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    Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?

    Access Status
    Fulltext not available
    Authors
    Huxley, Rachel
    Barzi, F.
    Lee, Crystal
    Janus, E.
    Lam, T.
    Caterson, I.
    Lear, S.
    Patel, J.
    Shaw, J.
    Adam, J.
    Oh, S.
    Kang, J.
    Zimmet, P.
    Woodward, M.
    Date
    2008
    Type
    Journal Article
    
    Metadata
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    Citation
    Huxley, R. and Barzi, F. and Lee, C. and Janus, E. and Lam, T. and Caterson, I. and Lear, S. et al. 2008. Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations?. Journal of Hypertension. 26 (2): pp. 169-177.
    Source Title
    Journal of Hypertension
    DOI
    10.1097/HJH.0b013e3282f16ad3
    ISSN
    0263-6352
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/42537
    Collection
    • Curtin Research Publications
    Abstract

    OBJECTIVE: To compare the performance of body mass index (BMI) against waist circumference, waist: hip ratio (WHR) and waist: height ratio in the discrimination of hypertension in ethnically diverse populations. METHODS: Meta-analysis of 19 cross-sectional studies. MAIN OUTCOME MEASURES: Discrimination of hypertension (SBP/DBP = 140/90 mmHg) was adjudicated from Receiver Operating Characteristic curves; optimum thresholds were defined as those that maximized sensitivity plus specificity. RESULTS: Irrespective of which measure of overweight was used, the strength of the association with blood pressure was consistently greater among Asians compared with Caucasians or Pacific Islanders; however, in all regions, and for all anthropometric measures, the increment in blood pressure, and the additional risk of hypertension, were broadly similar for the same relative increment in each of the four measures. Optimum thresholds varied by region; WHR was the most consistent between the regions, with thresholds of 0.92-0.94 for men and 0.80-0.88 for women. No anthropometric variable was systematically better than others at the discrimination of hypertension. CONCLUSIONS: Blood pressure is similarly associated with each of the four measures of overweight chosen, but the associations were stronger among Asians. WHR has advantages in terms of consistency of thresholds for hypertension across ethnic groups in the Asia-Pacific. © 2008 Lippincott Williams & Wilkins, Inc.

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