Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population

Background: Obesity is linked to an unhealthy diet and lack of exercise, elevating the risk of hypertension. Elevated blood pressure and a higher risk of hypertension are linked to an increased BMI. Lifestyle changes in adults, like inactivity and poor diet, contribute to the rise in cardiovascular...

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Main Authors: Kanyakumari DH, Rudramurthy KG, Suresh U Kadli, Harish Rangareddy
Format: Article
Language:English
Published: National Board of Examinations 2024-04-01
Series:National Board of Examinations Journal of Medical Sciences
Subjects:
Online Access:https://natboard.edu.in/ejournal/articledtl?x=cm1IaG0zaE1NcWNhVmJWekFBRURXdz09
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author Kanyakumari DH
Rudramurthy KG
Suresh U Kadli
Harish Rangareddy
author_facet Kanyakumari DH
Rudramurthy KG
Suresh U Kadli
Harish Rangareddy
author_sort Kanyakumari DH
collection DOAJ
description Background: Obesity is linked to an unhealthy diet and lack of exercise, elevating the risk of hypertension. Elevated blood pressure and a higher risk of hypertension are linked to an increased BMI. Lifestyle changes in adults, like inactivity and poor diet, contribute to the rise in cardiovascular diseases among younger people. Objectives: This study aimed to evaluate the relationship in a young adult population between Mean Arterial Pressure (MAP) and Body Mass Index (BMI), Relative Fat Mass (RFM), Waist-to-Hip Ratio (WH ratio), and Waist-to-Height ratio (WHtR). Additionally, the study objective was to determine the predictive value of BMI and RFM for hypertension in young adults. Methods: Participants were selected using opportunistic sampling of medical students presenting for the Physiology practical as a representative sample of young adults in this cross-sectional study. The anthropometric measurements of BMI, RFM, WH ratio, and WHtR were measured and compared between subjects with MAP≤90 mmHg and MAP>90 mmHg. Results: The chi-square test revealed a strong association between obesity and elevated mean arterial pressure (>90 mmHg). Employing a BMI cut-off (>25kg/m2) demonstrated 67.74% sensitivity and 77.78% specificity for hypertension detection, while RFM (cut-off 36.6) exhibited 52.17% sensitivity and 64.52% specificity. There was a significant positive correlation of BMI with MAP (r = 0.408, p < 0.001) and a significant difference between groups (p < 0.001). Conclusion: The effectiveness of BMI and WHtR in our study underscore the significance of multiple anthropometric indices for comprehensive obesity and cardiovascular risk assessment. Future prospective studies play a crucial role in uncovering the clinical importance of modern anthropometric measurements and biomarkers, providing valuable information to improve tools for assessing obesity and accurately representing public health.
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spelling doaj.art-5b11c445ba61483d91508409c50eaeea2024-03-31T10:21:48ZengNational Board of ExaminationsNational Board of Examinations Journal of Medical Sciences2583-75242024-04-01Volume 2438939910.61770/NBEJMS.2024.v02.i04.011Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative PopulationKanyakumari DH0Rudramurthy KG1Suresh U Kadli2Harish Rangareddy3Associate professor, Department of Physiology, Haveri Institute of Medical Sciences, Devagiri- Yallapura, Haveri-581110Associate professor, Department of Microbiology, Haveri Institute of Medical Sciences, Devagiri- Yallapura, Haveri-581110Associate professor, Department of General Surgery, Haveri Institute of Medical Sciences, Devagiri- Yallapura, Haveri-581110Assistant Professor, Department of Biochemistry, Haveri Institute of Medical Sciences, Devagiri- Yallapura, Haveri-581110Background: Obesity is linked to an unhealthy diet and lack of exercise, elevating the risk of hypertension. Elevated blood pressure and a higher risk of hypertension are linked to an increased BMI. Lifestyle changes in adults, like inactivity and poor diet, contribute to the rise in cardiovascular diseases among younger people. Objectives: This study aimed to evaluate the relationship in a young adult population between Mean Arterial Pressure (MAP) and Body Mass Index (BMI), Relative Fat Mass (RFM), Waist-to-Hip Ratio (WH ratio), and Waist-to-Height ratio (WHtR). Additionally, the study objective was to determine the predictive value of BMI and RFM for hypertension in young adults. Methods: Participants were selected using opportunistic sampling of medical students presenting for the Physiology practical as a representative sample of young adults in this cross-sectional study. The anthropometric measurements of BMI, RFM, WH ratio, and WHtR were measured and compared between subjects with MAP≤90 mmHg and MAP>90 mmHg. Results: The chi-square test revealed a strong association between obesity and elevated mean arterial pressure (>90 mmHg). Employing a BMI cut-off (>25kg/m2) demonstrated 67.74% sensitivity and 77.78% specificity for hypertension detection, while RFM (cut-off 36.6) exhibited 52.17% sensitivity and 64.52% specificity. There was a significant positive correlation of BMI with MAP (r = 0.408, p < 0.001) and a significant difference between groups (p < 0.001). Conclusion: The effectiveness of BMI and WHtR in our study underscore the significance of multiple anthropometric indices for comprehensive obesity and cardiovascular risk assessment. Future prospective studies play a crucial role in uncovering the clinical importance of modern anthropometric measurements and biomarkers, providing valuable information to improve tools for assessing obesity and accurately representing public health. https://natboard.edu.in/ejournal/articledtl?x=cm1IaG0zaE1NcWNhVmJWekFBRURXdz09waist-hip ratiowaist-to-height ratiobody mass indexhypertension
spellingShingle Kanyakumari DH
Rudramurthy KG
Suresh U Kadli
Harish Rangareddy
Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
National Board of Examinations Journal of Medical Sciences
waist-hip ratio
waist-to-height ratio
body mass index
hypertension
title Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
title_full Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
title_fullStr Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
title_full_unstemmed Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
title_short Anthropometric Measures for Predicting the Risk of Hypertension in Young Adults: Insights from a Representative Population
title_sort anthropometric measures for predicting the risk of hypertension in young adults insights from a representative population
topic waist-hip ratio
waist-to-height ratio
body mass index
hypertension
url https://natboard.edu.in/ejournal/articledtl?x=cm1IaG0zaE1NcWNhVmJWekFBRURXdz09
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AT sureshukadli anthropometricmeasuresforpredictingtheriskofhypertensioninyoungadultsinsightsfromarepresentativepopulation
AT harishrangareddy anthropometricmeasuresforpredictingtheriskofhypertensioninyoungadultsinsightsfromarepresentativepopulation