Key result
Waist-to-hip ratio and waist-to-height ratio were significant predictors of hypertension, with an increased waist-to-height ratio associated with a 2.61-fold higher odds of hypertension in females.
Why the study?
Obesity is a major determinant of blood pressure, but optimal sex- and age-specific anthropometric cut-offs for screening hypertension had not been established in this Iranian population.
What are the optimal cut-off points for anthropometric indices to screen for hypertension in Iranian adults?
Population
2256 females and 1722 males aged 35 to 70 years in Iran
Comparison
Screening performance of various anthropometric indices for hypertension
Design
Population-based cross-sectional study
Authors
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May inform Iranian HTN screening thresholds; leaves open prospective validation before practice change.
Cross-Sectional (n=3,978)
No
What are the optimal cut-off points for anthropometric indices to screen for hypertension in Iranian adults?
Odds Ratio: 2.61 (95% CI 2.12–3.2)
p-value: p=<0.001
Waist-hip ratio and waist-height ratio are the most predictive anthropometric indices for screening hypertension in Iranian adults.
Azarbad et al. (2022) conducted a cross-sectional in Hypertension (n=3,978). Waist-to-height ratio (WHtR) and Waist-to-hip ratio (WHR) vs. Appropriate/lower anthropometric indices was evaluated on Hypertension (WHtR > 0.60 in females) (OR 2.61, 95% CI 2.12-3.20, p=<0.001). Waist-to-hip ratio and waist-to-height ratio were significant predictors of hypertension, with an increased waist-to-height ratio associated with a 2.61-fold higher odds of hypertension in females.
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