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Cut-off points of anthropometric markers associated with hypertension in the Brazilian population: National Health Survey, 2013

  • Ana Paula Alves de Souza (a1), Paulo Rogério Melo Rodrigues (a1), Ana Paula Muraro (a2), Naiara Ferraz Moreira (a3), Rosely Sichieri (a4), Rosângela Alves Pereira (a5) and Márcia Gonçalves Ferreira (a1) (a2)...

Abstract

Objective

To identify cut-off points for waist circumference (WC), waist-to-height ratio (WHtR) and BMI associated with hypertension in the Brazilian adult and elderly population.

Design

Cross-sectional study. The receiver-operating characteristic (ROC) curve was used to determine the cut-off points of WC, WHtR and BMI in the prediction of hypertension. Those who had systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and those who reported use of antihypertensive medication were considered hypertensive.

Setting

Brazil.

Participants

Participants from the National Health Survey, the Brazilian household-based survey conducted in 2013, of both sexes and age ≥20 years.

Results

Cut-off points for WC and WHtR increased with age in both sexes. WC cut-off limits ranged between 88·0 and 95·9 cm in men and between 85·0 and 93·2 cm in women. For WHtR, cut-off scores ranged from 0·51 to 0·58 for men and from 0·53 to 0·61 for women. Additionally, the area under the ROC curve (AUC) for all age and sex groups was greater than 0·60 while the lower limit of the AUC 95 % CI for both WC and WHtR was not less than 0·50. The performance of BMI was similar to that of indicators of fat location.

Conclusions

All analysed anthropometric indicators had similar performance in identifying hypertension in the Brazilian population.

Copyright

Corresponding author

*Corresponding author: Email margon1101@gmail.com

References

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