Predictive Value of Multiple Obesity Indicators for Hypertension in the Eelderly
10.11969/j.issn.1673-548X.2025.02.019
- VernacularTitle:多种肥胖指标对老年人高血压预测价值的研究
- Author:
Hui WANG
1
;
Feifei RAO
1
;
Haoran NIU
1
Author Information
1. 430030 武汉,华中科技大学同济医学院医药卫生管理学院
- Publication Type:Journal Article
- Keywords:
Hypertension;
Obesity indicators;
Elderly;
Risk identification
- From:
Journal of Medical Research
2025;54(2):117-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of multiple obesity indicators in predicting hypertension of the elderly population aged 65 years and above,to provide a scientific basis for the timely identification of hypertensive patients and high-risk groups,and to provide a strategic reference for the early intervention of hypertension in the elderly.Methods A total of 6873 elderly people who received health checkups at a community health service centre in Wuhan from March 2022 to December 2023 were selected as the study subjects.The Chinese visceral adipose index(CVAI),a body shape index(ABSI),conicity index(CI)and cardiometabolic index(CMI)were calcu-lated,the area under the curve(AUC)of the receiver operating characteristic(ROC)curve was used to analyze and compare the ability of the above obesity indicators for identifying the risk of hypertension in elderly people of different genders.Results There were signifi-cant differences in all obesity indexes between different gender(P＜0.05).The differences in AUC for identifying the risk of hypertension among ABSI,CI and CMI in males,and CVAI,ABSI and CI in females were statistically significant(P＜0.05),and the AUC were 0.524,0.575,0.611,0.635,0.530,0.565,respectively.The AUC of CMI in males and CVAI in females for identifying the risk of hypertension was larger than other indicators.Conclusion Obesity indicators for identifying the risk of hypertension differ between gen-ders;CMI and CVAI are the best indicators for predicting the risk of hypertension in elderly males and females,respectively;the commu-nity can apply and promote the corresponding obesity indicators for elderly hypertensive patients of different genders to improve the early intervention and prevention of hypertension.
