Relative importance of body mass index and waist circumference for hypertension in adults

Detalhes bibliográficos
Autor(a) principal: Sarno, Flávio
Data de Publicação: 2007
Outros Autores: Monteiro, Carlos Augusto
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32313
Resumo: OBJECTIVE: To assess the relative importance of Body Mass Index (BMI) and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584), aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels >; 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women). In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively) and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively). In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%), but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively). In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64%) was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men.
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spelling Relative importance of body mass index and waist circumference for hypertension in adults Importância relativa do Índice de Massa Corporal e da circunferência abdominal na predição da hipertensão arterial Hipertensão arterialÍndice de Massa CorporalCircunferência abdominalObesidadeFração atribuívelHypertensionBody mass indexAbdominal circumferenceObesityAttributable fraction OBJECTIVE: To assess the relative importance of Body Mass Index (BMI) and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584), aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels >; 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women). In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively) and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively). In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%), but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively). In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64%) was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men. OBJETIVO: Avaliar a importância relativa do Índice de Massa Corporal (IMC) e da circunferência abdominal na determinação da hipertensão arterial em adultos. MÉTODOS: Estudo transversal com amostra de funcionários (N=1.584), entre 18 e 64 anos de idade, de hospital geral privado do município de São Paulo. A coleta de dados envolveu questionário estruturado, medida da pressão arterial, peso, altura e circunferência abdominal. A hipertensão foi diagnosticada com pressão arterial >; 140/90 mmHg ou uso de medicação anti-hipertensiva. A importância relativa do IMC e da circunferência abdominal foi calculada pela fração atribuível de hipertensão correspondente a cada indicador antropométrico, empregando-se níveis de cortes usuais e baseados na distribuição observada na população estudada. Adicionalmente, foi desenvolvido um indicador que combinou simultaneamente valores de IMC e circunferência abdominal. RESULTADOS: A prevalência de hipertensão foi de 18,9% (26,9% em homens e 12,5% em mulheres). Em homens, a fração de hipertensão atribuível ao IMC superou aquela atribuível à circunferência abdominal segundo níveis de corte usuais (56% x 48%, respectivamente) e quartis da distribuição observada (73% x 69%, respectivamente). Para mulheres, a fração de hipertensão atribuível à circunferência abdominal superou ligeiramente aquela atribuível ao IMC nos níveis de corte usuais (44% x 41%, respectivamente); mas se observou situação inversa empregando a classificação em quartis (41% x 57%, respectivamente). Somente em mulheres a fração de hipertensão atribuível ao indicador que combinou IMC e circunferência abdominal (64%) superou a fração atribuível a cada medida isolada. CONCLUSÕES: Tanto o IMC quanto a circunferência abdominal se associaram positiva e independentemente com a ocorrência de hipertensão arterial, sendo superior a influência exercida pelo IMC em homens. Universidade de São Paulo. Faculdade de Saúde Pública2007-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3231310.1590/S0034-89102007000500013Revista de Saúde Pública; Vol. 41 No. 5 (2007); 788-796 Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 788-796 Revista de Saúde Pública; v. 41 n. 5 (2007); 788-796 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32313/34478https://www.revistas.usp.br/rsp/article/view/32313/34479Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSarno, FlávioMonteiro, Carlos Augusto2012-07-09T00:43:39Zoai:revistas.usp.br:article/32313Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:43:39Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Relative importance of body mass index and waist circumference for hypertension in adults
Importância relativa do Índice de Massa Corporal e da circunferência abdominal na predição da hipertensão arterial
title Relative importance of body mass index and waist circumference for hypertension in adults
spellingShingle Relative importance of body mass index and waist circumference for hypertension in adults
Sarno, Flávio
Hipertensão arterial
Índice de Massa Corporal
Circunferência abdominal
Obesidade
Fração atribuível
Hypertension
Body mass index
Abdominal circumference
Obesity
Attributable fraction
title_short Relative importance of body mass index and waist circumference for hypertension in adults
title_full Relative importance of body mass index and waist circumference for hypertension in adults
title_fullStr Relative importance of body mass index and waist circumference for hypertension in adults
title_full_unstemmed Relative importance of body mass index and waist circumference for hypertension in adults
title_sort Relative importance of body mass index and waist circumference for hypertension in adults
author Sarno, Flávio
author_facet Sarno, Flávio
Monteiro, Carlos Augusto
author_role author
author2 Monteiro, Carlos Augusto
author2_role author
dc.contributor.author.fl_str_mv Sarno, Flávio
Monteiro, Carlos Augusto
dc.subject.por.fl_str_mv Hipertensão arterial
Índice de Massa Corporal
Circunferência abdominal
Obesidade
Fração atribuível
Hypertension
Body mass index
Abdominal circumference
Obesity
Attributable fraction
topic Hipertensão arterial
Índice de Massa Corporal
Circunferência abdominal
Obesidade
Fração atribuível
Hypertension
Body mass index
Abdominal circumference
Obesity
Attributable fraction
description OBJECTIVE: To assess the relative importance of Body Mass Index (BMI) and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584), aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels >; 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women). In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively) and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively). In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%), but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively). In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64%) was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men.
publishDate 2007
dc.date.none.fl_str_mv 2007-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32313
10.1590/S0034-89102007000500013
url https://www.revistas.usp.br/rsp/article/view/32313
identifier_str_mv 10.1590/S0034-89102007000500013
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32313/34478
https://www.revistas.usp.br/rsp/article/view/32313/34479
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. 5 (2007); 788-796
Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 788-796
Revista de Saúde Pública; v. 41 n. 5 (2007); 788-796
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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