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Association of multiple anthropometric indices with in 944,760 elderly Chinese people
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Lirong Dong, Yuanyuan Wang, Jinshui Xu, Yang Zhou, Guiju Sun, Dakang Ji, Haijian Guo, Baoli Zhu
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Epidemiol Health. 2023;45:e2023046. Published online April 17, 2023
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DOI: https://doi.org/10.4178/epih.e2023046
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Abstract
OBJECTIVES
The aims of this study were to update the latest data on the prevalence of hypertension (HTN) in the elderly Chinese population and to assess relationships between new anthropometric indices and HTN.
METHODS Data were obtained from the Basic Public Health Service (BPHS) survey for Jiangsu Province, China. A total of 944,760 people aged 65 years and older were included in this study. Blood pressure was measured by trained investigators. Body weight, body mass index (BMI), waist circumference (WC), waist-to-height ratio (WtHR), conicity index (COI), body roundness index (BRI), and a body shape index (ABSI) were included in the analysis as anthropometric indices. Logistic regression analysis and restricted cubic splines were used to evaluate the association of anthropometric indices with HTN.
RESULTS The prevalence of HTN among elderly residents of Jiangsu Province was 64.7% (95% confidence interval, 64.6 to 64.8). After adjusting for multiple covariates, all anthropometric indices except ABSI showed significant non-linear positive dose-response associations with HTN across sex (p<sub>nonlinear</sub><0.001). Among participants with BMI <28 kg/m<sup>2</sup>, abnormal weight, WC, WtHR, BRI, COI, and ABSI were positively associated with HTN.
CONCLUSIONS The prevalence of HTN in the elderly in Jiangsu Province is gradually increasing. It is necessary to consider the combination of ABSI and COI with BMI for screening elderly individuals for HTN in follow-up prospective studies.
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Citations
Citations to this article as recorded by  - Comparison of seven anthropometric indexes to predict hypertension plus hyperuricemia among U.S. adults
Ye Li, Ling Zeng
Frontiers in Endocrinology.2024;[Epub] CrossRef
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