Waist Circumference: An Important Marker for Hypertension

Authors

  • Sanam Anwar National University of Science & Technology Oman Medical College, Sohar
  • Hajir H Rashid National University of Science & Technology Oman Medical College, Sohar
  • Ghadeer J Moslhey National University of Science & Technology Oman Medical College, Sohar
  • Bushra Aleem National University of Science & Technology Oman Medical College, Sohar

Keywords:

Waist circumference, Systolic blood pressure, Overweight, Diastolic blood pressure

Abstract

Introduction: High blood pressure indirectly identified through anthropometric indicators may be an efficient strategy for detection and control, mainly because these measures can be implemented without specialized technical apparatus. The study was done with the objective of evaluating waist circumference as marker for hypertension.

Methods: Blood pressure, height, weight and waist circumference was measured using standard procedures for all participants in the cross sectional study. t test and ANOVA test was used to compare mean values of waist circumference among different groups.

Results: There was a statistically significant difference in waist circumference between age groups (F = 4.388, p=0.013); education groups (F = 11.037, p=0.000) and BMI groups (F = 57.7, p=0.000). 63.5% of hypertensive had waist circumference more than the gender specific cutoff point. Both mean systolic and diastolic blood pressure was higher in the individuals with waist circumference more than the gender specific cutoff for all the categories of BMI in both the genders. The proportion of hypertensive was 45.5% in normal weight and 57.4% in overweight group with waist circumference more than gender specific cutoff (p<0.05).

Conclusion: The study emphasizes the need for using simple anthropometric tool like waist circumference for assessing risk of hypertension in communities.

References

Perkovic V, Huxley R, Wu Y, Prabhakaran D, MacMahon S. The burden of blood pressure-related disease: a neglected priority for global health. Hypertension. 2007;50:991-7.

Al-Nozha M, Abdullah M, Arafah M, Khalil M, Khan N, AlMazrouY, et al. Hypertension in Saudi Arabia. Saudi Med J.2007;28:77-84.

Furberg C, Wright Jr J, Davis B, Cutler J, Alderman M, Black H, Cushman W, et al. Major outcomes in high-risk hypertensive patients randomized to angiotensin converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002;288:2981–97.

Carmem Cristina Beck, Adair da Silva Lopes, Francisco José GondimPitanga. Anthropometric indicators as predictors of high blood pressure in adolescents. Arq Bras Cardiol. 2011; 96(2): 126-133.

Lui J, Fox CS, Hickson DA, May WD, Hairstoen KG, Taylor HA. Impact of abdominal visceral and subcutaneous adipose tissue on cardio metabolic risk factors: the Jackson Heart Study. J ClinEndocrinol Metab.2010;95: 5419-5426.

Lorenzo C, Serrano-Rio M, Martinez-LarradMT,Gabriel R, William K, Gomez-Gerique JA, Stem MP, Haffner SM. Central adiposity determines prevalence, differences of the metabolic syndrome. Obes Res. 2003;11; 1480-1487.

Desprès JP. Body fat distribution and risk of cardiovascular disease.Circulation.2012; 126:1301-1313.

Lee K, Song YM, Sung J. Which obesity indicators are better predictors of metabolic risk? Healthy twin study. Obesity. 2008; 16: 834-840.

Czernichow S, Kengne AP, Stamatakis E, HamerM, Batty GD. Body mass index, waist circumference and waist-hip ratio: which is the better discriminator of cardiovascular disease mortality risk? Evidence from an individual-participant meta-analysis of 82 864 participants from nine cohortstudies.ObesRev.2011;12:680-687.

Klein S, Allison DB, Heynsfield SB, Kelly De, Leibel RL, Nonas C et al. Waist circumference and cardio metabolic risk:a consensus from shaping America’s Health: Association for weight management and obesity preven-tion:NAASO. Am J ClinNutri. 2007;85:1197-1202.

Asya AR, Mahmoud AAE, Magdi M, Hilal AK, Waleed AS, Sanjay J. Oman World Health Survey: Part 1 - Methodology, Sociodemographic Profile and Epidemiology of Non-Communicable Diseases in Oman. Oman Med J. 2012; 27(5):425-443.

Meier P, Messerli F, Baumbach A, Lansky AJ.Pre-hypertension: another “pseudodisease”? BMC Medicine 2013; 11: 211-213.

Al-Riyami AA, Afifi M. Distribution and correlates of total impaired fasting glucose in Oman. Eastern Mediterranean Health Journal. 2003;9:377-389

Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; and International Association for the Study of Obesity. Circulation. 2009;120(16):1640-1645.

Lean MEJ, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ.1995;311:158-61.

Deshmukh PR, Gupta SS, Bharambe MS, Dongre AR, Maliye C, Kaur S, Garg BS. Relationship of obesity indicators with blood pressure levels in rural Wardha. Indian Journal of Medical Research. 2006; 123(5): 657-64.

Wilsgaard T, Schirmer H, Arnesen E. Impact of body weight on blood pressure with a focus on sex differences: the Tromso Study, 1986-1995. Arch Intern Med. 2000; 160(18): 2847-53.

Gryglewska B, Grodzicki T, Kocemba J. Obesity and blood pressure in the elderly free-living population. J Hum Hypertens. 1998;12(9):645-7.

Guagnano MT, Ballone E, Colagrande V, Della Vecchia R, Manigrasso MR, Merlitti D, Riccioni G, Sensi S. Large waist circumference and risk of hypertension. Int J Obes Relat MetabDisord. 2001;25(9):1360-4.

Zhao LC, Wu YF, Zhou BF, Li Y, Yang J. Mean level of blood pressure and rate of hypertension among people with different levels of body mass index and waist circumference. Zhonghua Liu Xing Bing XueZaZhi. 2003; 24(6):471-5.

Janssen I, Katzmarzyk PT, Ross R. Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines. Arch Intern Med. 2002;162(18):2074-9.

Webb GP. Nutrition: A health promotion approach. 2nd ed. London: Arnold; 2002. p.186.

Svendsen OL. Should measurement of body composition influence therapy for obesity? ActaDiabetol. 2003;40(1):250-3.

Feldstein CA, Akopian M, Olivieri AO, Kramer AP, Na-siM,Garrido D. A comparison of body mass index and waist-to hip ratio as indicators of hypertension risk in urban Argentine population: a hospital-based study. Nutr Metab Cardiovasc Dis. 2005;15(4):310–5.

FlávioSarno, Carlos A Monteiro. Relative importance of body mass index and waist circumference for hypertension in adults. Rev. SaúdePública 2007;41(5).

Folsom AR, Prineas RJ, Kaye SA, Munger RG. Incidence of hypertension and stroke in relation to body fat distribution and other risk factors in older women. Stroke. 1990;21:701-706.

Harris MM, Stevens J, Thomas N, Schreiner P, Folsom AR. Associations of fat distribution and obesity with hypertension in a bi-ethnic population: the ARIC study. Atherosclerosis Risk in Communities Study. Obes Res. 2000;8:516-524.

Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB. Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition.

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Published

2019-10-31

How to Cite

1.
Anwar S, Rashid HH, Moslhey GJ, Aleem B. Waist Circumference: An Important Marker for Hypertension. Natl J Community Med [Internet]. 2019 Oct. 31 [cited 2024 Dec. 2];10(10):526-30. Available from: https://njcmindia.com/index.php/file/article/view/555

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Original Research Articles