{"title":"Beyond BMI: The Role of Abdominal Obesity in Hypertension Risk Among Adults Aged 45 Years and Older in India.","authors":"Alok Roy","doi":"10.1177/07334648261497261","DOIUrl":null,"url":null,"abstract":"<p><p>Hypertension is highly prevalent among adults aged 45 years and older in India, yet limited evidence exists on the combined associations of waist circumference (WC) and body mass index (BMI) with hypertension. This study examined their independent and joint associations with hypertension using Wave 1 (2017-18) of the Longitudinal Ageing Study in India (LASI) among 59,658 adults aged 45 years and older. Hypertension was defined as measured blood pressure ≥140/90 mmHg. Multivariable logistic regression assessed associations across combined WC-BMI categories. Overall hypertension prevalence was 31.3%. Individuals with normal BMI but large WC had higher odds of hypertension (adjusted odds ratio [AOR] = 1.37; 95% confidence interval [CI]: 1.19-1.58). Obese individuals with large WC had the highest odds (AOR = 1.77; 95% CI: 1.45-2.17). Both central and general obesity were independently associated with hypertension. Routine WC assessment alongside BMI may improve identification of high-risk individuals in India's middle-aged and older population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261497261"},"PeriodicalIF":2.0000,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Applied Gerontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/07334648261497261","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Hypertension is highly prevalent among adults aged 45 years and older in India, yet limited evidence exists on the combined associations of waist circumference (WC) and body mass index (BMI) with hypertension. This study examined their independent and joint associations with hypertension using Wave 1 (2017-18) of the Longitudinal Ageing Study in India (LASI) among 59,658 adults aged 45 years and older. Hypertension was defined as measured blood pressure ≥140/90 mmHg. Multivariable logistic regression assessed associations across combined WC-BMI categories. Overall hypertension prevalence was 31.3%. Individuals with normal BMI but large WC had higher odds of hypertension (adjusted odds ratio [AOR] = 1.37; 95% confidence interval [CI]: 1.19-1.58). Obese individuals with large WC had the highest odds (AOR = 1.77; 95% CI: 1.45-2.17). Both central and general obesity were independently associated with hypertension. Routine WC assessment alongside BMI may improve identification of high-risk individuals in India's middle-aged and older population.
期刊介绍：
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
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