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Is waist-to-height ratio the best predictive indicator of cardiovascular disease incidence in hypertensive adults? A cohort study by Shu Zhang; Xin Fu; Zhi Du; Xiaofan Guo; Zhao Li; Guozhe Sun; Ying Zhou; Hongmei Yang; Shasha Yu; Liqiang Zheng; Yingxian Sun; Xingang Zhang is a Medicine article available to read on EtoBox.

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## Background Cardiovascular disease (CVD) brings high mortality and economic burden to patients, especially in rural areas. Simple, low-cost abdominal adiposity measures may help identify individuals with increased CVD risk. It is unclear that which obesity indices is the best to predict CVD in hypertensive people. ## Methods Northeast China Rural Cardiovascular Health Study (NCRCHS) is a prospective cohort study in a general population in Northeast China. The study examined the cardiovascular health from 2013 to 2015, and follow-up captured the CVD incidence in 2018. Baseline waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip (WHR)and body mass index (BMI) were calculated and analyzed in relation to the CVD incidence. ## Results A total of 4244 hypertensive adults without pre-existing CVD at baseline were included in this analysis (age 35–92 years; 2108 men). Over a median follow-up of 4.66 years, a total of 290 CVD cases (6.83%) were documented during the follow-up. Baseline WHtR showed a significant positive association with CVD incidence, even after adjusting for age, sex, diabetes, drinking, smoking, SBP, DBP, Triglyceride, HDL-C, LDL-C, and TC (Hazard Ratio

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Author

Shu Zhang; Xin Fu; Zhi Du; Xiaofan Guo; Zhao Li; Guozhe Sun; Ying Zhou; Hongmei Yang; Shasha Yu; Liqiang Zheng; Yingxian Sun; Xingang Zhang

Publisher

Springer Science and Business Media LLC

Published

2022

Language

EN

Field

Medicine (Health Sciences)