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. 1986 Aug 15;135(4):313–320.

Associations of body mass index and waist:hip ratio with hypertension.

F M White, L H Pereira, J B Garner
PMCID: PMC1491450  PMID: 3730996

Abstract

Canada Fitness Survey data for people aged 20 to 69 years were analysed by means of linear discriminant analysis to determine the effect of age, weight relative to height (body mass index) and weight distribution (waist:hip ratio) on hypertension (defined as diastolic blood pressure of 90 mm Hg or more) for both sexes separately. All three variables had independent effects on hypertension, but partial correlation coefficients indicated that the contribution of waist:hip ratio was secondary to that of body mass index. The association of measurements of body fat (five skinfold measurements) with hypertension was also examined; overall these measurements gave no advantage over the more simply measured body mass index. The results confirm the importance of assessing the predominant location of body fat and the body mass index when examining excess weight in relation to disease.

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Selected References

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  1. Bray G. A. Definition, measurement, and classification of the syndromes of obesity. Int J Obes. 1978;2(2):99–112. [PubMed] [Google Scholar]
  2. Chiang B. N., Perlman L. V., Epstein F. H. Overweight and hypertension. A review. Circulation. 1969 Mar;39(3):403–421. doi: 10.1161/01.cir.39.3.403. [DOI] [PubMed] [Google Scholar]
  3. Entwisle G., Scott J. C., Apostolides A. Y., Southard J., Su S., Brandon B., Shapiro S. A survey of blood pressure in the state of Maryland. Prev Med. 1983 Sep;12(5):695–708. doi: 10.1016/0091-7435(83)90227-x. [DOI] [PubMed] [Google Scholar]
  4. Freeman D. H., Jr, D'Atri D. A., Hellenbrand K., Ostfeld A. M., Papke E., Piorun K., Richards V. A., Sardinas A. The prevalence distribution of hypertension: Connecticut adults 1978-1979. J Chronic Dis. 1983;36(2):171–181. doi: 10.1016/0021-9681(83)90091-7. [DOI] [PubMed] [Google Scholar]
  5. Gillum R. F., Taylor H. L., Brozek J., Polansky P., Blackburn H. Indices of obesity and blood pressure in young men followed 32 years. J Chronic Dis. 1982;35(3):211–219. doi: 10.1016/0021-9681(82)90142-4. [DOI] [PubMed] [Google Scholar]
  6. Hartz A. J., Rupley D. C., Rimm A. A. The association of girth measurements with disease in 32,856 women. Am J Epidemiol. 1984 Jan;119(1):71–80. doi: 10.1093/oxfordjournals.aje.a113727. [DOI] [PubMed] [Google Scholar]
  7. Kalkhoff R. K., Hartz A. H., Rupley D., Kissebah A. H., Kelber S. Relationship of body fat distribution to blood pressure, carbohydrate tolerance, and plasma lipids in healthy obese women. J Lab Clin Med. 1983 Oct;102(4):621–627. [PubMed] [Google Scholar]
  8. Keys A., Fidanza F., Karvonen M. J., Kimura N., Taylor H. L. Indices of relative weight and obesity. J Chronic Dis. 1972 Jul 1;25(6):329–343. doi: 10.1016/0021-9681(72)90027-6. [DOI] [PubMed] [Google Scholar]
  9. Labarthe D. R. Problems in definition of mild hypertension. Ann N Y Acad Sci. 1978 Mar 30;304:3–14. doi: 10.1111/j.1749-6632.1978.tb25556.x. [DOI] [PubMed] [Google Scholar]
  10. Leonard A. R., Igra A., Hawthorne A. Status of high blood pressure control in California: a preliminary report of a statewide survey. Heart Lung. 1981 Mar-Apr;10(2):255–260. [PubMed] [Google Scholar]
  11. Noppa H., Bengtsson C., Wedel H., Wilhelmsen L. Obesity in relation to morbidity and mortality from cardiovascular disease. Am J Epidemiol. 1980 Jun;111(6):682–692. doi: 10.1093/oxfordjournals.aje.a112946. [DOI] [PubMed] [Google Scholar]
  12. Paul O. The risks of mild hypertension. Pharmacol Ther. 1980;9(2):219–226. doi: 10.1016/s0163-7258(80)80019-2. [DOI] [PubMed] [Google Scholar]
  13. Reisin E., Abel R., Modan M., Silverberg D. S., Eliahou H. E., Modan B. Effect of weight loss without salt restriction on the reduction of blood pressure in overweight hypertensive patients. N Engl J Med. 1978 Jan 5;298(1):1–6. doi: 10.1056/NEJM197801052980101. [DOI] [PubMed] [Google Scholar]
  14. Rimm A. A., Werner L. H., Yserloo B. V., Bernstein R. A. Relationship of ovesity and disease in 73,532 weight-conscious women. Public Health Rep. 1975 Jan-Feb;90(1):44–51. [PMC free article] [PubMed] [Google Scholar]
  15. Stamler J., Farinaro E., Mojonnier L. M., Hall Y., Moss D., Stamler R. Prevention and control of hypertension by nutritional-hygienic means. Long-term experience of the Chicago Coronary Prevention Evaluation Program. JAMA. 1980 May 9;243(18):1819–1823. [PubMed] [Google Scholar]
  16. Stamler J., Stamler R., Riedlinger W. F., Algera G., Roberts R. H. Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975. JAMA. 1976 May 24;235(21):2299–2306. doi: 10.1001/jama.235.21.2299. [DOI] [PubMed] [Google Scholar]
  17. Stavig G. R., Igra A., Leonard A. R. Hypertension among Asians and Pacific islanders in California. Am J Epidemiol. 1984 May;119(5):677–691. doi: 10.1093/oxfordjournals.aje.a113789. [DOI] [PubMed] [Google Scholar]

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