Next Article in Journal
An Update on the Tissue Renin Angiotensin System and Its Role in Physiology and Pathology
Previous Article in Journal
Functional Morphology of the Cardiac Jelly in the Tubular Heart of Vertebrate Embryos
Article Menu

Export Article

Open AccessArticle

Association of Adiposity Indices with Hypertension in Middle-Aged and Elderly Thai Population: National Health Examination Survey 2009 (NHES-IV)

1
Institute of Nutrition, Mahidol University, Nakhon Pathom 73170, Thailand
2
Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2019, 6(1), 13; https://doi.org/10.3390/jcdd6010013
Received: 27 December 2018 / Revised: 19 February 2019 / Accepted: 8 March 2019 / Published: 13 March 2019
  |  
PDF [298 KB, uploaded 22 March 2019]

Abstract

Obesity in terms of excess fat mass is associated with increased morbidity, disability and mortality due to obesity-related disorders, including hypertension. Many hypertensive individuals are overweight and often receive their advice to lose weight related to body-fat, in order to lower their blood pressure. However, it is still unclear whether there is a strong association of adipose tissue measured by adiposity indicators with hypertension in the Thai population. Various adiposity indices have been published to distinguish the distribution of body fat with disparate properties. This study examined nine adiposity markers and their association with hypertension in 15,842 Thai adults ≥35 years old. Data were obtained from the nationwide Thai National Health Examination Survey 2009. Accuracy performance and associations of indexes with hypertension were analyzed by Area Under Curve (AUC) and logistic regression analyses. Regardless of gender, the best methods to distinguish performance were waist-to-height ratio (WHtR) [AUC: 0.640 (0.631–0.649)], followed by lipid accumulation product (LAP) [AUC: 0.636 (0.627–0.645)], waist circumference (WC) [AUC: 0.633 (0.624–0.641)], and Conicity index (C-Index) [AUC: 0.630 (0.621–0.639)]. Linear regression analysis exhibited the independent association of the top four indices, WC, WHtR, C-Index, and LAP with higher systolic and diastolic blood pressure. Those indices’ quartiles were graded in a dose-response manner which significantly increased at the higher quartiles. The indicator’s cutoff point carried the odds ratio of presence hypertension in the range of 1.7 to 2.5 (p < 0.001). Among the nine obesity indices, WHtR (cutoff >0.52) in both genders was the simplest and most practical measurement for adiposity in association with hypertension in middle-aged and elderly Thais. View Full-Text
Keywords: adiposity indices; hypertension; lipid accumulation product; waist-to-height ratio; waist circumference; conicity index; visceral fat; total body-fat adiposity indices; hypertension; lipid accumulation product; waist-to-height ratio; waist circumference; conicity index; visceral fat; total body-fat
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Nguyen Ngoc, H.; Kriengsinyos, W.; Rojroongwasinkul, N.; Aekplakorn, W. Association of Adiposity Indices with Hypertension in Middle-Aged and Elderly Thai Population: National Health Examination Survey 2009 (NHES-IV). J. Cardiovasc. Dev. Dis. 2019, 6, 13.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J. Cardiovasc. Dev. Dis. EISSN 2308-3425 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top