全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Anthropometric and Body Composition Indices as Predictors of Hypertension Risk among Older Adults

DOI: 10.4236/ojepi.2025.152021, PP. 335-344

Keywords: Anthropometry, Body Composition, Hypertension, Older Adults, Palestinian

Full-Text   Cite this paper   Add to My Lib

Abstract:

Introduction: Older adults are at particular risk of high blood pressure and associated morbidity and mortality, as aging is associated with physiological changes, including alterations in body composition and a decline in overall health. Changes in body composition occur throughout life. Objectives: This paper aims to investigate the anthropometric and body composition indices and their effects on hypertension in older adults living in the West Bank of Palestine. Methods: A cross sectional study was conducted with anthropometric measurements, including height, waist and hip circumference, body mass index, and total body fat were assessed. A body composition analyzer measured body weight, fat mass, and fat-free mass. Systolic and diastolic blood pressure were measured using an automated sphygmomanometer. Statistical tests t-test and regression were used for analysis. Results: Data were collected from 79 older adult participants. Their mean age was 68.28 ± 5.76 years. Nearly half of the participants were obese (49.4%) or overweight (27.8%). Hypertensive participants had significantly higher anthropometric measurements compared to normotensive participants. Statistical significance was set at (p < 0.01) for all anthropometric indices, systolic and diastolic blood pressure, while waist-hip ratio and systolic blood pressure were significant at p < 0.05. Conclusions: Hypertension and obesity were strongly linked. Patients with hypertension tend to have higher obesity indices. For older adults with hypertension, adopting healthy eating habits and engaging in regular physical exercise can help manage hypertension, fight obesity and reduce the risk of complications.

