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

Fu Ling Chu, Chii Jeng*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

1 Scopus citations

Abstract

Objective: To compare proposed new cutoff points for four obesity indicatorswaist-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 pointsWHtR 0.49, WC 74.7 cm, WHR 0.79 and BMI 22.3 kg/m2were 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
Volume31
Issue number5
DOIs
StatePublished - 01 06 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 The Author(s).

Keywords

  • Diabetes mellitus
  • Hypertension
  • Obesity
  • Women

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