دورية أكاديمية
The association between body mass index and hypertension is different between East and Southeast Asians.
| العنوان: | The association between body mass index and hypertension is different between East and Southeast Asians. |
|---|---|
| المؤلفون: | Nguyen TT; Department of Nutrition, University of North Carolina at Chapel Hill, NC 27516-3997, USA., Adair LS, Suchindran CM, He K, Popkin BM |
| المصدر: | The American journal of clinical nutrition [Am J Clin Nutr] 2009 Jun; Vol. 89 (6), pp. 1905-12. Date of Electronic Publication: 2009 Apr 15. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 0376027 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-3207 (Electronic) Linking ISSN: 00029165 NLM ISO Abbreviation: Am J Clin Nutr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [New York, NY] : Elsevier Original Publication: Bethesda, MD : American Society of Clinical Nutrition |
| مواضيع طبية MeSH: | Body Mass Index*, Hypertension/*ethnology , Overweight/*ethnology, Adolescent ; Adult ; Aged ; Blood Pressure ; China/epidemiology ; Female ; Humans ; Indonesia/epidemiology ; Male ; Middle Aged ; Prevalence ; ROC Curve ; Reference Values ; Sex Factors ; Vietnam/epidemiology ; Young Adult |
| مستخلص: | Background: Few studies have allowed direct comparison of the association between body mass index (BMI; in kg/m2) and hypertension in different Asian ethnicities. Objective: We compared the association of BMI with hypertension in Chinese, Indonesian, and Vietnamese adults and determined BMI cutoffs that best predicted hypertension in these populations. Design: We included 7562 Chinese, 18,502 Indonesian, and 77,758 Vietnamese participants aged 18-65 y. Blood pressure, weight, and height were measured by trained health workers. To define an optimal BMI cutoff, we computed and searched for the shortest distance on receiver operating characteristic curves. Results: Despite a low mean BMI, the prevalences of hypertension in Chinese, Indonesian, and Vietnamese men were 22.9%, 24.8%, and 14.4%, respectively, and in women were 16.6%, 26.9%, and 11.7%, respectively. At all BMI levels, the sex-specific prevalence of hypertension was higher in Indonesian adults than in Chinese and Vietnamese adults (P < 0.05 at almost all BMI levels). The overall and stratified analyses suggested optimal BMI cutoffs of 23-24, 21-22.5, and 20.5-21 for Chinese, Indonesian, and Vietnamese adults, respectively. The cutoffs were approximately 0.5-1.0 units higher in women than in men and in the older (41-65 y) than in the younger (18-40 y) participants. Conclusions: The study showed an ethnic difference in the BMI-hypertension association and in optimal BMI cutoffs between Chinese, Indonesian, and Vietnamese adults. Country-specific or even country-, sex-, and age-specific BMI cutoffs might be needed to identify persons at high risk of cardiovascular diseases. |
| References: | Hypertension. 2002 Jul;40(1):7-12. (PMID: 12105130) Metabolism. 2007 Jul;56(7):961-8. (PMID: 17570259) World Health Organ Tech Rep Ser. 1995;854:1-452. (PMID: 8594834) Obes Res. 2001 Jul;9(7):381-7. (PMID: 11445659) BMC Genet. 2001;2:13. (PMID: 11553319) Trends Endocrinol Metab. 2002 Nov;13(9):364-8. (PMID: 12367816) Am J Clin Nutr. 2007 Aug;86(2):353-9. (PMID: 17684205) Int J Obes Relat Metab Disord. 2002 Sep;26(9):1232-8. (PMID: 12187401) Am J Epidemiol. 2002 May 1;155(9):849-52. (PMID: 11978589) Hypertension. 2003 Mar;41(3):451-6. (PMID: 12623942) Eur J Clin Nutr. 2008 Jan;62(1):78-86. (PMID: 17299463) Science. 2005 May 13;308(5724):1034-6. (PMID: 15890885) Am J Epidemiol. 2004 Jun 15;159(12):1168-79. (PMID: 15191934) BMJ. 2001 Mar 3;322(7285):531-6. (PMID: 11230071) Lancet. 2004 Jan 10;363(9403):157-63. (PMID: 14726171) Nutrition. 2007 Sep;23(9):696-708. (PMID: 17679049) J Nutr. 2008 Jul;138(7):1377-82. (PMID: 18567764) Biomed Environ Sci. 2002 Mar;15(1):83-96. (PMID: 12046553) Am J Clin Nutr. 2004 Nov;80(5):1129-36. (PMID: 15531658) Hum Biol. 2004 Feb;76(1):127-46. (PMID: 15222684) JAMA. 2003 May 21;289(19):2560-72. (PMID: 12748199) Hypertension. 2001 Feb;37(2 Pt 2):350-6. (PMID: 11230299) Am J Clin Nutr. 1994 Jul;60(1):23-8. (PMID: 8017333) Ann Epidemiol. 2003 Nov;13(10):683-91. (PMID: 14599732) Circulation. 2007 Apr 24;115(16):2111-8. (PMID: 17420343) Soc Sci Med. 2004 Jul;59(2):275-83. (PMID: 15110419) Obes Rev. 2008 Mar;9 Suppl 1:53-61. (PMID: 18307700) Int J Epidemiol. 2007 Feb;36(1):220-5. (PMID: 17510078) Obes Rev. 2002 Aug;3(3):141-6. (PMID: 12164465) Lancet. 2004 May 15;363(9421):1642-5. (PMID: 15145640) Int J Obes Relat Metab Disord. 2003 Nov;27(11):1294-6. (PMID: 14574337) Am J Clin Nutr. 2006 Aug;84(2):289-98. (PMID: 16895874) Obes Res. 1995 Sep;3 Suppl 2:135s-143s. (PMID: 8581769) J Hum Hypertens. 2007 Jan;21(1):28-37. (PMID: 17066088) Circulation. 2000 Jan 25;101(3):329-35. (PMID: 10645931) J Hypertens. 2004 Jan;22(1):59-64. (PMID: 15106795) Int J Obes Relat Metab Disord. 1998 Dec;22(12):1164-71. (PMID: 9877251) |
| معلومات مُعتمدة: | R24 HD050924 United States HD NICHD NIH HHS; DK056350 United States DK NIDDK NIH HHS; R01-HD30880 United States HD NICHD NIH HHS; R01-HD38700 United States HD NICHD NIH HHS |
| تواريخ الأحداث: | Date Created: 20090417 Date Completed: 20090612 Latest Revision: 20230318 |
| رمز التحديث: | 20240513 |
| مُعرف محوري في PubMed: | PMC2714374 |
| DOI: | 10.3945/ajcn.2008.26809 |
| PMID: | 19369374 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1938-3207 |
|---|---|
| DOI: | 10.3945/ajcn.2008.26809 |