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Titolo:
Abdominal obesity defined as a larger than expected waist girth is associated with racial/ethnic differences in risk of hypertension
Autore:
Okosun, IS; Choi, S; Dent, MM; Jobin, T; Dever, GEA;
Indirizzi:
Mercer Univ, Sch Med, Dept Community Med, Macon, GA 31207 USA Mercer UnivMacon GA USA 31207 d, Dept Community Med, Macon, GA 31207 USA
Titolo Testata:
JOURNAL OF HUMAN HYPERTENSION
fascicolo: 5, volume: 15, anno: 2001,
pagine: 307 - 312
SICI:
0950-9240(200105)15:5<307:AODAAL>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
NUTRITION EXAMINATION SURVEY; BODY-FAT DISTRIBUTION; 3RD NATIONAL-HEALTH; PHYSICAL INACTIVITY; DIABETES-MELLITUS; BLOOD-PRESSURE; UNITED-STATES; SOCIAL-CLASS; MASS INDEX; POPULATIONS;
Keywords:
waist circumference; abdominal obesity; ethnicity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Okosun, IS Mercer Univ, Sch Med, Dept Community Med, 1550 Coll St, Macon, GA 31207 USA Mercer Univ 1550 Coll St Macon GA USA 31207 Macon, GA 31207 USA
Citazione:
I.S. Okosun et al., "Abdominal obesity defined as a larger than expected waist girth is associated with racial/ethnic differences in risk of hypertension", J HUM HYPER, 15(5), 2001, pp. 307-312

Abstract

Objective: Waist circumference (WC) cut-points of greater than or equal to102 cm and greater than or equal to 88 cm for men and women, respectively,representing abdominal obesity have been recommended for determining obesity related co-morbidities, However, these cut-points carry the component ofgeneralised obesity estimated by body mass index (BMI), The aim of this investigation was to determine whether abdominal obesity free of the influence of overall heaviness is associated with increased risk of hypertension ina representative sample of white and black Americans. Methods: Data (n = 11114)from the Third US National Health and Nutrition Examination Survey were used in this investigation. Standardised residual values from the linear regression of WC on BMI were used to define abdominal obesity status. The risk of hypertension associated with abdominal obesity was estimated from the logistic regression model, adjusting for age, smoking and alcohol, We also estimated the public health consequences of abdominal obesity from the population attributable fraction of hypertension. Results: Relative to white, blade race/ethnicity was associated with -1.8 and -2.7 greater risk of hypertension in men and women, respectively, adjusting for abdominal obesity, age, smoking and alcohol consumption, Having larger than expected waist girths were associated with 1.58 and 1.39 increased risk of hypertension in black men and black women, respectively, adjusting for confounders. Population attributable risks of hypertension due to abdominal obesity were approximately 24.9% and 15.9%, in black men and black women, respectively. Conclusions: In Americans, hypertension is a public health problem that isclosely linked to abdominal adiposity, An important research challenge therefore is to determine the best way to regulate body weight under conditions of food abundance. There is a need to clarify how lifestyle habits promote large waist sizes leading to abdominal adiposity and associated cardiovascular disease in the US, particularly among black Americans.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 11:36:02