Authors
Oseni T. I. A. , Ahmed S. D. , Oku A. O. , Ayoola Y. A., Iyalome, E. S. , Ijika O. A. , Udonwa N. E.
Abstract
Introduction: Obesity can be a major problem due to its potential to cause a number of health issues, including high
blood pressure, diabetes and other cardiovascular diseases. This study aimed to evaluate the association between
obesity as assessed by body mass index (BMI), waist-hip ratio (WHR) and waist-height ratio (WHtR) and blood
pressure control among patients with hypertension attending the Family Medicine Clinics of Irrua Specialist
Teaching Hospital, Irrua, a semi-urban community in Edo State, southern Nigeria. Methods: This was a rosssectional study among 250 patients with hypertension attending the Family clinics of Irrua Specialist Teaching Hospital, aged 18 to 65 years. The anthropometric indices of consenting participants, including BMI, WHR, and WHtR were evaluated and blood pressure was determined. Data was analysed using the statistical package of Social Sciences version 24.0. Result: Study participants had a mean age of 51.5 ± 10.0 years, with a mean BMI of 28.60 ± 5.71kg/m2. The median and interquartile range of the waist-hip ratio and waist-height ratio were 1.02 (1.01, 1.03) and 0.61 (0.58, 0.66) respectively. The proportion of participants with obesity, defined by WHtR, with uncontrolled BP was significantly higher than that for those with controlled BP (63.9% vs 47.5%; p=0.024). Upon adjusting for sociodemographic variables, participants with obesity based on WHtR had 2.71 times the odds of having uncontrolled blood pressure compared to those who did not have obesity. This finding was statistically significant. (aOR=2.71; 95% CI=1.37-5.38; p=0.004). Conclusion: Anthropometric indices remain valuable predictors of blood pressure control. The WHtR, a measure of central obesity, compared to the BMI, was significantly associated with
poor blood pressure control.
blood pressure, diabetes and other cardiovascular diseases. This study aimed to evaluate the association between
obesity as assessed by body mass index (BMI), waist-hip ratio (WHR) and waist-height ratio (WHtR) and blood
pressure control among patients with hypertension attending the Family Medicine Clinics of Irrua Specialist
Teaching Hospital, Irrua, a semi-urban community in Edo State, southern Nigeria. Methods: This was a rosssectional study among 250 patients with hypertension attending the Family clinics of Irrua Specialist Teaching Hospital, aged 18 to 65 years. The anthropometric indices of consenting participants, including BMI, WHR, and WHtR were evaluated and blood pressure was determined. Data was analysed using the statistical package of Social Sciences version 24.0. Result: Study participants had a mean age of 51.5 ± 10.0 years, with a mean BMI of 28.60 ± 5.71kg/m2. The median and interquartile range of the waist-hip ratio and waist-height ratio were 1.02 (1.01, 1.03) and 0.61 (0.58, 0.66) respectively. The proportion of participants with obesity, defined by WHtR, with uncontrolled BP was significantly higher than that for those with controlled BP (63.9% vs 47.5%; p=0.024). Upon adjusting for sociodemographic variables, participants with obesity based on WHtR had 2.71 times the odds of having uncontrolled blood pressure compared to those who did not have obesity. This finding was statistically significant. (aOR=2.71; 95% CI=1.37-5.38; p=0.004). Conclusion: Anthropometric indices remain valuable predictors of blood pressure control. The WHtR, a measure of central obesity, compared to the BMI, was significantly associated with
poor blood pressure control.
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