Comparison of visceral and body fat indices and anthropometric measures in relation to untreated hypertension by age and gender among Chinese

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• 作者：Jicheng Jiang^a ; ^b ; ¹ ; Songyuan Deng^c ; ¹ ; Yi Chen^a ; ^b ; ¹ ; Shuying Liang^d ; ¹ ; Nan Ma^d ; ¹ ; Yajuan Xu^a ; ^b ; ¹ ; Xiaolin Chen^a ; ^b ; ¹ ; Xiaoqin Cao^a ; ^b ; ¹ ; Chunhua Song^a ; ^b ; ¹ ; Wei Nie^d ; ¹ ; Kaijuan Wang^a ; ^b ; ¹ ; ^{kjwang@163.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：BMI ; body mass index ; WC ; waist circumference ; WHtR ; waist-to-height ratio ; PBF ; percentage body fat ; VFI ; visceral fat index ; BM ; basal metabolic rate ; OR ; odds ratio ; SD ; standard deviation ; ROC ; receiver operating characteristic ; AUC ; area under the ROC curve
• 刊名：International Journal of Cardiology
• 出版年：2016
• 出版时间：15 September 2016
• 年：2016
• 卷：219
• 期：Complete
• 页码：204-211
• 全文大小：360 K

文摘

The aim of the study was to compare the efficiency of bioelectrical indices (percentage body fat, PBF; visceral fat index, VFI) and various anthropometric measures (body mass index, BMI; waist circumference, WC; waist-to-height ratio, WHtR) on determining hypertension in Chinese.

Methods

We conducted the community-based cross-sectional survey during August of 2013 to August of 2015 in 66 sample sites selected by multistage random sampling method from Henan province. 14,364 residents were included in the study.

Results

In both genders, VFI and PBF tended to rise with age. However, for each age-specific group, men consistently had significantly greater VFI than women (all P < 0.0001) and women had considerably higher PBF (all P < 0.0001). The odds ratios and area under the ROC curves (AUCs) for hypertension associated with adiposity indices decreased with age. In younger (15 ~ 34 year) men and women, VFI had the highest crude (2.43–7.95) and adjusted (2.40–11.63) odds ratio for hypertension. The AUCs for PBF, VFI and WHtR were significantly larger than those for BMI and WC (all P < 0.01). Whereas no statistically significant difference were found in AUCs among PBF, VFI and WHtR (all P > 0.10). Additionally, VFI and PBF yielded the greatest Youden index in identifying hypertension in men (0.27) and women (0.34), respectively. Optimal cutoffs for VFI/PBF were 11.70/24.45 and 7.55/33.65 in men and women, respectively.

Conclusions

VFI and PBF could be better candidates for identifying hypertension in men and women, respectively. Adolescents and young adults should be highlighted in preventing hypertension by control of excess body and visceral fat.