ArticleBMJ open2021
BMI, waist to height ratio and waist circumference as a screening tool for hypertension in hospital outpatients: a cross-sectional, non-inferiority study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 33 citations in OpenAlex.
- Reassessing BMI thresholds for obesity: a population-based study in Turkish adults.International journal of obesity (2005) · 2026Article
- Anthropometric indices and elevated blood pressure: A record-based study among employees of a tertiary health care institute in Telangana.Journal of family medicine and primary care · 2026Article
- Data-driven subgroups for 3-year risk stratification of incident diabetes and complications in diabetes-free Chinese adults.Chinese medical journal · 2026Article
- Regression from prediabetes to normoglycaemia and the role of cardiometabolic risk factors on the subsequent risk of developing type 2 diabetes.Diabetologia · 2026Article
- Association between triglyceride glucose-waist to height ratio (TyG-WHtR) and hypertension in adults aged 18-60: a cross-sectional study.BMC cardiovascular disorders · 2025Article
- Correlation between periodontal status, whole salivary interleukin-1beta levels and oral yeasts carriage among individuals with varying ranges of body mass index.Acta odontologica Scandinavica · 2025Article
- The accuracy of anthropometric indices in detecting hypertension in Sudanese adults: a cross-sectional study.BMC public health · 2025Article
- Linking hypertension and TyG-WC circumference index among Indian adults: A cross-sectional study.Bioinformation · 2025Article
- Correlation of neck circumference with other anthropometric measurements among participants in a market survey at Ebonyi, South East, Nigeria.The Pan African medical journal · 2025Article
- Waist-to-Height Ratio - Reference Values and Associations with Cardiovascular Risk Factors in a Russian Adult Population.Diabetes, metabolic syndrome and obesity : targets and therapy · 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
- Dose-response relationship between body mass index and hypertension: A cross-sectional study from Eastern China.Preventive medicine reports · 2024Article
- Article
- Association between the relative abundance of phyla actinobacteria, vitamin C consumption, and DNA methylation of genes linked to immune response pathways.Frontiers in nutrition · 2024Article
- Diabetic Retinopathy among Patients with Prediabetes Attending the Outpatient Department of Ophthalmology in a Tertiary Eye Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2023Article
- Undiagnosed hypertension and its determinants among hypertensive patients in rural districts of northwest Ethiopia: a mediation analysis.BMC health services research · 2023Article
- Article
- Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults.Nutrients · 2022Article
- Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios of overweight children and adolescents.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Diabetes Mellitus among Adult Outpatients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis non-inferiority study aimed to determine the burden of obesity in a hospital outpatient setting of a developing country, using three commonly employed metrics as predictors of hypertension (HTN).
designA cross-sectional study design was adopted.
settingThis study was conducted in Health Promotion and Risk Factor Screening Services of a tertiary hospital for eye and ear, nose, throat in a semiurban area of Nepal.
participants2256 randomly selected outpatients between 40 and 69 years old. OUTCOME MEASURES: The three obesity metrics and HTN were analysed for association using correlation, the area under the receiver operating characteristic (ROC) curve and ORs.
resultsThe prevalence of obesity or overweight by body mass index (BMI) was 58.29%; by waist-to-height ratio (WHtR) was 85.95%, high waist circumference (WC) was observed among 66.76% of participants. Female participants had a greater prevalence of high WC (77.46%) than males (53.73%) (p<0.001). Prevalence of HTN and pre-HTN were 40.67% and 36.77%, respectively. The areas under the ROC curve were significantly higher than 0.5 for BMI (0.593), WHtR (0.602) and WC (0.610).
conclusionThis study showed that WHtR and WC measured were not inferior to BMI as a metric for obesity detection and HTN prediction. Because of its low cost, simplicity of measurement and better ability to predict HTN, it may become a more usable metric in health facilities of low-income and middle-income countries.
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