ArticleBMC public health2023
Relationship between novel anthropometric indices and the incidence of hypertension in Chinese individuals: a prospective cohort study based on the CHNS from 1993 to 2015.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 27 citations in OpenAlex.
- Sex-Specific Associations of Famine Exposure in Early Life with Body Shape Indices Across Two Generations in China.Nutrients · 2026Article
- Associations of general and abdominal adiposity with incident elevated blood pressure among Tianjin adolescents: a school-based longitudinal study.BMC public health · 2026Article
- Comparative evaluation of obesity-related indices for predicting incident hypertension: evidence from Chinese and UK longitudinal cohorts with machine learning interpretation.BMC cardiovascular disorders · 2026Article
- Circadian Syndrome Mediates the Association Between Body Roundness Index and Incident Stroke Risk in Middle-Aged and Older Chinese Adults: A Nationwide Prospective Cohort Study.Behavioural neurology · 2026Article
- Observational
- U-shaped association of body roundness index with all-cause and cardiovascular mortality in individuals with chronic kidney disease.Renal failure · 2025Article
- An optimized anthropometric index-a body shape index-cm-demonstrates superior performance in cardiovascular risk stratification.The Journal of international medical research · 2025Observational
- Evaluating and comparing the predictive ability with hypertension risk among obesity indicators: a prospective cohort integrating Mendelian randomization analysis.Frontiers in nutrition · 2025Article
- Association between A body shape index and bone mineral density in middle-aged and elderly adults: a retrospective analysis of NHANES 2005-2018.Frontiers in endocrinology · 2025Article
- Association between obesity indicators and retinopathy in US adults: NHANES 2005-2008.Frontiers in nutrition · 2025Article
- Effect of high normal body mass index and its trajectory on risk of new-onset hypertension among Chinese adults: a national prospective cohort study.Frontiers in cardiovascular medicine · 2025Article
- Association of novel anthropometric indices with all-cause mortality in hypertensive patients: Evidence from NHANES 2007-2018.The journal of nutrition, health & aging · 2024Article
- Associations between body fat anthropometric indices and mortality among individuals with metabolic syndrome.Lipids in health and disease · 2024Article
- Body roundness index and the risk of hypertension: a prospective cohort study in Southwest China.BMC public health · 2024Article
- Association between a body shape index and female infertility: a cross-sectional study.BMC women's health · 2024Article
- Association of Body Roundness Index and A Body Shape Index with Obstructive Sleep Apnea: insights from NHANES 2015-2018 data.Frontiers in nutrition · 2024Article
- Association between anthropometric indices and hypertension: identifying optimal cutoff points for U.S. adults across different populations.Frontiers in pharmacology · 2024Article
- Additive interactions between obesity and insulin resistance on hypertension in a Chinese rural population.BMC public health · 2023Article
- Relationship between Novel Anthropometric Indices and the Prevalence of Abdominal Aortic Calcification: A Large Cross-Sectional Study.Reviews in cardiovascular medicine · 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
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7 authors at 2 institutions in 1 country.
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Abstract
backgroundRecently, novel anthropometric indices (AHIs), including the body roundness index (BRI) and a body shape index (ABSI), were proposed to evaluate a subject's nutritional status and metabolic disorders. In the present study, we mainly analyzed the relationship between AHIs and the incidence of hypertension and preliminarily compared their abilities to discriminate hypertension incidence in the Chinese population from the China Health and Nutrition Survey (CHNS).
methodsA total of 12,154 participants were included in this longitudinal study. The age range of this cohort was 18-94 years old (mean age: 40.73 ± 13.85 years old). 4511 participants developed hypertension during a median of 7.00 years of follow-up. Cox regression analysis, stratified analysis, and interaction tests were used to analyze the relationship between AHIs and the incidence of hypertension. Time-dependent receiver operating characteristic (ROC) curves, integrated discrimination improvement (IDI) and net reclassification index (NRI) were calculated to appraise the AHIs' discrimination value of new-onset hypertension.
resultsKaplan‒Meier curves demonstrated that the participants in higher quartiles of AHIs (ABSI or BRI) at baseline were at greater risk of hypertension incidence during the follow-up. After adjusting for confounding factors, multivariate Cox regression models showed that the quartiles of BRI were significantly associated with an increased risk of hypertension in the whole cohort but were relatively weak for ABSI quartiles (P for trend = 0.387). In addition, ABSI z score (HR = 1.08, 95% CI: 1.04-1.11) and BRI z score (HR = 1.27, 95% CI: 1.23-1.30) were positively associated with increased incident hypertension in the total population. Stratified analysis and interaction tests showed a greater risk of new-onset hypertension in those < 40 years old (HR = 1.43, 95% CI: 1.35-1.50) for each z score increase in BRI and a higher incidence of hypertension in participants who were drinkers (HR = 1.10, 95% CI: 1.04-1.14) for each z score increase in ABSI. In addition, we observed that the area under the curve for identifying hypertension incidence for BRI was significantly higher than that for ABSI at 4, 7, 11, 12, and 15 years (all P < 0.05). However, the AUC of both indices decreased over time. Furthermore, the addition of BRI improved the differentiation and reclassification of traditional risk factors with a continuous NRI of 0.201 (95% CI: 0.169-0.228) and an IDI of 0.021 (95% CI: 0.015-0.028).
conclusionIncreased ABSI and BRI were associated with an increased risk of hypertension in Chinese individuals. BRI performed better than ABSI in identifying the new onset of hypertension, and the discrimination ability of both indices decreased over time.
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