Key result
Waist circumference performed better than BMI and waist-to-hip ratio in predicting hypertension risk, significantly increasing the odds of hypertension in the highest versus lowest tertiles for both men (OR 2.19) and women (OR 8.24).
Why the study?
Do waist circumference and waist-to-hip ratio predict the risk of obesity and hypertension better than BMI in affluent Indian adults?
Cross-Sectional (n=419)
No
Do waist circumference and waist-to-hip ratio predict the risk of obesity and hypertension better than BMI in affluent Indian adults?
Odds Ratio: 8.24 (95% CI 2.67–25.43)
Absolute Event Rate: 33.3% vs 5.7%
p-value: p=<0.01
This study highlights the prevalence of abdominal obesity and hypertension in urban Indian adults, emphasizing the potential utility of waist circumference and waist-to-hip ratio as predictors of cardiovascular risk.
Should not yet alter BMI-based screening in Indian adults; leaves open waist circumference's role in prospective hypertension prediction.
In view of the fact that Asians have higher abdominal fat at lower levels of body mass index (BMI), measures of abdominal adiposity such as waist circumference (WC) and waist to hip ratio (WHR) were investigated as predictors of hypertension. Data on BMI, WC, WHR and blood pressure (BP) were recorded through a cross-sectional study on 419 urban adults (210 men and 209 women; aged 30-60 years) in Pune, India. Abdominal obesity was higher among women than men (35.9% vs. 32.4%). However, age adjusted mean systolic BP (124.3 ± 15.1 mmHg vs. 114.7 ± 17.2 mmHg), diastolic BP (82.9 ± 10.5 mmHg vs. 76.4 ± 10.7 mmHg) and prevalence of hypertension (34.3% vs. 21.5%) was significantly higher (p p p p p
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Rao et al. (2013) conducted a cross-sectional in Obesity and hypertension (n=419). Waist circumference vs. Lowest tertile of waist circumference was evaluated on Hypertension risk (highest vs lowest tertile of waist circumference in women) (OR 8.24, 95% CI 2.67-25.43, p=<0.01). Waist circumference performed better than BMI and waist-to-hip ratio in predicting hypertension risk, significantly increasing the odds of hypertension in the highest versus lowest tertiles for both men (OR 2.19) and women (OR 8.24).
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