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January 1, 2020BMJ OpenOpen Access

BMI and WHtR had the highest AUCs for predicting high blood pressure, with WHtR presenting good sensitivity and specificity in both sexes at optimal cut-offs using the 90th percentile (men: 0.46, women: 0.45).

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Why the study?

The study was conducted to compare the performance of different anthropometric indices (BMI, WC, WHtR, and a body shape index) in predicting high blood pressure in adolescents using the 90th and 95th percentiles as thresholds.

Which anthropometric index best predicts high blood pressure in adolescents?

Population

513 adolescents aged 12-16 years in Malaysia

Comparison

BMI vs WC vs WHtR vs a body shape index

Design

Cross-sectional study

Authors

JTJoyce Ying Hui TeeWGWan Ying GanPLPoh Ying Lim

Discussion

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Member takes

Overview

WHtR may aid adolescent BP screening in primary care; leaves open need for prospective validation before practice change.

Structured PICO

Which anthropometric index best predicts high blood pressure in adolescents?

P
Population
513 adolescents aged 12-16 years (58.9% women, 41.1% men) from Selangor state, Malaysia
I
Intervention
Anthropometric indices (body mass index [BMI], waist circumference [WC], waist-to-height ratio [WHtR], and a body shape index [ABSI])
O
Outcome
High blood pressure (using 90th and 95th percentiles as thresholds)surrogate

Waist-to-height ratio (WHtR) is a sensitive and specific anthropometric index for screening high blood pressure risk in adolescents.

Limitations

  • Small sample size

Cite This Study

Tee et al. (2020) studied this question.

synapsesocial.com/papers/6a7cb7d967298e2a28cf7fa5https://doi.org/10.1136/bmjopen-2019-032874
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Body mass index and waist-to-height ratio cut-offs as predictors of high blood pressure in adolescents2015 · 3 citations
  2. 2Association between body fat composition and blood pressure level among secondary school adolescents in Dar es Salaam, Tanzania2014 · 36 citations
  3. 3Trends in Adolescents Obesity and the Association between BMI and Blood Pressure: A Cross-Sectional Study in 714,922 Healthy Teenagers2015 · 84 citations
  4. 4Anthropometric indices as predictors of the metabolic syndrome and its components in adolescents2009 · 51 citations