Associations between various anthropometric indices and hypertension and hyperlipidaemia: a cross-sectional study in China

作者：Chuyao Feng, Cihang Lu, Kang Chen, Bo Song, Zhongyan Shan, Weiping Teng · 发表于：BMC Public Health · 年份：2024 · DOI：10.1186/s12889-024-20505-w · 被引用次数：19 · 研究领域：Diabetes, Cardiovascular Risks, and Lipoproteins、Body Composition Measurement Techniques、Obesity, Physical Activity, Diet

BACKGROUND: This study aims to explore the association and determine the distinguished potential of anthropometric adiposity indices in screening for hypertension and hyperlipidaemia in the Chinese population. METHODS: A recent nationwide cross-sectional study, called the Thyroid Disorders, Iodine State, and Diabetes Epidemiological Survey (TIDE 2015-2017), provided the newest data on the relationships between anthropometric adiposity indices and hypertension and hyperlipidaemia and included 65,231 subjects. The area under the curve (AUC) was used to assess the feasibility of using these indices to distinguish hypertension and hyperlipidaemia. After age stratification, a restricted cubic spline (RCS) fitted for generalized linear regression was used to visualize the relationships of the body mass index (BMI), waist circumference (WC), the waist-to-height ratio (WHtR), the body roundness index (BRI), and the "a body shape index" (ABSI) with hypertension and hyperlipidaemia. RESULTS: The results showed that there were significant differences in the BMI, WC, the WHtR, the BRI, and the ABSI among the different age groups (P < 0.0001). After adjusting for sex, age, education, income, smoking status, urban or rural residence, and ethnicity in model, The WHtR and BRI had greater discriminatory power in identifying hypertension (AUC = 0.665, 95% confidence interval (CI) 0.660-0.671 for both), hypercholesterolaemia (AUC = 0.629, 95% CI 0.624-0.634 for both), and high low-density lipop...