1. The association between the waist-to-height ratio and novel cerebral infarction in the elderly with hypertension.
- Author
-
GUO Xiaobin, LIU Ping, and YU Wenxia
- Abstract
Objective To study the relationship between waist-to-height ratio (WHtR) and new-onset cerebral infarction in the elderly with hypertension. Methods A total of 9 096 elderly hypertensive patients were enrolled from the Kailuan study population. Using the first occurrence of cerebral infarction as the endpoint event, a prospective cohort study was performed. According to the WHtR value of the subjects with an interval of 0.05, the subjects were divided into G1 group (WHtR < 0.45, G2 group (0.45 ≤ WHtR < 0.50), G3 group (0.50 ≥ WHtR < 0.55, and G4 group (WHtR > 0.55). The cumulative incidence rate of endpoint event in each population were statistically analyzed using the life table method. Cox proportional hazards regression analysis was used to explore the role of WHtR in the occurrence of new cerebral infarction. Model 1 was a single factor Cox proportional hazards analysis model, only considering the influence of WHtR on the risk of cerebral infarction. After adjusting sex, age, body weight, serum hypersensitive C-reactive protein, systolic blood pressure, serum triglycerides, smoking history, fasting blood glucose, alcohol consumption, high-density lipoprotein cholesterol, diastolic blood pressure, exercise, low-density lipoprotein cholesterol, educational level, antihypertensive drug history, model 2 was established to observe the influence of WHtR on the occurrence of new-onset cerebral infarction. Results The follow-up lasted (9.3 ± 2.7) years. Compared to the G2 group, multivariate Cox proportional hazards regression model showed that the hazard ratio HR(95%CI) for cerebral infarction in model 1 was 1.00(0.67 ~ 1.50), 1.29 (1.05 ~ 1.60) and 1.36(1.12-1.66) respectively in G1, G3 andG4; and that in model 2 was 1.09 (0.72 ~ 1.65), 1.24(0.99 ~ 1.54) and 1.31 (1.05 ~ 1.62) respectively in G1, G3 and G4. Conclusion The risk of cerebral infarction in the elderly with hypertension is the lowest when WHtR between 0.45 s; WHtR < 0.50, and WHtR greater than or equal to 0.55 is associated with an increased risk of new-onset cerebral infarction. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF