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Association between anthropometric indicators of adiposity and hypertension in a Brazilian population: Baependi Heart Study

2017; Public Library of Science; Volume: 12; Issue: 10 Linguagem: Inglês

10.1371/journal.pone.0185225

1932-6203

Camila Maciel de Oliveira, Anderson Zampiér Ulbrich, Felipe Silva Neves, Fernando Augusto Lavezzo Dias, Andréa Roseli Vançan Russo Horimoto, José Eduardo Krieger, Rafael de Oliveira Alvim, Alexandre C. Pereira,

Obesity, Physical Activity, Diet

Recently, some studies have evaluated the role of adiposity measures in the prediction of hypertension risk, but the results are conflicting. Thus, the aim of this study was to compare which of the four indicators of adiposity (waist circumference-WC, body mass index-BMI, body adiposity index-BAI, and visceral adiposity index-VAI) were better associated with hypertension in a Brazilian population.For this study, were selected 1627 individuals (both genders, and aged over 18 years) resident in the municipality of Baependi, a city located in the Southeast of Brazil. WC, BMI, BAI and VAI were determined according to a standard protocol. Hypertension was defined as mean systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, and/or antihypertensive drug use. The indicators of adiposity WC, BMI, BAI, and VAI were higher in hypertensive when compared to non-hypertensive individuals. In addition, WC and BMI were most strongly associated with hypertension in men and women, respectively. The area under the curve (AUC) of WC was significantly higher than VAI in men. In women, both AUC of BMI and WC showed higher discriminatory power to predict hypertension than BAI and VAI.The indicators of adiposity WC and BMI were better associated with hypertension than BAI and VAI, in both genders, and it could be a useful tools for the screening of hypertensive patients.