Comparison of Several Adiposity Indexes in Predicting Hypertension among Chinese Adults: Data from China Nutrition and Health Surveillance (2015-2017)

The current study is to explore the association of the Chinese visceral adiposity index (CVAI) with hypertension, and to compare the predictive power of different adiposity indexes regarding hypertension among Chinese adults aged over 45 years. A total of 99,201 participants aged over 45 years from...

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Bibliographic Details
Published in:Nutrients 2023-04, Vol.15 (9), p.2146
Main Authors: Li, Yuge, Yu, Dongmei, Yang, Yuxiang, Cheng, Xue, Piao, Wei, Guo, Qiya, Xu, Xiaoli, Zhao, Liyun, Wang, Yuying
Format: Article
Language:English
Subjects:
Accuracy
Adipose tissue
Adipose tissues
Adiposity
adiposity index
Adults
Alcohol use
Blood pressure
Body fat
Body mass index
China - epidemiology
Chinese adult
Cholesterol
Comparative analysis
Diabetes
Diet therapy
East Asian People
Families & family life
Family medical history
Female
Health surveillance
High density lipoprotein
Humans
Hypertension
Hypertension - epidemiology
Laboratories
Lipoproteins
Male
Metabolism
Middle age
Middle Aged
Multivariate analysis
Nutrition
nutrition surveillance
Obesity - epidemiology
Regression analysis
Software
Statistical analysis
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Summary:The current study is to explore the association of the Chinese visceral adiposity index (CVAI) with hypertension, and to compare the predictive power of different adiposity indexes regarding hypertension among Chinese adults aged over 45 years. A total of 99,201 participants aged over 45 years from the China Nutrition and Health Surveillance 2015-2017 were included in this study. Multivariate adjusted logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI) of hypertension. Multivariate adjusted restricted cubic spline analyses were applied to explore the association of adiposity indexes with hypertension. Receiver operating characteristic (ROC) analyses were used to compare the predictive powers of different adiposity indexes of hypertension. All eight adiposity indexes included in this study were positively associated with hypertension. Compared with those in the lowest quartile of the CVAI, the participants in the highest quartile showed a significantly higher risk of hypertension (OR = 3.70, 95% CI = 3.54-3.86) after multiple adjustments. The ROC analyses suggested that the CVAI was the strongest predictor of hypertension compared to other adiposity indexes in both genders. The findings supported that the CVAI could serve as a reliable and cost-effective method for early identifying hypertension risk.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu15092146