References

[1]  Forouzanfar, M.H., Liu, P., Roth, G.A., Ng, M., Biryukov, S., Marczak, L., et al. (2017) Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 Mm Hg, 1990-2015. JAMA, 317, 165-182.
https://doi.org/10.1001/jama.2016.19043
[2]  Fuchs, F.D. and Whelton, P.K. (2020) High Blood Pressure and Cardiovascular Disease. Hypertension, 75, 285-292.
https://doi.org/10.1161/hypertensionaha.119.14240
[3]  Mills, K.T., Bundy, J.D., Kelly, T.N., Reed, J.E., Kearney, P.M., Reynolds, K., et al. (2016) Global Disparities of Hypertension Prevalence and Control. Circulation, 134, 441-450.
https://doi.org/10.1161/circulationaha.115.018912
[4]  World Health Organization (2023) Hypertension. World Health Organization (WHO).
https://www.who.int/news-room/fact-sheets/detail/hypertension
[5]  Turk-Adawi, K., Sarrafzadegan, N., Fadhil, I., Taubert, K., Sadeghi, M., Wenger, N.K., et al. (2017) Cardiovascular Disease in the Eastern Mediterranean Region: Epidemiology and Risk Factor Burden. Nature Reviews Cardiology, 15, 106-119.
https://doi.org/10.1038/nrcardio.2017.138
[6]  Robinson, S. (2021) Cardiovascular Disease. In: Robinson, S., Ed., Priorities for Health Promotion and Public Health, Routledge, 355-393.
https://doi.org/10.4324/9780367823689-16
[7]  Egan, B.M., Kjeldsen, S.E., Grassi, G., Esler, M. and Mancia, G. (2019) The Global Burden of Hypertension Exceeds 1.4 Billion People. Journal of Hypertension, 37, 1148-1153.
https://doi.org/10.1097/hjh.0000000000002021
[8]  Ejheisheh, M.A., Batran, A., Ayed, A., Correa-Rodríguez, M., Fernández-Aparicio, Á., Gómez-Urquiza, J.L., et al. (2022) Correlation between Anthropometric Measurements and Blood Pressure in a Population of Palestinian Adults. Science Progress, 105.
https://doi.org/10.1177/00368504221102782
[9]  Wald, N.J. and Morris, J.K. (2011) Assessing Risk Factors as Potential Screening Tests. Archives of Internal Medicine, 171, 286-191.
https://doi.org/10.1001/archinternmed.2010.378
[10]  Al-Aqtam, I., Darawad, M., Alshraideh, J., Nabolsi, M., Shoqirat, N. and Ayed, A. (2023) Health-Promoting Behaviors among Patients with Coronary Artery Disease in Palestine. Palestinian Medical and Pharmaceutical Journal, 8, Article 6.
https://doi.org/10.59049/2790-0231.1142
[11]  Batran, A., Fashafsheh, N., Ayed, A. and Salameh, B. (2021) The Predictors of Hypertension in Children: Palestinian Perspective. SAGE Open Nursing, 7.
https://doi.org/10.1177/2377960820987424
[12]  Gaziano, T.A., Young, C.R., Fitzmaurice, G., Atwood, S. and Gaziano, J.M. (2008) Laboratory-Based versus Non-Laboratory-Based Method for Assessment of Cardiovascular Disease Risk: The NHANES I Follow-Up Study Cohort. The Lancet, 371, 923-931.
https://doi.org/10.1016/s0140-6736(08)60418-3
[13]  Nuttall, F.Q. (2015) Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutrition Today, 50, 117-128.
https://doi.org/10.1097/nt.0000000000000092
[14]  González-Muniesa, P., Mártinez-González, M., Hu, F.B., Després, J., Matsuzawa, Y., Loos, R.J.F., et al. (2017) Obesity. Nature Reviews Disease Primers, 3, Article No. 17034.
https://doi.org/10.1038/nrdp.2017.34
[15]  Nyangasa, M.A., Buck, C., Kelm, S., Sheikh, M.A., Brackmann, K.L. and Hebestreit, A. (2019) Association between Cardiometabolic Risk Factors and Body Mass Index, Waist Circumferences and Body Fat in a Zanzibari Cross-Sectional Study. BMJ Open, 9, e025397.
https://doi.org/10.1136/bmjopen-2018-025397
[16]  Assaf, E.A., Al Sabbah, H. and Al-Jawadleh, A. (2023) Analysis of the Nutritional Status in the Palestinian Territory: A Review Study. Frontiers in Nutrition, 10, Article 1206090.
https://doi.org/10.3389/fnut.2023.1206090
[17]  Khdour, M.R., Hallak, H.O., Shaeen, M., Jarab, A.S. and Al-Shahed, Q.N. (2013) Prevalence, Awareness, Treatment and Control of Hypertension in the Palestinian Population. Journal of Human Hypertension, 27, 623-628.
https://doi.org/10.1038/jhh.2013.26
[18]  Alawneh, I.S., Yasin, A. and Musmar, S. (2022) The Prevalence of Uncontrolled Hypertension among Patients Taking Antihypertensive Medications and the Associated Risk Factors in North Palestine: A Cross-Sectional Study. Advances in Medicine, 2022, Article ID: 5319756.
https://doi.org/10.1155/2022/5319756
