학술논문
Discriminative ability of adiposity measures for elevated blood pressure among adolescents in a resource-constrained setting in northeast Nigeria: a cross-sectional analysis
Document Type
Academic Journal
Source
BMC Obesity. December 3, 2018, Vol. 5 Issue 1
Subject
Language
English
ISSN
2052-9538
Abstract
Background Several studies examining the association and discriminative ability of adiposity measures for prehypertension and hypertension among adolescents have reported varying outcomes. We aimed to determine the discriminative ability of the Body Mass index (BMI), Waist Circumference (WC), and Waist-to-Height Ratio (WHtR) adiposity measures for elevated blood pressure (prehypertension and hypertension combined) among adolescents in Gombe, northeast Nigeria. Methods This cross-sectional study used a multi-stage sampling technique and involved 367 secondary school adolescent (10-18 years) boys and girls in Gombe Local Government Area, Gombe State, northeast Nigeria from January to September 2015. We examined and compared the associations and discriminative ability of the BMI, WC and the WHtR for elevated blood pressure using multiple logistic regression and receiver operating characteristics (ROC) curves. Area under the curves (AUC), odds ratio (OR) and 95% confidence intervals (CI) are reported. Results All three measures of adiposity were strongly and positively associated with elevated blood pressure. The BMI obesity showed the strongest association with elevated blood pressure with odds that was double the odds of WC and triple that of WHtR [adjusted OR for BMI 15.3, 95% CI (4.8-27.9)]. The discriminative ability of adiposity measures for elevated blood pressure using AUC was comparable (0.786 for BMI, vs 0.780 for WC, vs 0.761 for WHtR). Conclusion We provide evidence, here on the BMI, WC and WHtR to support the use of simple indirect measures of adiposity in evaluating adiposity-related risk including prehypertension and hypertension among Nigerian adolescents. Keywords: Measures of adiposity, Body mass index, Waist circumference, Waist-to-height ratio, Prehypertension, Hypertension, Elevated blood pressure, Nigeria
Author(s): Oghenebrume Wariri[sup.1] , Iliya Jalo[sup.2,3] and Fidelia Bode-Thomas[sup.4] Background Childhood overweight and obesity currently pose major public health challenges, with associated increase in adiposity-related health risk including hypertension [1]. [...]
Author(s): Oghenebrume Wariri[sup.1] , Iliya Jalo[sup.2,3] and Fidelia Bode-Thomas[sup.4] Background Childhood overweight and obesity currently pose major public health challenges, with associated increase in adiposity-related health risk including hypertension [1]. [...]