- Book学术

发布求助

文献互助智能选刊最新文献

IF 3.5 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

BMC Public Health Pub Date : 2025-01-14 DOI:10.1186/s12889-025-21276-8

Imad R Musa, Osman E Osman, Ahmed M Khair, Ishag Adam

{"title":"The accuracy of anthropometric indices in detecting hypertension in Sudanese adults: a cross-sectional study.","authors":"Imad R Musa, Osman E Osman, Ahmed M Khair, Ishag Adam","doi":"10.1186/s12889-025-21276-8","DOIUrl":null,"url":null,"abstract":"Background: Hypertension is an increasing health problem; hence, efforts have been made to promote the disease's early detection and modify prognoses. We aim to evaluate the accuracy of body mass index (BMI), waist circumference (WC), and waist-height ratio (WHtR) in detecting hypertension among adults in Northern Sudan.Methods: Adults were recruited for a multi-stage sampling survey in Northern Sudan. Sociodemographic and anthropometric index (BMI, WC, and WHtR) information were collected. A receiver operating characteristic (ROC) curve with its area under the curve (AUC) was obtained, and a multivariate binary analysis was performed.Results: Of the 301 included adults, 113 (37.5%) were females and 188 (62.5%) were males. The median (interquartile range, IQR) age was 45.0 (32.0‒59.0) years. The median (IQR) of BMI, WC, and WHtR was 25.6 (21.9‒29.7) kg/m2, 83.0 (73.0‒94.8) cm, and 0.51 (0.43‒0.58), respectively; these values were significantly higher in adults with hypertension compared with adults without hypertension. A total of 166 (55.1%) adults had hypertension. BMI (AUC = 0.69 at the cutoff 22.5 kg/m2, sensitivity = 0.89, specificity = 0.53, YI = 0.35) and WHtR for both males and females (AUC = 0.68 at the cutoff 0.48, sensitivity = 0.75, specificity = 0.60, YI = 0.35) were more accurate than WC (AUC = 0.66 at the cutoff 77.5 cm, sensitivity = 0. 77, specificity = 0.56, YI = 0.33). The multivariate binary analysis revealed that being female (adjusted odds ratio [AOR] = 2.23, 95.0% CI = 1.25‒3.97), having increased age (AOR = 1.04, 95% CI = 1.02‒1.05), and having a higher BMI (AOR = 1.10, 95% CI = 1.04‒1.16) were associated with hypertension.Conclusion: BMI, WC, and WHtR showed moderate predictive power, suggesting that these indices have a limited role in diagnosing hypertension at the individual level and are more appropriate for population screening than for individual diagnosis. BMI performs better than WC in terms of hypertension detection.","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"142"},"PeriodicalIF":3.5000,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12889-025-21276-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

背景：高血压是一个日益严重的健康问题；因此，人们一直在努力促进该疾病的早期发现并改变预后。我们的目的是评估体质指数（BMI）、腰围（WC）和腰高比（WHTR）在检测苏丹北部成年人高血压方面的准确性：方法：在苏丹北部招募成年人进行多阶段抽样调查。收集了社会人口学和人体测量指数（体重指数、腰围和身高比）信息。研究人员绘制了接收者操作特征曲线（ROC）及其曲线下面积（AUC），并进行了多变量二元分析：在纳入的 301 名成人中，113 名（37.5%）为女性，188 名（62.5%）为男性。年龄中位数（四分位数间距，IQR）为 45.0（32.0-59.0）岁。BMI、WC 和 WHtR 的中位数（IQR）分别为 25.6 (21.9-29.7) kg/m2、83.0 (73.0-94.8) cm 和 0.51 (0.43-0.58)；与无高血压的成年人相比，有高血压的成年人的这些数值明显更高。共有 166 名（55.1%）成年人患有高血压。男性和女性的体重指数（以 22.5 kg/m2 为临界值，AUC = 0.69，灵敏度 = 0.89，特异性 = 0.53，YI = 0.35）和 WHtR（以 0.48 为临界值，AUC = 0.68，灵敏度 = 0.75，特异性 = 0.60，YI = 0.35）比体重指数（以 77.5 cm 为临界值，AUC = 0.66，灵敏度 = 0.77，特异性 = 0.56，YI = 0.33）更准确。多变量二元分析显示，女性（调整赔率 [AOR] = 2.23，95.0% CI = 1.25-3.97）、年龄增加（AOR = 1.04，95% CI = 1.02-1.05）和体重指数较高（AOR = 1.10，95% CI = 1.04-1.16）与高血压有关：结论：BMI、WC 和 WHtR 显示出中等程度的预测能力，表明这些指数在个人高血压诊断中的作用有限，更适合用于人群筛查而非个人诊断。在高血压检测方面，BMI 的表现优于 WC。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The accuracy of anthropometric indices in detecting hypertension in Sudanese adults: a cross-sectional study.

Background: Hypertension is an increasing health problem; hence, efforts have been made to promote the disease's early detection and modify prognoses. We aim to evaluate the accuracy of body mass index (BMI), waist circumference (WC), and waist-height ratio (WHtR) in detecting hypertension among adults in Northern Sudan.

Methods: Adults were recruited for a multi-stage sampling survey in Northern Sudan. Sociodemographic and anthropometric index (BMI, WC, and WHtR) information were collected. A receiver operating characteristic (ROC) curve with its area under the curve (AUC) was obtained, and a multivariate binary analysis was performed.

Results: Of the 301 included adults, 113 (37.5%) were females and 188 (62.5%) were males. The median (interquartile range, IQR) age was 45.0 (32.0‒59.0) years. The median (IQR) of BMI, WC, and WHtR was 25.6 (21.9‒29.7) kg/m², 83.0 (73.0‒94.8) cm, and 0.51 (0.43‒0.58), respectively; these values were significantly higher in adults with hypertension compared with adults without hypertension. A total of 166 (55.1%) adults had hypertension. BMI (AUC = 0.69 at the cutoff 22.5 kg/m², sensitivity = 0.89, specificity = 0.53, YI = 0.35) and WHtR for both males and females (AUC = 0.68 at the cutoff 0.48, sensitivity = 0.75, specificity = 0.60, YI = 0.35) were more accurate than WC (AUC = 0.66 at the cutoff 77.5 cm, sensitivity = 0. 77, specificity = 0.56, YI = 0.33). The multivariate binary analysis revealed that being female (adjusted odds ratio [AOR] = 2.23, 95.0% CI = 1.25‒3.97), having increased age (AOR = 1.04, 95% CI = 1.02‒1.05), and having a higher BMI (AOR = 1.10, 95% CI = 1.04‒1.16) were associated with hypertension.

Conclusion: BMI, WC, and WHtR showed moderate predictive power, suggesting that these indices have a limited role in diagnosing hypertension at the individual level and are more appropriate for population screening than for individual diagnosis. BMI performs better than WC in terms of hypertension detection.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

BMC Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

4.40%

发文量

2108

审稿时长

1 months

期刊介绍： BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.