The Value of Four Anthropometric Indicators for Identifying Left Ventricular Hypertrophy in Chinese Hypertensive Patients

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Journal of Hypertension Pub Date : 2022-05-17 DOI:10.1155/2022/6842825

Bo-kai Cheng, Nan Lu, Ge Song, Jiaojiao Qiu, Jing Dong, Shuang Cai, Yongkang Su, Jin Sun, An-hang Zhang, Qiligeer Bao, Manxiang Li, Shouyuan Ma, Yan Zhang, P. Zhu, Shuxia Wang

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引用次数: 1

Abstract

Left ventricular hypertrophy (LVH) has been classified separately as an independent risk factor for hypertension. However, comparisons between different body size indices and left ventricular hypertrophy (LVH) in hypertensive populations have not been reported yet. In this study, we enrolled 4,639 hypertensive patients from rural China. Anthropometric indices and cardiovascular disease risk factor variables were measured and analyzed using Spearman's correlation, logistic regression, and receiver operating characteristic (ROC) curve analyses. Patients in the highest quartile of body size indices were more likely to have left ventricular hypertrophy than those in the lowest quartile; these indices were BMI (adjusted OR: 3.55, 95% CI: 2.90; 4.35), WC (adjusted OR: 2.23, 95% CI: 1.84; 2.70), WHR (adjusted OR: 1.44, 95% CI: 1.18; 1.75), and WHtR (adjusted OR: 3.23, 95% CI: 2.62; 3.99). The areas under the ROC curves of BMI (AUC: 0.628, 95% CI: 0.612; 0.644), WHtR (AUC: 0.628, 95% CI: 0.560; 0.593), WHR (AUC: 0.530, 95% CI: 0.513; 0.547), and WC (AUC: 0.576, 95% CI: 0.513; 0.547) were all above 0.5, which indicated that the four anthropometric indicators may be associated with LVH. The four anthropometric indicators of obesity were identified as risk factors for LVH. Weight control might help reduce the risk of left ventricular hypertrophy.

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四项人体测量指标对中国高血压患者左心室肥厚的鉴别价值

左心室肥厚(LVH)已被单独列为高血压的独立危险因素。然而，不同体型指数与高血压人群左室肥厚(LVH)的比较研究尚未见报道。在这项研究中，我们招募了4639名来自中国农村的高血压患者。采用Spearman相关、logistic回归和受试者工作特征(ROC)曲线分析对人体测量指标和心血管疾病危险因素变量进行测量和分析。体型指数最高四分位数的患者比最低四分位数的患者更容易发生左室肥厚;BMI(校正OR: 3.55, 95% CI: 2.90;4.35)， WC(校正OR: 2.23, 95% CI: 1.84;2.70)， WHR(调整OR: 1.44, 95% CI: 1.18;1.75)和WHtR(校正OR: 3.23, 95% CI: 2.62;3.99)。BMI ROC曲线下面积(AUC: 0.628, 95% CI: 0.612;0.644)， WHtR (AUC: 0.628, 95% CI: 0.560;0.593)， WHR (auc: 0.530, 95% ci: 0.513;0.547)， WC (AUC: 0.576, 95% CI: 0.513;0.547)均大于0.5，说明4项人体测量指标可能与LVH相关。肥胖的四项人体测量指标被确定为LVH的危险因素。控制体重可能有助于降低左心室肥厚的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.