[19]  da Silva, V.S. and Vieira, M.F.S. (2020) International Society for the Advancement of Kinanthropometry (ISAK) Global: International Accreditation Scheme of the Competent Anthropometrist. Revista Brasileira de Cineantropometria & Desempenho Humano, 22, e70517.
https://doi.org/10.1590/1980-0037.2020v22e70517
[20]  Whelton, P.K., Carey, R.M., Aronow, W.S., Casey, D.E., Collins, K.J., Dennison Himmelfarb, C., et al. (2018) 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APHA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation, 138, e426-e483.
https://doi.org/10.1161/cir.0000000000000597
[21]  Al-Raddadi, R., Al-Ahmadi, J., Bahijri, S., Ajabnoor, G.M., Jambi, H., Enani, S., et al. (2021) Gender Differences in the Factors Associated with Hypertension in Non-Diabetic Saudi Adults—A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18, Article 11371.
https://doi.org/10.3390/ijerph182111371
[22]  Latiffah, A.L. and Hanachi, P. (2008) To Investigate the Relation of Hypertension and Anthropometric Measurement among Elderly in Malaysia. Journal of Applied Sciences, 8, 3963-3968.
https://doi.org/10.3923/jas.2008.3963.3968
[23]  Wang, Q., Xu, L., Li, J., Sun, L., Qin, W., Ding, G., et al. (2018) Association of Anthropometric Indices of Obesity with Hypertension in Chinese Elderly: An Analysis of Age and Gender Differences. International Journal of Environmental Research and Public Health, 15, Article 801.
https://doi.org/10.3390/ijerph15040801
[24]  Lin, Y., Chen, Y., Tsao, Y., Yeh, W., Li, W., Tzeng, I., et al. (2019) Relationship between Obesity Indices and Hypertension among Middle-Aged and Elderly Populations in Taiwan: A Community-Based, Cross-Sectional Study. BMJ Open, 9, e031660.
https://doi.org/10.1136/bmjopen-2019-031660
[25]  Yunita, J. and Sartika, R.A.D. (2022) Overweight/Obesity as the Dominant Factors Associated with Hypertension in the Elderly in Indonesia. Arterial Hypertension, 25, 152-158.
https://doi.org/10.5603/ah.a2021.0017
[26]  Budi Setyawan, F.E., Widyastuti, R., Putra, S.A., Ekasari, A., Islami, N.A., Fitriani, N.H., et al. (2022) Obesity as a Risk Factor for Hypertension. Saintika Medika, 18, 100-112.
https://doi.org/10.22219/sm.vol18.smumm2.24113
[27]  Ghalib, M.A., Shujaa Adeen, A.K., Al-Maimoony, T. and Al-Habeet, A. (2023) Prevalence and Prediction of Obesity among Yemeni Hypertensive Patients: A Single-Center, Cross-Sectional Study. Mathews Journal of Cardiology, 7, 1-12.
https://doi.org/10.30654/mjc.10028
[28]  Khashayar, P., Aghaei Meybodi, H., Rezaei Hemami, M. and Larijani, B. (2017) Role of Obesity Variables in Detecting Hypertension in an Iranian Population. High Blood Pressure & Cardiovascular Prevention, 24, 305-312.
https://doi.org/10.1007/s40292-017-0219-y
[29]  Nyamdorj, R. (2008) BMI Compared with Central Obesity Indicators in Relation to Diabetes and Hypertension in Asians. Obesity, 16, 1622-1635.
https://doi.org/10.1038/oby.2008.73
[30]  Park, S.H., Park, J.H., Song, P.S., Kim, D.K., Kim, K.H., Seol, S.H., et al. (2013) Sarcopenic Obesity as an Independent Risk Factor of Hypertension. Journal of the American Society of Hypertension, 7, 420-425.
https://doi.org/10.1016/j.jash.2013.06.002
[31]  Chen, S.C., Lo, T.C., Chang, J.H. and Kuo, H.W. (2014) Variations in Aging, Gender, Menopause, and Obesity and Their Effects on Hypertension in Taiwan. International Journal of Hypertension, 2014, Article ID: 515297.
https://doi.org/10.1155/2014/515297
[32]  Deng, G., Yin, L., Liu, W., Liu, X., Xiang, Q., Qian, Z., et al. (2018) Associations of Anthropometric Adiposity Indexes with Hypertension Risk. Medicine, 97, e13262.
https://doi.org/10.1097/md.0000000000013262
[33]  Lafortuna, C.L., Agosti, F., Proietti, M., Adorni, F. and Sartorio, A. (2006) The Combined Effect of Adiposity, Fat Distribution and Age on Cardiovascular Risk Factors and Motor Disability in a Cohort of Obese Women (Aged 18-83). Journal of Endocrinological Investigation, 29, 905-912.
https://doi.org/10.1007/bf03349195
[34]  Batiha, A., AlAzzam, M., ALBashtawy, M., Tawalbeh, L., Tubaishat, A. and Alhalaiqa, F.N. (2015) The Relationship between Hypertension and Anthropometric Indices in a Jordanian Population. Advanced Studies in Biology, 7, 233-243.
https://doi.org/10.12988/asb.2015.5214

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133