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Association of Anthropometric Indices of Obesity with Hypertension in Chinese Elderly: An Analysis of Age and Gender Differences

Qian Wang, Lingzhong Xu, Jiajia Li, Long Sun, Wenzhe Qin, Gan Ding, Jing Zhu, Jiao Zhang, Zihang Yu and Su Xie
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Qian Wang: School of Public Health, Shandong University, Jinan 250012, China
Lingzhong Xu: School of Public Health, Shandong University, Jinan 250012, China
Jiajia Li: School of Public Health, Shandong University, Jinan 250012, China
Long Sun: School of Public Health, Shandong University, Jinan 250012, China
Wenzhe Qin: School of Public Health, Shandong University, Jinan 250012, China
Gan Ding: School of Public Health, Shandong University, Jinan 250012, China
Jing Zhu: School of Public Health, Shandong University, Jinan 250012, China
Jiao Zhang: School of Public Health, Shandong University, Jinan 250012, China
Zihang Yu: School of Public Health, Shandong University, Jinan 250012, China
Su Xie: School of Public Health, Shandong University, Jinan 250012, China

IJERPH, 2018, vol. 15, issue 4, 1-14

Abstract: This study aims to explore the association of anthropometric indices of obesity with hypertension in Chinese elderly and its possible gender and age differences. A total of 7070 adults age 60 or older were interviewed in a cross-sectional study conducted in 2017. Anthropometric indices for each participant were measured by using standard methods of trained doctoral/master students. We performed two binary logistic regression models to examine the association of the nine different anthropometric indices and hypertension by gender. Lastly, analyses were performed in two steps stratified for age. Comparing individuals with and without hypertension, there were statistically significant differences in anthropometric indices except height, a body shape index (ABSI), and hip index (HI) in males; and except height in females. There were gender differences in the relationship between anthropometric indices and the prevalence of hypertension in Chinese older adults. After stratification by age, the associations of all anthropometric indices became weaker, disappeared, or even went in the opposite direction. Furthermore, body mass index (BMI) in men (except individuals older than 80) and hip circumference (HC) in women showed a significant impact on the risk of hypertension. The association of anthropometric indices of obesity with hypertension in Chinese elderly differ by gender and age. These findings indicate a need to develop gender-specific strategies for the male and female elderly in the primary and secondary prevention of hypertension.

Keywords: hypertension; anthropometric indices; obesity; elderly; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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