Endocrinol Metab (Seoul). 2017 Jun;32(2):221-229. doi: 10.3803/EnM.2017.32.2.221. Epub 2017 May 19.
Utility of the Visceral Adiposity Index and Hypertriglyceridemic Waist Phenotype for Predicting Incident Hypertension.
Endocrinology and metabolism (Seoul, Korea)
Mohsen Janghorbani, Mohammad Reza Salamat, Ashraf Aminorroaya, Masoud Amini
Affiliations
Affiliations
- Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. [email protected].
- Department of Medical Physics and Medical Engineering, Isfahan University of Medical Sciences, Isfahan, Iran.
- Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
PMID: 28537054
PMCID: PMC5503867 DOI: 10.3803/EnM.2017.32.2.221
Abstract
BACKGROUND: The aim of this study was to assess the utility of the visceral adiposity index (VAI) and the hypertriglyceridemic waist (HTGW) phenotype as possible hypertension (HTN) predictors in a high-risk population without diabetes and HTN.
METHODS: Incident HTN over a 7-year follow-up was assessed among 1,375 first-degree non-diabetic and non-hypertensive relatives of consecutive patients with type 2 diabetes who were 30 to 70 years of age. HTN was defined as a blood pressure reading ≥140/90 mm Hg or the use of antihypertensive medications. We examined the incidence of HTN across VAI quintiles and four groups defined according to baseline fasting serum triglyceride (TG) levels and waist circumference (WC).
RESULTS: The VAI and the HTGW phenotype at baseline were related to an increased risk for HTN. In comparison with the lowest VAI quintile, the highest VAI quintile showed a significant associated with HTN in an age- and gender-adjusted model (odds ratio [OR], 1.65; 95% confidence interval [CI], 1.07 to 2.55). Those with HTGW were 2.3 times (OR, 2.27; 95% CI, 1.54 to 3.35) more likely to develop HTN than those with a normal WC and normal TG levels.
CONCLUSION: Greater VAI values weakly predicted HTN, whereas the HTGW phenotype was a stronger predictor of incident HTN in an Iranian high-risk population.
Copyright © 2017 Korean Endocrine Society
Keywords: Hypertension; Hypertriglyceridemic waist; Incidence; Risk factors; Visceral adiposity index
Conflict of interest statement
No potential conflict of interest relevant to this article was reported.
References
- Clin Chem. 1972 Jun;18(6):499-502 - PubMed
- Diabetes Care. 1995 Feb;18(2):174-81 - PubMed
- Obesity (Silver Spring). 2010 Jan;18(1):153-60 - PubMed
- J Diabetes Investig. 2016 Nov;7(6):860-866 - PubMed
- Ann Epidemiol. 1990 Oct;1(1):33-48 - PubMed
- Obes Res. 2000 Oct;8(7):516-24 - PubMed
- Circulation. 2003 Oct 7;108(14):1718-23 - PubMed
- Hypertens Res. 2011 May;34(5):565-72 - PubMed
- Stroke. 1990 May;21(5):701-6 - PubMed
- Am J Hypertens. 2008 Aug;21(8):910-6 - PubMed
- Hypertension. 1990 Nov;16(5):484-90 - PubMed
- Ann Intern Med. 2004 Jun 15;140(12):992-1000 - PubMed
- Int J Obes. 1990 Jun;14(6):515-25 - PubMed
- Diabetes Care. 2003 Jan;26 Suppl 1:S5-20 - PubMed
- Diabetes Care. 2013 Jan;36 Suppl 1:S4-10 - PubMed
- Rev Diabet Stud. 2007 Fall;4(3):169-76 - PubMed
- Diabetes Care. 2010 Apr;33(4):920-2 - PubMed
- Appl Physiol Nutr Metab. 2013 Aug;38(8):892-9 - PubMed
- JAMA. 2014 Feb 5;311(5):507-20 - PubMed
- Lancet. 2015 Aug 22;386(9995):801-12 - PubMed
- BMC Public Health. 2009 May 29;9:167 - PubMed
- Int J Obes Relat Metab Disord. 1992 Nov;16(11):881-90 - PubMed
- Circulation. 2007 Jul 3;116(1):39-48 - PubMed
- Can J Cardiol. 2007 Oct;23 Suppl B:23B-31B - PubMed
- Int J Obes Relat Metab Disord. 1998 Feb;22(2):127-34 - PubMed
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