Body mass index, abdominal adiposity and blood pressure: consistency of their association across developing and developed countries.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_3BA5BA68AA99
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Body mass index, abdominal adiposity and blood pressure: consistency of their association across developing and developed countries.
Journal
International journal of obesity and related metabolic disorders
Author(s)
Doll S., Paccaud F., Bovet P., Burnier M., Wietlisbach V.
ISSN
0307-0565
ISSN-L
0307-0565
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
26
Number
1
Pages
48-57
Language
english
Abstract
BACKGROUND: Obesity is increasing worldwide because developing countries are adopting Western high-fat foods and sedentary lifestyles. In parallel, in many of them, hypertension is rising more rapidly, particularly with age, than in Western countries. OBJECTIVE: To assess the relationship between adiposity and blood pressure (BP) in a developing country with high average BP (The Seychelles, Indian Ocean, population mainly of African origin) in comparison to a developed country with low average BP (Switzerland, population mainly of Caucasian origin). DESIGN: Cross-sectional health examination surveys based on population random samples. SETTING: The main Seychelles island (Mahé) and two Swiss regions (Vaud-Fribourg and Ticino). SUBJECTS: Three thousand one hundred and sixteen adults (age range 35-64) untreated for hypertension. MEASUREMENTS: Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), systolic and diastolic blood pressure (SBP and DBP, mean of two measures). METHODS: Scatterplot smoothing techniques and gender-specific linear regression models. RESULTS: On average, SBP and DBP were found to increase linearly over the whole variation range of BMI, WHR and WC. A modest, but statistically significant linear association was found between each indicator of adiposity and BP levels in separate regression models controlling for age. The regression coefficients were not significantly different between the Seychelles and the two Swiss regions, but were generally higher in women than in men. For the latter, a gain of 1.7 kg/m(2) in BMI, of 4.5 cm in WC or of 3.4% in WHR corresponded to an elevation of 1 mmHg in SBP. For women, corresponding figures were 1.25 kg/m(2), 2.5 cm and 1.8% respectively. Regression coefficients for age reflected a higher effect of this variable on both SBP and DBP in the Seychelles than in Switzerland. CONCLUSION: These findings suggest a stable linear relation of adiposity with BP, independent of age and body fat distribution, across developed and developing countries. The more rapid increase of BP with age observed in the latter countries are likely to reflect higher genetic susceptibility and/or higher cumulative exposure to another risk factor than adiposity.
Keywords
Abdomen, Adult, Blood Pressure, Body Composition, Body Constitution, Body Mass Index, Developed Countries, Developing Countries, Female, Humans, Hypertension, Male, Middle Aged, Obesity, Prevalence, Sex Factors, Seychelles, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
14/03/2008 10:20
Last modification date
20/08/2019 13:31
Usage data