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Associations between body mass index, waist circumference, waist circumference to-height ratio, and hypertension in an Algerian adult population

  • Selected Case Studies on the Environment of the Mediterranean and Surrounding Regions
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Abstract

The aim of our study was to analyze the associations between anthropometric measures and high blood pressure (HBP) in Algerian patients. A cross-sectional study was conducted among 785 adults with normal BMI (248), overweight (253), and obese (284), who were assessed with measurement of systolic and diastolic blood pressure, weight, height, and waist circumference (WC). Body mass index (BMI) and waist circumference-to-height ratio (WHtR) were calculated. We released receiver operating characteristic (ROC) curves for each anthropometric parameter to assess its discriminant power predictive of HBP in patients. Obese had a higher mean weight, WC, WHtR, systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting glucose (FG), total cholesterol (TC), and triglycerides (TG) than overweight and normal weight. The prevalence of hypertension and diabetes was higher in obese than overweight and normal weight. Results showed that obesity increased the risk of hypertension by a factor of 1.54 (95% CI [1.15, 2.06], (p = 0.004). Pearson’s correlation data analysis showed that there was no relationship between systolic blood pressure and anthropometric parameters (BMI, WC, and WHtR). Only DBP was negatively associated with WHtR in the overweight group. All these parameters had areas under the curve between 0.409 and 0.618.The cutoff value of anthropometric WHtR parameters associated with the risk of hypertension was higher among women than men regardless of the BMI group considered. Contrary to the data of the literature, the discriminating power of anthropometry in the prediction of the HBP is limited or absent whatever the value of the BMI.

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Acknowledgments

We thank all the subjects who participated in this study and the medical staff who helped us for the realization of the biochemical analyzes.

Funding

This work was supported by the National Fund for Scientific Research to Pr. F. BAALI (Laboratory of Water and Environment), the Ministry of High Education and Scientific Research of Algeria (PRFU Project D01N01UN120120180002).

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Authors and Affiliations

  1. FESSNL. Applied Biology Department, University Larbi Tbessi-Tebessa, 12000, Tebessa, Algeria

    Salima Taleb

  2. FESSNL. Biology of Living Beings Department, University Larbi Tbessi.Tebessa, 12000, Tebessa, Algeria

    Kafila Boulaba, Ahlem Yousfi, Nada Taleb, Basma Difallah & Samira Negrichi

  3. INATAA, University of Constantine 1, Constantine, Algeria

    Salima Taleb

  4. Laboratory of Water and Environment, University Larbi Tbessi, 12000, Tebessa, Algeria

    Salima Taleb & Samira Negrichi

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  1. Salima Taleb
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  2. Kafila Boulaba
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  4. Nada Taleb
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  5. Basma Difallah
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Contributions

Taleb S was responsible for the study design; K Boulaba, A Yousfi, N Taleb, B Difallah, and S Negrichi participated in data collection and biochemical analyses. Taleb S analyzed the data and was involved in the interpretation. All authors critically read the drafts of this paper and approved its final version prior to submission for publication.

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Correspondence to Salima Taleb.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (NCC2014-0068) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Responsible editor: Lotfi Aleya

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Taleb, S., Boulaba, K., Yousfi, A. et al. Associations between body mass index, waist circumference, waist circumference to-height ratio, and hypertension in an Algerian adult population. Environ Sci Pollut Res 28, 46514–46522 (2021). https://doi.org/10.1007/s11356-020-10122-6

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  • DOI: https://doi.org/10.1007/s11356-020-10122-6

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