This systematic review collated seventy-eight studies exploring waist-to-height ratio (WHtR) and waist circumference (WC) or BMI as predictors of diabetes and CVD, published in English between 1950 and 2008. Twenty-two prospective analyses showed that WHtR and WC were significant predictors of these cardiometabolic outcomes more often than BMI, with similar OR, sometimes being significant predictors after adjustment for BMI. Observations from crosssectional analyses, forty-four in adults, thirteen in children, supported these predictions. Receiver operator characteristic (ROC) analysis revealed mean area under ROC (AUROC) values of 0·704, 0·693 and 0·671 for WHtR, WC and BMI, respectively. Mean boundary values for WHtR, covering all cardiometabolic outcomes, from studies in fourteen different countries and including Caucasian, Asian and Central American subjects, were 0·50 for men and 0·50 for women. WHtR and WC are therefore similar predictors of diabetes and CVD, both being stronger than, and independent of, BMI. To make firmer statistical comparison, a meta-analysis is required. The AUROC analyses indicate that WHtR may be a more useful global clinical screening tool than WC, with a weighted mean boundary value of 0·5, supporting the simple public health message ‘keep your waist circumference to less than half your height’. Waist-to-height ratio: Waist circumference: BMI: Central obesity: Abdominal obesity: Obesity

/pdf/a-systematic-review-of-waist-to-height-ratio-as-a-screening-4pzdmay10c.pdf

A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value

The objective of the present work was to study the blood pressure with respect to some anthropometric characteristics in adol The study comprised 1225 subjects (634 males and 591 females) aged 10-18 years. The range of average blood pressure (systolic/diastolic) was 116.33-134.52/ 78.23-92.62 mmHg in males and 117.71-128.75/ 77.97-88.85 mm Hg in females of 10 to 18 years of age respectively. It was observed that 11 and 12 years of age groups were more susceptible for pre-hypertension (4.49% and 4.24% respectively). Whereas, 10 years and 14 years age groups were more susceptible for hypertension (6.12% and 4.40% respectively). According to multivariate regression analysis, systolic and diastolic blood pressure was significantly associated with weight, BMI and waist circumference. The results of the present analysis support the hypothesis that BMI is a significant predictor of blood pressure in adolescent age groups.

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OBJETIVO: identificar la prevalencia de la hipertension arterial y su asociacion con factores de riesgo cardiovasculares en adultos.METODO: estudio transversal, descriptivo, de base poblacional, desarrollado con 408 individuos adultos seleccionados. Los datos fueron recolectados utilizando un cuestionario; se midio el peso, la estatura y la circunferencia abdominal. Para el analisis de los datos se empleo las pruebas estadisticas Chi-cuadrado de Pearson y la Regresion logistica multiple.RESULTADOS: 23,03% de los sujetos refirieron ser hipertensos, con prevalencia mayor en el sexo femenino. El Odds Ratio apunto que tabaquismo, indice de masa corporal, circunferencia abdominal, diabetes mellitus y dislipidemia presentaron asociacion positiva con hipertension arterial.CONCLUSIONES: la elevada prevalencia de hipertension auto-referida y su asociacion con otros factores de riesgo cardiovasculares como diabetes, obesidad y dislipidemia, apuntan la necesidad de realizar intervenciones especificas de enfermeria e implementar un protocolo de atencion que tenga como enfoque minimizar las complicaciones provenientes de la hipertension, como tambien prevenir el surgimiento de otras enfermedades cardiovasculares.

/pdf/arterial-hypertension-and-other-risk-factors-associated-with-1ux436yxje.pdf

Arterial Hypertension and other risk factors associated with cardiovascular diseases among adults

Association of obesity with hypertension and type 2 diabetes mellitus in India: A meta-analysis of observational studies

Hypertension is one of the most important factors responsible for cardiovascular ailments worldwide. It has been observed that herbal products and alternative herbal therapies played a significant role in decreasing hypertension. The aim of the current study is to provide significant ethnopharmacological information, both qualitative and quantitative on medicinal plants related to hypertension from Northern Pakistan. The documented data were quantitatively analyzed for the first time in this area. A total of 250 participants were interviewed through semi-structured discussions and questionnaires. Quantitative indices including FC (Frequency citation), FIV (Family importance value), RFC (Relative frequency of citation) and DCI (Disease Consensus index) were calculated. A total of 192 plant species, belonging to 77 families were reported to be used in treatment of hypertension in Northern Pakistan. The most dominant life form reported was herbs (54%), with decoction (72 reports) and leaves (55.1%) were commonly utilized plant part. Highest FIV was recorded in Lamiaceae (327 FIV). RFC ranged from 0.08 to 1.08% while DCI varied from 0.233 to 0.000. In this study original data was compared with thirty one previous national and international published papers from neighboring region to compare the medicinal uses and obtain some novel plant species. About 42% of the medicinal plant species were reported for the first time in treatment of hypertension in comparison to these 31 published papers. Different phytochemical activities of antihypertensive plants were also reported from literature. This research work documents the traditional knowledge of medicinal plants usage and provides baseline in designing clinical trials and pharmacological analysis for treatment of hypertension.

/pdf/ethnobotany-of-anti-hypertensive-plants-used-in-northern-2nmui2oggs.pdf

Ethnobotany of Anti-hypertensive Plants Used in Northern Pakistan.

Comparative evaluation of obesity measures : Relationship with blood pressures and hypertension. Authors' reply

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Comparative evaluation of obesity measures : Relationship with blood pressures and hypertension. Authors' reply