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Emergent Anthropometric Indices in Differential Prediction of Prehypertension and Hypertension in Mexican Population: Results according to Age and Sex
International Journal of Hypertension ( IF 1.9 ) Pub Date : 2022-07-07 , DOI: 10.1155/2022/4522493
Oscar Zaragoza-García 1 , Ilse Adriana Gutiérrez-Pérez 1 , Pedro Delgado-Floody 2 , Isela Parra-Rojas 1 , Daniel Jerez-Mayorga 3, 4 , Christian Campos-Jara 3 , Iris Paola Guzmán-Guzmán 1
Affiliation  

Background. Hypertension (HTN) is recognized as a significant public health problem in the world. The objective of this study is to evaluate emergent anthropometric indices as predictors of preHTN and HTN according to age and sex in a sample of Mexican adults. Methods. A cross-sectional study was conducted in 1,150 participants aged 18–80 years old. Anthropometric data and blood pressure measurements were analyzed. Comparisons between men and women were carried out by independent analysis. Cutoff points for each emergent anthropometric index were obtained using the values’ upper second and third tertiles. Logistic regression models and receiver operating characteristics curve analyses were used to assess the association and the predictive value of several emergent anthropometric indices with the presence of preHTN and HTN. Results. The prevalence of preHTN and HTN was 29.74% and 14.35%, respectively. In a logistic regression analysis adjusted by age and sex, the body roundness index (BRI) (OR = 2.08, ) and conicity index (CI) (OR = 1.37, ) were associated with preHTN, while CI (OR = 2.47, ) and waist to height squared (W/Ht2) (OR = 2.19, ) were associated with HTN. Furthermore, in both sexes, BRI was the main predictor of preHTN (AUC: 0.634 and 0.656, respectively). Particularly, according to sex and age range, the predictive emergent anthropometric indices in men were the body shape index (ABSI) and waist to height cubic (W/Ht3) (AUC = 0.777 and 0.771, respectively), whereas in women, the predictors were CI and ABSI (AUC = 0.737 and 0.729, respectively). In men ≤40 years old, central body fat indices were predictors of preHTN and HTN, but in men >40 years old, the predictor indices were W/Ht3 and W/Ht2. In women ≤40 years, the pulse mass index (PMI) was the best main predictor (AUC = 0.909) of HTN. Conclusion. CI, PMI, W/Ht3, W/Ht2, and ABSI could represent differential predictors of preHTN and HTN between men and women according to age range.

中文翻译:

墨西哥人群高血压前期和高血压差异预测中的紧急人体测量指标:根据年龄和性别的结果

背景。高血压(HTN)被公认为世界上一个重大的公共卫生问题。本研究的目的是根据墨西哥成年人样本中的年龄和性别评估紧急人体测量指数作为 preHTN 和 HTN 的预测因子。方法. 在 1,150 名 18-80 岁的参与者中进行了一项横断面研究。分析了人体测量数据和血压测量值。男性和女性之间的比较是通过独立分析进行的。每个紧急人体测量指数的截止点是使用值的上二分位数和三分位数获得的。逻辑回归模型和接收器操作特征曲线分析用于评估几个紧急人体测量指标与 preHTN 和 HTN 存在的关联和预测值。结果。preHTN 和 HTN 的患病率分别为 29.74% 和 14.35%。在按年龄和性别调整的逻辑回归分析中,身体圆度指数 (BRI) (OR = 2.08,)和锥度指数 (CI) (OR = 1.37,)与 preHTN 相关,而 CI (OR = 2.47,)和腰高的平方 (W/Ht 2 ) (OR = 2.19,)与 HTN 相关。此外,在两性中,BRI 是 preHTN 的主要预测因子(AUC 分别为 0.634 和 0.656)。特别是,根据性别和年龄范围,男性的预测性紧急人体测量指数是体型指数(ABSI)和腰围身高立方(W/Ht 3)(AUC 分别为 0.777 和 0.771),而在女性中,预测因子是 CI 和 ABSI(AUC 分别为 0.737 和 0.729)。在≤40岁的男性中,中心体脂肪指数是preHTN和HTN的预测指标,但在>40岁的男性中,预测指标是W/Ht 3和W/Ht 2。在≤40 岁的女性中,脉搏质量指数 (PMI) 是 HTN 的最佳主要预测指标 (AUC = 0.909)。结论。CI, PMI, W/Ht 3, W/Ht 2和 ABSI 可以代表男性和女性之间根据年龄范围的 preHTN 和 HTN 的差异预测因子。
更新日期:2022-07-07
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