Prospective study on impact of body mass index(BMI)and waist circumference on hypertension in different sex population
Objective To analyze the association between body mass index(BMI)and waist circumference and the risk of hypertension in different sex population.Methods Residents at Hotan survey site in"Xin-jiang multi-ethnic cohort"were used as research subjects.2018 was used as baseline survey,and the inci-dence of hypertension was followed up to 2022.Among people of different genders,they were jointly grouped according to their baseline BMI and waist circumference,and a multi-factor Logistic regression model was used to analyze the relationship between different joint groups of BMI and waist circumference and the incidence of hypertension.Results 7 010 cases were included in the analysis,including 2 654 males and 4 356 females.During the 4-year follow-up period,the total population standardized cumulative incidence of hypertension was 25.16％,the male standardized cumulative incidence of hypertension was 23.79％,and the female standardized cumulative incidence of hypertension was 26.74％.After adjusting for related confounding factors,in men,the incidence risk of hypertension in the only BMI excessive group,only waist circumference excessive group,and both BMI and waist circumference excessive group was 1.733 times(95％CI:1.211～2.479),1.675 times(95％CI:1.184～2.370)and 2.249 times(95％CI:1.808～2.797)than that in normal BMI and waist circumference group,respectively;in women,the incidence risk of hypertension in the only waist circumference excessive group,and both BMI and waist circumference excessive group was 1.506 times(95％CI:1.185～1.914)and 1.887 times(95％CI:1.559～2.283)than that in the normal BMI and waist circumference group,respectively,but there was not statistically significant difference between only BMI excessive group and normal BMI and waist circum-ference group.Sensitivity analysis revealed sex differences in the effect of BMI and waist circumference on hypertension.Conclusion Both BMI and waist circumference excessive are both risk factors for hyperten-sion in different genders.Combined use of BMI and waist circumference can better identify the risk of hy-pertension.There are gender differences in the impact of BMI and waist circumference on hypertension.The risk of hypertension in men with overweight BMI alone is higher than that in men with overweight waist circumference alone.Women with excess waist circumference alone have a higher risk of hyperten-sion than those with excess BMI alone.
genderbody mass indexwaist circumferencehypertensionprospective study
万方数据
维普
