Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan
Abstract Hypertension is known to be related to obesity and both are the major factors for cardiovascular diseases. The relationship between body composition and blood pressure (BP) are discussed recently. Our study aims to evaluate the association between waist circumference (WC) and appendicular m...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-02-01
|
| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14429 |
| _version_ | 1797645147043790848 |
|---|---|
| author | Chun‐Yung Chang Chih‐Chun Kuo Ming‐Hsun Lin Der‐Min Wu Chieh‐Hua Lu Nain‐Feng Chu |
| author_facet | Chun‐Yung Chang Chih‐Chun Kuo Ming‐Hsun Lin Der‐Min Wu Chieh‐Hua Lu Nain‐Feng Chu |
| author_sort | Chun‐Yung Chang |
| collection | DOAJ |
| description | Abstract Hypertension is known to be related to obesity and both are the major factors for cardiovascular diseases. The relationship between body composition and blood pressure (BP) are discussed recently. Our study aims to evaluate the association between waist circumference (WC) and appendicular muscle mass (AMM) in relation to BP among the community‐dwelling elderly population. Total 3739 patients (1600 males and 2139 females) were recruited in a series of community‐based surveys that were conducted among the elderly population in Taiwan from 2017 to 2019. We collected data on anthropometric characteristics, handgrip strength, and BP using standard methods. AMM was calculated with an equation. History of chronic disease and lifestyle profiles were collected using questionnaires. The group with high AMM to body weight ratio (AMMW) showed lower systolic BP (SBP) (136.8 ± 19.1 to 140.6 ± 17.0 for males; 137.8 ± 18.3 to 142.7 ± 17.5 for females, both P < .001). Among central obese persons those with higher AMMW ratio had lower SBP. In the final model, AMMW in percentage is negatively associated to SBP (β = −0.641 in male, −0.780 in female, both P < .01). In other words, every 10% increase in AMMW is associated with decrease of SBP 6.41 mmHg in male and 7.80 mmHg in female. Obesity and central obesity were positively associated with BP. The AMMW ratio was negatively associated with HTN and with a protective effect on BP even among the central obese. Health promotion programs to increase physical training may prevent hypertension among the elderly in Taiwan. |
| first_indexed | 2024-03-11T14:43:07Z |
| format | Article |
| id | doaj.art-2baa3ddefda24a2dbe3eba23a7ef63a7 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:07Z |
| publishDate | 2022-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-2baa3ddefda24a2dbe3eba23a7ef63a72023-10-30T13:26:35ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-02-0124218419010.1111/jch.14429Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in TaiwanChun‐Yung Chang0Chih‐Chun Kuo1Ming‐Hsun Lin2Der‐Min Wu3Chieh‐Hua Lu4Nain‐Feng Chu5Department of Internal Medicine Kaohsiung Armed Forces General Hospital Kaohsiung Taiwan ROCDepartment of Internal Medicine TaoYuan Armed Forces General Hospital TaoYuan Taiwan ROCDivision of Endocrinology and Metabolism, Department of Internal Medicine, Tri‐Service General Hospital National Defense Medical Center Taipei TaiwanSchool of Public Health National Defense Medical Center Taipei Taiwan ROCDivision of Endocrinology and Metabolism, Department of Internal Medicine, Tri‐Service General Hospital National Defense Medical Center Taipei TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Tri‐Service General Hospital National Defense Medical Center Taipei TaiwanAbstract Hypertension is known to be related to obesity and both are the major factors for cardiovascular diseases. The relationship between body composition and blood pressure (BP) are discussed recently. Our study aims to evaluate the association between waist circumference (WC) and appendicular muscle mass (AMM) in relation to BP among the community‐dwelling elderly population. Total 3739 patients (1600 males and 2139 females) were recruited in a series of community‐based surveys that were conducted among the elderly population in Taiwan from 2017 to 2019. We collected data on anthropometric characteristics, handgrip strength, and BP using standard methods. AMM was calculated with an equation. History of chronic disease and lifestyle profiles were collected using questionnaires. The group with high AMM to body weight ratio (AMMW) showed lower systolic BP (SBP) (136.8 ± 19.1 to 140.6 ± 17.0 for males; 137.8 ± 18.3 to 142.7 ± 17.5 for females, both P < .001). Among central obese persons those with higher AMMW ratio had lower SBP. In the final model, AMMW in percentage is negatively associated to SBP (β = −0.641 in male, −0.780 in female, both P < .01). In other words, every 10% increase in AMMW is associated with decrease of SBP 6.41 mmHg in male and 7.80 mmHg in female. Obesity and central obesity were positively associated with BP. The AMMW ratio was negatively associated with HTN and with a protective effect on BP even among the central obese. Health promotion programs to increase physical training may prevent hypertension among the elderly in Taiwan.https://doi.org/10.1111/jch.14429appendicular muscle mass ratioblood pressureelderlyobesitywaist circumference |
| spellingShingle | Chun‐Yung Chang Chih‐Chun Kuo Ming‐Hsun Lin Der‐Min Wu Chieh‐Hua Lu Nain‐Feng Chu Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan The Journal of Clinical Hypertension appendicular muscle mass ratio blood pressure elderly obesity waist circumference |
| title | Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan |
| title_full | Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan |
| title_fullStr | Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan |
| title_full_unstemmed | Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan |
| title_short | Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community‐dwelling elderly population in Taiwan |
| title_sort | obesity waist circumference and appendicular muscle mass ratio in relation to blood pressure among the community dwelling elderly population in taiwan |
| topic | appendicular muscle mass ratio blood pressure elderly obesity waist circumference |
| url | https://doi.org/10.1111/jch.14429 |
| work_keys_str_mv | AT chunyungchang obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan AT chihchunkuo obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan AT minghsunlin obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan AT derminwu obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan AT chiehhualu obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan AT nainfengchu obesitywaistcircumferenceandappendicularmusclemassratioinrelationtobloodpressureamongthecommunitydwellingelderlypopulationintaiwan |