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Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese

BACKGROUND: This study aimed to assess the relationship of a new anthropometric index with left ventricular hypertrophy (LVH) in hypertensive patients among the Han Chinese. METHODS: The study is a community-based cross-sectional study that included 4639 patients with hypertension and integrated cli...

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Autores principales: Cai, Shuang, Dong, Jing, Cheng, Bokai, Zhang, Anhang, Sun, Jin, Li, Man, Su, Yongkang, Bao, Qiligeer, Zhu, Ping, Wang, Shuxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8793153/
https://www.ncbi.nlm.nih.gov/pubmed/35081909
http://dx.doi.org/10.1186/s12872-022-02463-6
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author Cai, Shuang
Dong, Jing
Cheng, Bokai
Zhang, Anhang
Sun, Jin
Li, Man
Su, Yongkang
Bao, Qiligeer
Zhu, Ping
Wang, Shuxia
author_facet Cai, Shuang
Dong, Jing
Cheng, Bokai
Zhang, Anhang
Sun, Jin
Li, Man
Su, Yongkang
Bao, Qiligeer
Zhu, Ping
Wang, Shuxia
author_sort Cai, Shuang
collection PubMed
description BACKGROUND: This study aimed to assess the relationship of a new anthropometric index with left ventricular hypertrophy (LVH) in hypertensive patients among the Han Chinese. METHODS: The study is a community-based cross-sectional study that included 4639 patients with hypertension and integrated clinical and echocardiographic data. Left ventricular (LV) mass was measured by transthoracic echocardiography. LVH was diagnosed by using the criteria of left ventricular mass indexed (LVMI) over 49.2 g/m(2.7) for men and 46.7 g/m(2.7) for women. Quartiles of a body shape index (ABSI), body roundness index (BRI), waist circumference (WC), and body mass index (BMI) were used regarding LVH prevalence. The logistic regression model was used to determine the odds ratio (OR) and 95% confidence intervals (CI) of the new anthropometric index and LVH. Receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive ability of the obesity indices for LVH risk. RESULTS: The prevalence of LVH increased across quartiles for ABSI, BRI, BMI, and WC. Comparing the lowest with the highest quartile, adjusted OR (95% CI) for LVH were significantly different for BRI 3.86 (3.12–4.77), BMI 3.54 (2.90–4.31), and WC 2.29 (1.88–2.78). No association was observed for ABSI. According to ROC analysis, the area under the curve (AUC) of BRI was (AUC: 0.653, 95% CI 0.637–0.669), BMI (AUC: 0.628, 95% CI 0.612–0.644), WC (AUC: 0.576, 95% CI 0.559–0.593), ABSI (AUC: 0.499, 95% CI 0.482–0.516). CONCLUSIONS: This study shows that LVH prevalence increased per quartile across the Han Chinese population with hypertension for ABSI, BRI, BMI, and WC. There is a significant association between BRI and LVH in hypertensive people, while ABSI was not. BRI showed potential for use as an alternative obesity measure in the assessment of LVH.
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spelling pubmed-87931532022-02-03 Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese Cai, Shuang Dong, Jing Cheng, Bokai Zhang, Anhang Sun, Jin Li, Man Su, Yongkang Bao, Qiligeer Zhu, Ping Wang, Shuxia BMC Cardiovasc Disord Research BACKGROUND: This study aimed to assess the relationship of a new anthropometric index with left ventricular hypertrophy (LVH) in hypertensive patients among the Han Chinese. METHODS: The study is a community-based cross-sectional study that included 4639 patients with hypertension and integrated clinical and echocardiographic data. Left ventricular (LV) mass was measured by transthoracic echocardiography. LVH was diagnosed by using the criteria of left ventricular mass indexed (LVMI) over 49.2 g/m(2.7) for men and 46.7 g/m(2.7) for women. Quartiles of a body shape index (ABSI), body roundness index (BRI), waist circumference (WC), and body mass index (BMI) were used regarding LVH prevalence. The logistic regression model was used to determine the odds ratio (OR) and 95% confidence intervals (CI) of the new anthropometric index and LVH. Receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive ability of the obesity indices for LVH risk. RESULTS: The prevalence of LVH increased across quartiles for ABSI, BRI, BMI, and WC. Comparing the lowest with the highest quartile, adjusted OR (95% CI) for LVH were significantly different for BRI 3.86 (3.12–4.77), BMI 3.54 (2.90–4.31), and WC 2.29 (1.88–2.78). No association was observed for ABSI. According to ROC analysis, the area under the curve (AUC) of BRI was (AUC: 0.653, 95% CI 0.637–0.669), BMI (AUC: 0.628, 95% CI 0.612–0.644), WC (AUC: 0.576, 95% CI 0.559–0.593), ABSI (AUC: 0.499, 95% CI 0.482–0.516). CONCLUSIONS: This study shows that LVH prevalence increased per quartile across the Han Chinese population with hypertension for ABSI, BRI, BMI, and WC. There is a significant association between BRI and LVH in hypertensive people, while ABSI was not. BRI showed potential for use as an alternative obesity measure in the assessment of LVH. BioMed Central 2022-01-26 /pmc/articles/PMC8793153/ /pubmed/35081909 http://dx.doi.org/10.1186/s12872-022-02463-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cai, Shuang
Dong, Jing
Cheng, Bokai
Zhang, Anhang
Sun, Jin
Li, Man
Su, Yongkang
Bao, Qiligeer
Zhu, Ping
Wang, Shuxia
Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title_full Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title_fullStr Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title_full_unstemmed Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title_short Relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the Han Chinese
title_sort relationship of a new anthropometric index with left ventricular hypertrophy in hypertensive patients among the han chinese
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8793153/
https://www.ncbi.nlm.nih.gov/pubmed/35081909
http://dx.doi.org/10.1186/s12872-022-02463-6
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