Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia

Background: The disease burden of indigenous peoples has been augmented by the rising prevalence of obesity and hypertension in this population. This study assessed the ability of obesity indices to predict hypertension among indigenous adults of Peninsular Malaysia. Methods: In this cross-sectional...

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Main Authors: Mohd Shariff, Zalilah, Sulaiman, Norhasmah, Appannah, Geeta
Format: Article
Language:English
Published: BioMed Central 2017
Online Access:http://psasir.upm.edu.my/id/eprint/62561/
http://psasir.upm.edu.my/id/eprint/62561/1/OBES.pdf
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author Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Appannah, Geeta
author_facet Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Appannah, Geeta
author_sort Mohd Shariff, Zalilah
building UPM Institutional Repository
collection Online Access
description Background: The disease burden of indigenous peoples has been augmented by the rising prevalence of obesity and hypertension in this population. This study assessed the ability of obesity indices to predict hypertension among indigenous adults of Peninsular Malaysia. Methods: In this cross-sectional study, 482 adults (223 men, 259 women) aged ≥18 years old were measured for body mass index (BMI), waist circumference (WC), waist-height ratio (WHtR), waist-hip ratio (WHR), and blood pressure. Receiver operating characteristic (ROC) analysis was used to determine the predictive ability of obesity indices for hypertension in men and women. Gender-specific logistic regression analyses were done to examine the association between obesity, defined by BMI, WC, WHtR and WHR, and hypertension. Results: Prevalence of hypertension was 25.5%. Overall, WHtR was the best predictor of the presence of hypertension, in both men and women. The optimal WHtR cut-off values for hypertension were 0.45 and 0.52 in men and women, respectively. Obese adults with WHtR ≥0.5 had about two times increased odds of having hypertension compared to non-obese adults. Conclusions: WHtR may serve as a simple and inexpensive screening tool to identify individuals with hypertension in this relatively difficult to reach population.
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spelling upm-625612021-01-26T19:15:36Z http://psasir.upm.edu.my/id/eprint/62561/ Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia Mohd Shariff, Zalilah Sulaiman, Norhasmah Appannah, Geeta Background: The disease burden of indigenous peoples has been augmented by the rising prevalence of obesity and hypertension in this population. This study assessed the ability of obesity indices to predict hypertension among indigenous adults of Peninsular Malaysia. Methods: In this cross-sectional study, 482 adults (223 men, 259 women) aged ≥18 years old were measured for body mass index (BMI), waist circumference (WC), waist-height ratio (WHtR), waist-hip ratio (WHR), and blood pressure. Receiver operating characteristic (ROC) analysis was used to determine the predictive ability of obesity indices for hypertension in men and women. Gender-specific logistic regression analyses were done to examine the association between obesity, defined by BMI, WC, WHtR and WHR, and hypertension. Results: Prevalence of hypertension was 25.5%. Overall, WHtR was the best predictor of the presence of hypertension, in both men and women. The optimal WHtR cut-off values for hypertension were 0.45 and 0.52 in men and women, respectively. Obese adults with WHtR ≥0.5 had about two times increased odds of having hypertension compared to non-obese adults. Conclusions: WHtR may serve as a simple and inexpensive screening tool to identify individuals with hypertension in this relatively difficult to reach population. BioMed Central 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/62561/1/OBES.pdf Mohd Shariff, Zalilah and Sulaiman, Norhasmah and Appannah, Geeta (2017) Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia. Journal of Health, Population and Nutrition, 36 (24). pp. 1-7. ISSN 1606-0997 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5445453/pdf/41043_2017_Article_102.pdf 10.1186/s41043-017-0102-4
spellingShingle Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Appannah, Geeta
Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title_full Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title_fullStr Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title_full_unstemmed Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title_short Obesity indices predict hypertension among indigenous adults in Krau Wildlife Reserve, Peninsular Malaysia
title_sort obesity indices predict hypertension among indigenous adults in krau wildlife reserve, peninsular malaysia
url http://psasir.upm.edu.my/id/eprint/62561/
http://psasir.upm.edu.my/id/eprint/62561/
http://psasir.upm.edu.my/id/eprint/62561/
http://psasir.upm.edu.my/id/eprint/62561/1/OBES.pdf