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Regional fat localizations and racial/ethnic variations in odds of hypertension in at-risk American adults.
J Hum Hypertens. 2006 May; 20(5):362-71.JH

Abstract

The objective of this study was to determine the contribution of regional fat localizations defined as abdominal (AO) or truncal (TO) obesity in racial/ethnic differences to the prevalence odds of hypertension in overweight American adults. Data (n=5,694) from the 1999-2002 US National Health and Nutrition Examination Survey were utilized for this analysis. Abdominal obesity was defined as waist circumference >or=102 and >or=88 cm for men and women, respectively. Truncal obesity was defined using ratio of subscapular to triceps skinfold thickness and were >or=2.24 and >or=1.32, for men and women, respectively. Prevalence odds ratios from gender-specific logistic regression models were used to evaluate the contribution of regional fat localizations to racial/ethnic variation in hypertension. Statistical adjustment was made for age, education, alcohol intake and body mass index. In both men and women, coexistence of AO and TO was associated with much higher prevalence odds of hypertension than association due to each of the regional fat localizations. In men, coexistence of AO and TO was associated with 1.99, 2.47 and 2.10 increased prevalence odds of hypertension in Whites, Blacks and Mexican Americans, respectively. The corresponding values in women were 2.83, 4.07 and 3.61 in Whites, Blacks and Mexican Americans, respectively. The coexistence of AO and TO appears to be the culprit that contributes to high blood pressure on top of body mass index. Weight reduction programs that are targeted toward abdominal and truncal regions in at-risk populations and along racial/ethnic lines may help to alleviate racial/ethnic disparity in risk of hypertension.

Authors+Show Affiliations

Institute of Public Health, College of Health and Human Sciences, Georgia State University, Atlanta, 30302-3995, USA. iokosun@gsu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16511507

Citation

Okosun, I S., et al. "Regional Fat Localizations and Racial/ethnic Variations in Odds of Hypertension in At-risk American Adults." Journal of Human Hypertension, vol. 20, no. 5, 2006, pp. 362-71.
Okosun IS, Boltri JM, Hepburn VA, et al. Regional fat localizations and racial/ethnic variations in odds of hypertension in at-risk American adults. J Hum Hypertens. 2006;20(5):362-71.
Okosun, I. S., Boltri, J. M., Hepburn, V. A., Eriksen, M. P., & Davis-Smith, M. (2006). Regional fat localizations and racial/ethnic variations in odds of hypertension in at-risk American adults. Journal of Human Hypertension, 20(5), 362-71.
Okosun IS, et al. Regional Fat Localizations and Racial/ethnic Variations in Odds of Hypertension in At-risk American Adults. J Hum Hypertens. 2006;20(5):362-71. PubMed PMID: 16511507.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Regional fat localizations and racial/ethnic variations in odds of hypertension in at-risk American adults. AU - Okosun,I S, AU - Boltri,J M, AU - Hepburn,V A, AU - Eriksen,M P, AU - Davis-Smith,M, PY - 2006/3/3/pubmed PY - 2006/9/29/medline PY - 2006/3/3/entrez SP - 362 EP - 71 JF - Journal of human hypertension JO - J Hum Hypertens VL - 20 IS - 5 N2 - The objective of this study was to determine the contribution of regional fat localizations defined as abdominal (AO) or truncal (TO) obesity in racial/ethnic differences to the prevalence odds of hypertension in overweight American adults. Data (n=5,694) from the 1999-2002 US National Health and Nutrition Examination Survey were utilized for this analysis. Abdominal obesity was defined as waist circumference >or=102 and >or=88 cm for men and women, respectively. Truncal obesity was defined using ratio of subscapular to triceps skinfold thickness and were >or=2.24 and >or=1.32, for men and women, respectively. Prevalence odds ratios from gender-specific logistic regression models were used to evaluate the contribution of regional fat localizations to racial/ethnic variation in hypertension. Statistical adjustment was made for age, education, alcohol intake and body mass index. In both men and women, coexistence of AO and TO was associated with much higher prevalence odds of hypertension than association due to each of the regional fat localizations. In men, coexistence of AO and TO was associated with 1.99, 2.47 and 2.10 increased prevalence odds of hypertension in Whites, Blacks and Mexican Americans, respectively. The corresponding values in women were 2.83, 4.07 and 3.61 in Whites, Blacks and Mexican Americans, respectively. The coexistence of AO and TO appears to be the culprit that contributes to high blood pressure on top of body mass index. Weight reduction programs that are targeted toward abdominal and truncal regions in at-risk populations and along racial/ethnic lines may help to alleviate racial/ethnic disparity in risk of hypertension. SN - 0950-9240 UR - https://www.unboundmedicine.com/medline/citation/16511507/Regional_fat_localizations_and_racial/ethnic_variations_in_odds_of_hypertension_in_at_risk_American_adults_ L2 - https://doi.org/10.1038/sj.jhh.1001993 DB - PRIME DP - Unbound Medicine ER -