Introduction: Obesity and overweight are important risk factors for a wide range of diseases, including high blood pressure. In addition, anthropometric indicators are considered independent predictors of blood pressure. The purpose of this study was to investigate the relationship between blood pressure and anthropometric indices and to determine the best determinant of hypertension in the Yazd Shahdieh cohort population.
Methods: The present study was a descriptive study conducted during the first phase of Shahdieh Cohort Study on, involving 10194 residents of Shahdieh, Ashkazar and Zarch Cities. eligible individuals were enrolled, and the data were analyzed using STATA 16 through Chi-square, T-test, ANOVA, logistic regression, and ROC Curve analyses.
Results: Among the participants, 36.7% of adults were found to have high blood pressure. Adjusted logistic regression results showed that the variables of gender, BMI, age, education level, triglyceride levels, diabetes, and family history of hypertension in first-degree relatives as significant predictors of hypertension. Of all anthropometric indices, the waist-to-hip ratio demonstrated the highest diagnostic value and accuracy for determining blood pressure, with an area under the ROC curve (AUC) of 0.67.
Conclusion: Considering the observed relationship between anthropometric indicators and elevated high blood pressure, it is evident that promoting education on obesity prevention, along with lifestyle modification, healthy nutrition, and regular physical activity, is essential to reduce the risk and prevalence of hypertension
Type of Study:
Original article |
Subject:
Epidemiology Received: 2023/03/4 | Accepted: 2023/08/6 | Published: 2025/05/5