Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study
Objective To compare the performance of different anthropometric indices including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and a body shape index to predict high blood pressure (BP) in adolescents using the 90th and 95th percentiles as two different thresholds....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/88222/1/ABSTRACT.pdf |
| _version_ | 1825952466131222528 |
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| author | Tee, Joyce Tee Ying Gan, Wan Ying Lim, Poh Ying |
| author_facet | Tee, Joyce Tee Ying Gan, Wan Ying Lim, Poh Ying |
| author_sort | Tee, Joyce Tee Ying |
| collection | UPM |
| description | Objective To compare the performance of different anthropometric indices including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and a body shape index to predict high blood pressure (BP) in adolescents using the 90th and 95th percentiles as two different thresholds. Design Cross-sectional study. Setting Probability proportionate to size was used to randomly select two schools in Selangor state, Malaysia. Participants A total of 513 adolescents (58.9% women and 41.1% men) aged 12–16 years were recruited. Primary and secondary outcome measures Weight, height, WC and BP of the adolescents were measured. The predictive power of anthropometric indices was analysed by sex using the receiver operating characteristic curve.
Results BMI and WHtR were the indices with higher areas under the curve (AUCs), yet the optimal cut-offs to predict high BP using the 95th percentile were higher than the threshold for overweight/obesity. Most indices showed poor sensitivity under the suggested cut-offs. In contrast, the optimal BMI and WHtR cut-offs to predict high BP using the 90th percentile were lower (men: BMI-for-age=0.79, WHtR=0.46; women: BMI-for-age=0.92, WHtR=0.45). BMI showed the highest AUC in both sexes but had poor sensitivity among women. WHtR presented good sensitivity and specificity in both sexes. Conclusions These findings suggested that WHtR might be a useful indicator for screening high blood pressure risk in the routine primary-level health services for adolescents. Future studies are warranted to involve a larger sample size to confirm these findings. |
| first_indexed | 2024-03-06T10:45:03Z |
| format | Article |
| id | upm.eprints-88222 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:45:03Z |
| publishDate | 2020 |
| publisher | BMJ Publishing |
| record_format | dspace |
| spelling | upm.eprints-882222022-03-10T05:16:08Z http://psasir.upm.edu.my/id/eprint/88222/ Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study Tee, Joyce Tee Ying Gan, Wan Ying Lim, Poh Ying Objective To compare the performance of different anthropometric indices including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and a body shape index to predict high blood pressure (BP) in adolescents using the 90th and 95th percentiles as two different thresholds. Design Cross-sectional study. Setting Probability proportionate to size was used to randomly select two schools in Selangor state, Malaysia. Participants A total of 513 adolescents (58.9% women and 41.1% men) aged 12–16 years were recruited. Primary and secondary outcome measures Weight, height, WC and BP of the adolescents were measured. The predictive power of anthropometric indices was analysed by sex using the receiver operating characteristic curve. Results BMI and WHtR were the indices with higher areas under the curve (AUCs), yet the optimal cut-offs to predict high BP using the 95th percentile were higher than the threshold for overweight/obesity. Most indices showed poor sensitivity under the suggested cut-offs. In contrast, the optimal BMI and WHtR cut-offs to predict high BP using the 90th percentile were lower (men: BMI-for-age=0.79, WHtR=0.46; women: BMI-for-age=0.92, WHtR=0.45). BMI showed the highest AUC in both sexes but had poor sensitivity among women. WHtR presented good sensitivity and specificity in both sexes. Conclusions These findings suggested that WHtR might be a useful indicator for screening high blood pressure risk in the routine primary-level health services for adolescents. Future studies are warranted to involve a larger sample size to confirm these findings. BMJ Publishing 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88222/1/ABSTRACT.pdf Tee, Joyce Tee Ying and Gan, Wan Ying and Lim, Poh Ying (2020) Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study. BMJ Open, 10 (1). pp. 1-9. ISSN 2044-6055 https://bmjopen.bmj.com/content/10/1/e032874 10.1136/bmjopen-2019-032874 |
| spellingShingle | Tee, Joyce Tee Ying Gan, Wan Ying Lim, Poh Ying Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title | Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title_full | Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title_fullStr | Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title_full_unstemmed | Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title_short | Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study |
| title_sort | comparisons of body mass index waist circumference waist to height ratio and a body shape index absi in predicting high blood pressure among malaysian adolescents a cross sectional study |
| url | http://psasir.upm.edu.my/id/eprint/88222/1/ABSTRACT.pdf |
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