. 2010 Dec;39(6):1435-40. (PMID: 19887509)
JAMA Netw Open. 2019 Jul 3;2(7):e197337. (PMID: 31339542)
Lancet. 2017 Dec 9;390(10112):2549-2558. (PMID: 29102084)
Grant Information:: R01 HD030880 United States HD NICHD NIH HHS; P30 DK056350 United States DK NIDDK NIH HHS; R01 HD038700 United States HD NICHD NIH HHS
Contributed Indexing:: Keywords: Body mass index; Cardiometabolic risk; Central obesity; Hypertension; Normal-weight central obesity
Entry Date(s):: Date Created: 20230308 Date Completed: 20230310 Latest Revision: 20230313
Update Code:: 20240104
PubMed Central ID:: PMC9996911
DOI:: 10.1186/s12872-023-03126-w
PMID:: 36890477
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Background: Central obesity is associated with an increased risk of hypertension in the general population. However, little is known regarding the potential relationship between central obesity and the risk of hypertension among adults with a normal body mass index (BMI). Our aim was to assess the risk of hypertension among individuals with normal weight central obesity (NWCO) in a large Chinese population.
Methods: We identified 10 719 individuals aged 18 years or older from the China Health and Nutrition Survey 2015. Hypertension was defined by blood pressure measurements, physician diagnosis, or the use of antihypertensive treatment. Multivariable logistic regression was used to assess the association of obesity patterns, defined by BMI, waist circumference (WC) and waist hip ratio (WHR), with hypertension after adjusting for confounding factors.
Results: The patients' mean age was 53.6 ± 14.5 years, and 54.2% were women. Compared with individuals with a normal BMI but no central obesity, subjects with NWCO had a greater risk of hypertension (WC: OR, 1.49, 95% CI 1.14-1.95; WHR: OR, 1.33, 95% CI 1.08-1.65). Overweight-obese subjects with central obesity demonstrated the highest risk of hypertension after adjustment for potential confounders (WC: OR, 3.01, 95% CI 2.59-3.49; WHR: OR, 3.08, CI 2.6-3.65). Subgroup analyses showed that the combination of BMI with WC had similar findings to the overall population except for female and nonsmoking persons; when BMI was combined with WHR, a significant association of NWCO with hypertension was observed only in younger persons and nondrinkers.
Conclusions: Central obesity, as defined by WC or WHR, is associated with an increased risk of hypertension in Chinese adults with normal BMI, highlighting the need to combine measures in obesity-related risk assessment.
(© 2023. The Author(s).)

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