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Association between anthropometric and ultrasound measurements of fatness with ambulatory blood pressure monitoring in obese women.
- Source :
-
International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity [Int J Obes Relat Metab Disord] 1997 Aug; Vol. 21 (8), pp. 632-6. - Publication Year :
- 1997
-
Abstract
- Objective: An association between body fat distribution indices and the amount of visceral adipose tissue (AT) with blood pressure (BP) has been documented. However, most studies used casual morning BP values as the dependent variable. The aim of our study was to identify which of the obesity indices (the body mass index (BMI), waist-to-hip ratio (WHR), sagittal diameter or visceral (AT) measured by ultrasonography (US)) better correlated with BP determined by 24 h ambulatory monitoring.<br />Design: Retrospective study on obese women, outpatients at the Obesity Clinic, Internal Medicine Institute, Chieti University, Italy.<br />Subjects and Measurements: In fifty-one obese outpatient women, BP was determined with a single morning measurement (casual BP) and with 24 h ambulatory monitoring (ABPM). The obesity parameters were the BMI, WHR, sagittal diameter and the amount of intra-abdominal and subcutaneous fat determined by US.<br />Results: Except for the BMI, all obesity indices as WHR, sagittal diameter and visceral AT measured by US were strongly correlated with both casual and 24 h ambulatory BP values. When such parameters were evaluated in a multivariate analysis, only the WHR remained significantly related to 24 h ABPM parameters and not to casual values.<br />Conclusions: These results suggest that a simple measure of fat distribution as the WHR could represent a good predictor of hypertension in obesity, providing that BP is measured in a more reproducible manner, such as by 24 h ambulatory BP monitoring.
- Subjects :
- Abdomen
Adult
Body Mass Index
Female
Humans
Hypertension diagnostic imaging
Hypertension physiopathology
Middle Aged
Multivariate Analysis
Obesity diagnostic imaging
Obesity physiopathology
Retrospective Studies
Ultrasonography
Adipose Tissue diagnostic imaging
Blood Pressure Monitoring, Ambulatory
Hypertension complications
Obesity complications
Waist-Hip Ratio
Subjects
Details
- Language :
- English
- Volume :
- 21
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity
- Publication Type :
- Academic Journal
- Accession number :
- 15481761
- Full Text :
- https://doi.org/10.1038/sj.ijo.0800442