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Is waist-to-height ratio the best predictive indicator of hypertension incidence? A cohort study

Overview of attention for article published in BMC Public Health, February 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • Good Attention Score compared to outputs of the same age and source (77th percentile)

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1 news outlet
blogs
1 blog
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6 X users

Citations

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31 Dimensions

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75 Mendeley
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Title
Is waist-to-height ratio the best predictive indicator of hypertension incidence? A cohort study
Published in
BMC Public Health, February 2018
DOI 10.1186/s12889-018-5177-3
Pubmed ID
Authors

Ana Carolina Rezende, Ludimila Garcia Souza, Thiago Veiga Jardim, Naiana Borges Perillo, Ymara Cássia Luciana Araújo, Samanta Garcia de Souza, Ana Luiza Lima Sousa, Humberto Graner Moreira, Weimar Kunz Sebba Barroso de Souza, Maria do Rosário Gondim Peixoto, Paulo César Brandão Veiga Jardim

Abstract

The best anthropometric indicator to verify the association between obesity and hypertension (HTN) has not been established. We conducted this study to evaluate and compare the discriminatory power of waist-to-height ratio (WHtR) in relation to body mass index (BMI) and waist circumference (WC) in predicting HTN after 13 years of follow-up. This study was an observational prospective cohort study performed in the city of Firminópolis, in Brazilian's midwest. The cohort baseline (phase 1) was initiated in 2002 with the evaluation of a representative sample of the normotensive population (≥ 18 years of age). The incidence of HTN was evaluated as the outcome (phase 2). Sociodemographic, dietary and lifestyle variables were used to adjust proportional hazards models and evaluate risk of HTN according to anthropometric indices. The areas under the receiver operating characteristic (ROC) curves were used to compare the predictive capacity of these indices. The best HTN predictor cut-offs were obtained based on sensitivity and specificity. A total of 471 patients with a mean age of 38.9 ± 12.3 years were included in phase 1. The mean follow-up was 13.2 years, and 207 subjects developed HTN. BMI, WC and WHtR were associated with risk of HTN incidence and had similar power in predicting the disease. However, the associations were only significant for women. The cut-off points with a better HTN predictive capacity were in agreement with current recommendations, except for the WC in men. The results suggest that both overall obesity (BMI) and central obesity (WC and WHtR) anthropometric indicators can be used in this population to evaluate the risk of developing hypertension.

X Demographics

X Demographics

The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 75 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 15%
Student > Master 9 12%
Researcher 9 12%
Student > Ph. D. Student 5 7%
Lecturer 4 5%
Other 11 15%
Unknown 26 35%
Readers by discipline Count As %
Medicine and Dentistry 19 25%
Nursing and Health Professions 14 19%
Biochemistry, Genetics and Molecular Biology 2 3%
Pharmacology, Toxicology and Pharmaceutical Science 2 3%
Engineering 2 3%
Other 4 5%
Unknown 32 43%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 18. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 June 2023.
All research outputs
#1,963,360
of 24,506,807 outputs
Outputs from BMC Public Health
#2,213
of 16,194 outputs
Outputs of similar age
#42,123
of 334,627 outputs
Outputs of similar age from BMC Public Health
#71
of 309 outputs
Altmetric has tracked 24,506,807 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 16,194 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.4. This one has done well, scoring higher than 86% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 334,627 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 309 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.