Objective To explore the relationship between various obesity measures and hypertension among middle-aged and elderly individuals in China.Methods A cross-sectional survey was conducted on middle-aged and elderly individuals from four cities using a multi-stage,stratified,randomized whole-cluster sampling method.Demographic information and body measurements were collected,and Logistic analysis was employed to analyze the relationship between obesity indicators and hypertension.The receiver operating characteristic curve(ROC)was used to assess and compare the predictive abilities of body mass index(BMI),waist-to-hip ratio(WHR),waist-to-height ratio(WHTR),a body shape index(ABSI),and body roundness index(BRI)for hypertension.Results The study included 4,157 middle-aged and older adults(≥45 years),comprising 1,783 males and 2374 females,with a hypertension prevalence of 37.94%.Hypertension prevalence increased across quartiles for BMI,WHR,WHTR,and BRI.After adjusting for multiple factors,the odds ratio(OR)for BMI was highest among males(OR=150)compared to the lowest quartile.Among females,BRI and WHTR had higher and similar ORs(BRI:OR=1.82,95%CI:1.47～2.27;WHTR:OR=1.80,95%CI:1.39～2.21).For males,BMI had the highest area under AUC(AUC:0.61,95%CI:0.57～0.63),while for females,BRI and WHTR had the highest AUC(BRI:AUC=0.61,95%CI:0.58～0.63;WHTR:AUC=0.61,95%CI:0.58～0.63).Conclusion BRI,BMI and WHTR can be used as measures of obesity to predict hypertension in middle-aged and older adults,with BMI having a better ability to predict hypertension in the male population,and BRI and WHTR having a better ability to predict hypertension in the female population.
Middle-aged and elderlyMeasurement indicatorsObesityHypertension
维普
万方数据
