Observational studyBMC public health2018
Is waist-to-height ratio the best predictive indicator of hypertension incidence? A cohort study.
Observational study in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 43 citations in OpenAlex.
- Low Diagnostic Accuracy of Body Mass Index-Based and Waist Circumference-Based References of Childhood Overweight and Obesity in Identifying Overfat among Chinese Children and Adolescents.BioMed research international · 2018Trial
- Cardiovascular risk assessed by the conicity index in Brazilian adults: findings from the national health survey.Frontiers in nutrition · 2026Article
- Macronutrient requirements and intake by professional male rugby players.Journal of the International Society of Sports Nutrition · 2025Article
- Comparisons of Various Anthropometric Indices for Incident Hypertension in Military Young Adults: The CHIEF Cohort Study.Endocrine, metabolic & immune disorders drug targets · 2025Article
- Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia.International journal of circumpolar health · 2024Article
- Development and validation of a model to predict the risk of hypertension using anthropometric indicators in the Chinese population: a retrospective cohort study.American journal of translational research · 2023Article
- There was a similar U-shaped nonlinear association between waist-to-height ratio and the risk of new-onset hypertension: findings from the CHNS.Frontiers in nutrition · 2023Article
- Assessment of Future Hypertension Risk by Sex Using Combined Body Mass Index and Waist-to-Height Ratio.Circulation reports · 2022Article
- Non-alcoholic fatty liver disease and dairy products consumption: Results from FASA Persian cohort study.Frontiers in nutrition · 2022Article
- Article
- Associations between traditional and non-traditional anthropometric indices and cardiometabolic risk factors among inpatients with type 2 diabetes mellitus: a cross-sectional study.The Journal of international medical research · 2021Article
- Treated Hypertensive Patients Assessed by Home Blood Pressure Telemonitoring. TeleMRPA Study.Arquivos brasileiros de cardiologia · 2021Article
- Waist-To-Height Ratio Is a More Accurate Tool for Predicting Hypertension Than Waist-To-Hip Circumference and BMI in Patients With Type 2 Diabetes: A Prospective Study.Frontiers in public health · 2021Article
- Correlation Between Mini Nutritional Assessment and Anthropometric Measurements Among Community-Dwelling Elderly Individuals in Rural Southern Thailand.Journal of multidisciplinary healthcare · 2021Article
- Predictive value of relative fat mass algorithm for incident hypertension: a 6-year prospective study in Chinese population.BMJ open · 2020Article
- Association between anthropometric indicators of obesity and cardiovascular risk factors among adults in Shanghai, China.BMC public health · 2019Article
- Hypertension and adiposity indices: commentary on the associations of adiposity indices with hypertension in Brazil (Souza et al., 2019).Public health nutrition · 2019Article
- Observational
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Authors and funding
11 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe best anthropometric indicator to verify the association between obesity and hypertension (HTN) has not been established. We conducted this study to evaluate and compare the discriminatory power of waist-to-height ratio (WHtR) in relation to body mass index (BMI) and waist circumference (WC) in predicting HTN after 13 years of follow-up.
methodsThis study was an observational prospective cohort study performed in the city of Firminópolis, in Brazilian's midwest. The cohort baseline (phase 1) was initiated in 2002 with the evaluation of a representative sample of the normotensive population (≥ 18 years of age). The incidence of HTN was evaluated as the outcome (phase 2). Sociodemographic, dietary and lifestyle variables were used to adjust proportional hazards models and evaluate risk of HTN according to anthropometric indices. The areas under the receiver operating characteristic (ROC) curves were used to compare the predictive capacity of these indices. The best HTN predictor cut-offs were obtained based on sensitivity and specificity.
resultsA total of 471 patients with a mean age of 38.9 ± 12.3 years were included in phase 1. The mean follow-up was 13.2 years, and 207 subjects developed HTN. BMI, WC and WHtR were associated with risk of HTN incidence and had similar power in predicting the disease. However, the associations were only significant for women. The cut-off points with a better HTN predictive capacity were in agreement with current recommendations, except for the WC in men.
conclusionsThe results suggest that both overall obesity (BMI) and central obesity (WC and WHtR) anthropometric indicators can be used in this population to evaluate the risk of developing hypertension.
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