Why the study?
Hypertension is a major preventable cardiovascular risk factor, but the extent to which obesity impacts hypertension differs across anthropometric measurements like BMI, WC, and WHtR.
Which anthropometric measurements best predict hypertension in rural Cambodian men and women?
Cross-Sectional (n=276)
No
Which anthropometric measurements best predict hypertension in rural Cambodian men and women?
Waist circumference is a consistent predictor of hypertension in both men and women in rural Cambodia, while BMI is additionally predictive in men.
Answers are grounded in this paper and cite their sources.
May support waist circumference for hypertension risk assessment in rural Cambodia; hypothesis-generating and requires prospective validation before practice change.
INTRODUCTION: Hypertension is a major and preventable risk factor that can lead to cardiovascular disease. The extent that obesity impacts hypertension differs when using body mass index (BMI), waist circumference (WC) or waist to height ratio (WHtR). This study aimed to determine the prevalence of hypertension and to compare several anthropometric measurements in the prediction of hypertension between males and females from Chet Borey district of Kratie province, in Cambodia. METHODS: A cross-sectional study was conducted among 276 healthy adults aged 18 years or older, including 94 males and 182 females who visited the local health post of Kaoh chraeng in Kratie province from November 21 to 27, 2015. Systolic and diastolic blood pressures were measured. Anthropometric measures: Body mass index (BMI), as well as waist circumference (WC) and waist to height ratio (WHtR) were assessed to analyze adiposity indices. Multivariate analysis was performed to evaluate the association between anthropometric measures and hypertension among males and females after adjustment for confounders. RESULTS: Hypertension was more prevalent in males (38.3%) compared to females (26.4%). When considering adiposity indices, WC was higher in females than males (35.7% vs 10.6% females vs males), the same for WHtR (55.0% vs 30.9% females vs males). In the multivariate analysis, for males, in addition to high BMI [aOR 4.37 (1.01-18.81)], high WC [aOR 7.55 (1.42-39.99)] was associated with the risk of developing hypertension. Whereas for females, only WC [aOR 3.24 (1.54-6.83)] was associated with the concerned risk. CONCLUSION: Prediction of hypertension using anthropometric measurements differs by sex and by the index used. In our population, BMI and WC appeared more appropriate for men while only WC was applicable to women. These results afford alternatives to hypertensive screening that may be useful tools for the majority of rural Cambodians since accessibility to health facilities is limited.
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Shimotake et al. (2020) conducted a cross-sectional in Hypertension (n=276). High waist circumference and body mass index vs. Normal waist circumference and body mass index was evaluated on Hypertension (aOR 7.55, 95% CI 1.42-39.99).
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