Comparison of body mass index with waist circumference, waist-to-hip ratio, and waist-to-stature ratio as a predictor of hypertension incidence in Mauritius
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OBJECTIVE: Comparison of BMI with waist circumference, waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR) as a predictor of hypertension incidence. METHODS: A total of 1658 men and 1976 women of Mauritian Indian and Mauritian Creole ethnicity, aged 25-74 years, free of hypertension, diabetes, cardiovascular disease, and gout at baseline in 1987 or 1992, were re-examined in 1992 and/or 1998 using the same survey methodology. Hazard ratios (HRs) for hypertension incidence were estimated applying an interval censored survival analysis (R program) using age as timescale based on baseline obesity indicators. RESULTS: A total of 787 incident hypertension cases were identified during the follow-up. HRs for hypertension incidence adjusting for baseline systolic blood pressure and cohort corresponding to a 1 SD increase in BMI, waist circumference, WHR, and WSR were 1.20 (1.24), 1.19 (1.21), 1.14 (1.10), and 1.20 (1.26) in Mauritian Indian men (women) and 1.23 (1.32), 1.34 (1.23), 1.41 (1.13), and 1.43 (1.33) in Mauritian Creoles, respectively, indicating that all obesity indicators significantly predicted hypertension incidence except for WHR in Mauritian Creole women. Paired homogeneity tests showed that there was no difference between BMI and the other three indicators for most of the comparisons with two exceptions: WSR was stronger than BMI (P = 0.002) in Mauritian Creole men but BMI was stronger than WHR (P = 0.047) in Mauritian Indian women in predicting the incident cases of hypertension. CONCLUSION: The relation of the development of hypertension with BMI was as strong as that with central obesity indicators in the population studied.
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A 1 s.d. increase in BMI over a 5-year period led to a 30% increase in risk of hypertension compared with people whose weight did not change.
“A study in individuals aged 25–74 years reported that a 1 s.d. increase in BMI over a 5-year period led to a 30% increase in risk of hypertension compared with people whose weight did not change28.”
From Obesity, kidney dysfunction and hypertension: mechanistic links (2019) · cites this paper as [28]
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Ahmad, N., Juliana, M. S., & Azmawati, M. N. (2015) · South African Family Practice · doi:10.4102/safp.v57i4.4142
Yang, J., Yu, J., Wang, Y., Liao, M., Ji, Y., Li, X., Wang, X., Chen, J., Qi, B., & Yang, F. (2024) · Scientific Reports · doi:10.1038/s41598-024-57396-1
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Prevalence and risk factors of hypertension in Mauritius: A cross-sectional study
Inyangetuk, R. S., Sebastiån, M. S., Heecharan, J., Ori, B., Zimmet, P., Söderberg, S., Tuomilehto, J. O., Kowlessur, S., & Fonseca‐Rodríguez, O. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003495
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Ma, J.-X., Wang, B., Li, H.-S., Jiang, X.-J., Yu, J., 丁彩飞, & Chen, W.-Q. (2020) · Figshare · doi:10.6084/m9.figshare.13023506
- Authors
- Nyamdorj, R., Qiao, Q., Söderberg, S., Pitkäniemi, J., Zimmet, P., Shaw, J., Alberti, G., Nan, H., Uusitalo, U., Pauvaday, V., Chitson, P., & Tuomilehto, J.
- Affiliations
- University of Helsinki (FI)
- University Hospital of Umeå (SE)
- Ministry of Health and Quality of Life (MU)
- Corresponding author
- Nyamdorj, Regzedmaa
- Venue
- Journal of Hypertension
- Published
- 2008-05
- Volume
- 26
- Issue
- 5
- Pages
- 866-870
- ISSN
- 0263-6352 (ISSN-L)
- OpenAlex
- W2045681239
- Cited by
- 75
- References
- 31
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 5
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Hypertension (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- National Institutes of Health (2r01dk025446-18)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-25446)
- Core Research for Evolutional Science and Technology
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- hypertension incidence, body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio, abdominal obesity, obesity indices, Mauritius, Mauritian Creole, ethnic differences, men and women comparison
- MeSH terms
- Adult, Aged, Female, Humans, Hypertension, Longitudinal Studies, Male, Mauritius, Middle Aged, Obesity, Predictive Value of Tests, Risk, Sex Factors, Body Mass Index, Population Groups, Native Hawaiian or Pacific Islander, Native Hawaiian or Other Pacific Islander, Waist-Hip Ratio
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