Lowered obesity indicator cutoff points more effectively predict 5-year incidence of hypertension in premenopausal women

Fu Ling Chu, Chii Jeng

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To compare proposed new cutoff points for four obesity indicators-waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR) and body mass index (BMI)-with their current cutoff points to determine which are better standards predicting 5-year incidence of hypertension (HT) and diabetes mellitus (DM) among premenopausal women. DESIGN: Data were obtained from the 2002 and 2007 Survey on the Prevalence of HT, Hyperglycemia and Hyperlipidemia in Taiwan conducted by the Ministry of Health and Welfare, Taiwan. Premenopausal women were grouped based on the proposed cutoff points versus reference cutoff points for obesity indicators. PARTICIPANT: A total of 1466 premenopausal women aged between 20 and 57 years old were recruited. MAIN OUTCOME MEASURE: Five-year incidence of HT and DM. RESULTS: Our new obesity indicator cutoff points-WHtR 0.49, WC 74.7 cm, WHR 0.79 and BMI 22.3 kg/m2-were better predictors for 5-year HT incidence in premenopausal women compared with those of current standards, but were not significantly different for DM. Among the four obesity indicators, WHtR and WC were optimal for their 5-year predictive ability for HT and DM in premenopausal women. CONCLUSIONS: To avoid too many cutoff points for practitioners to adopt and memorize, the proposed new cutoff points were recommended preferentially to prevent the incidence of HT and DM in premenopausal women.

Original languageEnglish
Article numbermzz183
Pages (from-to)365-370
Number of pages6
JournalInternational journal for quality in health care : journal of the International Society for Quality in Health Care
Volume31
Issue number5
DOIs
Publication statusPublished - Jun 1 2019

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Obesity
Diabetes Mellitus
Hypertension
Incidence
Waist Circumference
Waist-Hip Ratio
Taiwan
Body Mass Index
Hyperlipidemias
Hyperglycemia
Health
Waist-Height Ratio

Keywords

  • diabetes mellitus
  • hypertension
  • obesity
  • women
  • Hypertension
  • Women
  • Obesity
  • Diabetes mellitus

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

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title = "Lowered obesity indicator cutoff points more effectively predict 5-year incidence of hypertension in premenopausal women",
abstract = "OBJECTIVE: To compare proposed new cutoff points for four obesity indicators-waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR) and body mass index (BMI)-with their current cutoff points to determine which are better standards predicting 5-year incidence of hypertension (HT) and diabetes mellitus (DM) among premenopausal women. DESIGN: Data were obtained from the 2002 and 2007 Survey on the Prevalence of HT, Hyperglycemia and Hyperlipidemia in Taiwan conducted by the Ministry of Health and Welfare, Taiwan. Premenopausal women were grouped based on the proposed cutoff points versus reference cutoff points for obesity indicators. PARTICIPANT: A total of 1466 premenopausal women aged between 20 and 57 years old were recruited. MAIN OUTCOME MEASURE: Five-year incidence of HT and DM. RESULTS: Our new obesity indicator cutoff points-WHtR 0.49, WC 74.7 cm, WHR 0.79 and BMI 22.3 kg/m2-were better predictors for 5-year HT incidence in premenopausal women compared with those of current standards, but were not significantly different for DM. Among the four obesity indicators, WHtR and WC were optimal for their 5-year predictive ability for HT and DM in premenopausal women. CONCLUSIONS: To avoid too many cutoff points for practitioners to adopt and memorize, the proposed new cutoff points were recommended preferentially to prevent the incidence of HT and DM in premenopausal women.",
keywords = "diabetes mellitus, hypertension, obesity, women, diabetes mellitus, hypertension, obesity, women, Hypertension, Women, Obesity, Diabetes mellitus",
author = "Chu, {Fu Ling} and Chii Jeng",
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AU - Chu, Fu Ling

AU - Jeng, Chii

N1 - © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

PY - 2019/6/1

Y1 - 2019/6/1

N2 - OBJECTIVE: To compare proposed new cutoff points for four obesity indicators-waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR) and body mass index (BMI)-with their current cutoff points to determine which are better standards predicting 5-year incidence of hypertension (HT) and diabetes mellitus (DM) among premenopausal women. DESIGN: Data were obtained from the 2002 and 2007 Survey on the Prevalence of HT, Hyperglycemia and Hyperlipidemia in Taiwan conducted by the Ministry of Health and Welfare, Taiwan. Premenopausal women were grouped based on the proposed cutoff points versus reference cutoff points for obesity indicators. PARTICIPANT: A total of 1466 premenopausal women aged between 20 and 57 years old were recruited. MAIN OUTCOME MEASURE: Five-year incidence of HT and DM. RESULTS: Our new obesity indicator cutoff points-WHtR 0.49, WC 74.7 cm, WHR 0.79 and BMI 22.3 kg/m2-were better predictors for 5-year HT incidence in premenopausal women compared with those of current standards, but were not significantly different for DM. Among the four obesity indicators, WHtR and WC were optimal for their 5-year predictive ability for HT and DM in premenopausal women. CONCLUSIONS: To avoid too many cutoff points for practitioners to adopt and memorize, the proposed new cutoff points were recommended preferentially to prevent the incidence of HT and DM in premenopausal women.

AB - OBJECTIVE: To compare proposed new cutoff points for four obesity indicators-waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR) and body mass index (BMI)-with their current cutoff points to determine which are better standards predicting 5-year incidence of hypertension (HT) and diabetes mellitus (DM) among premenopausal women. DESIGN: Data were obtained from the 2002 and 2007 Survey on the Prevalence of HT, Hyperglycemia and Hyperlipidemia in Taiwan conducted by the Ministry of Health and Welfare, Taiwan. Premenopausal women were grouped based on the proposed cutoff points versus reference cutoff points for obesity indicators. PARTICIPANT: A total of 1466 premenopausal women aged between 20 and 57 years old were recruited. MAIN OUTCOME MEASURE: Five-year incidence of HT and DM. RESULTS: Our new obesity indicator cutoff points-WHtR 0.49, WC 74.7 cm, WHR 0.79 and BMI 22.3 kg/m2-were better predictors for 5-year HT incidence in premenopausal women compared with those of current standards, but were not significantly different for DM. Among the four obesity indicators, WHtR and WC were optimal for their 5-year predictive ability for HT and DM in premenopausal women. CONCLUSIONS: To avoid too many cutoff points for practitioners to adopt and memorize, the proposed new cutoff points were recommended preferentially to prevent the incidence of HT and DM in premenopausal women.

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