Predictive ability of the Chinese visceral adiposity index for incident hypertension in working-aged Koreans
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OBJECTIVES The Chinese visceral adiposity index (CVAI) was developed to assess visceral adipose tissue in the Asian population. This study evaluated the predictive ability of the CVAI for incident hypertension in Korean adults. METHODS The study participants included 128,577 Koreans without hypertension. They were grouped in quartiles according to body mass index (BMI), waist circumference (WC), visceral adipose index (VAI), and CVAI values. The Cox proportional hazard assumption was used to evaluate the hazard ratio (HR) and 95% confidence interval (CI) for incident hypertension (adjusted HR [95% CI]) according to quartile level across a follow-up period of 6.9 years. Subgroup analyses were conducted by gender and obesity. The area under the curve was calculated to compare the predictive abilities of all indices (BMI, WC, VAI, and CVAI) for incident hypertension. RESULTS The CVAI was proportionally associated with the risk of hypertension in all participants (quartile 1: reference; quartile 2: 1.71 [95% CI, 1.59 to 1.82]; quartile 3: 2.41 [95% CI, 2.25 to 2.58]; and quartile 4: 3.46 [95% CI, 3.23 to 3.71]). Time dependent receiver operating characteristic curve analysis indicated that the CVAI was superior to BMI, WC, and VAI in predicting hypertension at the 2-year, 4-year, 6-year, and 8-year follow-ups. This finding was also observed in the gender and obesity subgroups. The predictive ability of the CVAI was greater in the women and non-obese subgroups than in the men and obese subgroups. CONCLUSIONS The CVAI was a stronger predictor of hypertension than BMI, WC, and VAI.
Abstract
OBJECTIVES The Chinese visceral adiposity index (CVAI) was developed to assess visceral adipose tissue in the Asian population. This study evaluated the predictive ability of the CVAI for incident hypertension in Korean adults. METHODS The study participants included 128,577 Koreans without hypertension. They were grouped in quartiles according to body mass index (BMI), waist circumference (WC), visceral adipose index (VAI), and CVAI values. The Cox proportional hazard assumption was used to evaluate the hazard ratio (HR) and 95% confidence interval (CI) for incident hypertension (adjusted HR [95% CI]) according to quartile level across a follow-up period of 6.9 years. Subgroup analyses were conducted by gender and obesity. The area under the curve was calculated to compare the predictive abilities of all indices (BMI, WC, VAI, and CVAI) for incident hypertension. RESULTS The CVAI was proportionally associated with the risk of hypertension in all participants (quartile 1: reference; quartile 2: 1.71 [95% CI, 1.59 to 1.82]; quartile 3: 2.41 [95% CI, 2.25 to 2.58]; and quartile 4: 3.46 [95% CI, 3.23 to 3.71]). Time dependent receiver operating characteristic curve analysis indicated that the CVAI was superior to BMI, WC, and VAI in predicting hypertension at the 2-year, 4-year, 6-year, and 8-year follow-ups. This finding was also observed in the gender and obesity subgroups. The predictive ability of the CVAI was greater in the women and non-obese subgroups than in the men and obese subgroups. CONCLUSIONS The CVAI was a stronger predictor of hypertension than BMI, WC, and VAI.
참고문헌 (38)
- Kontis V, "Regional contributions of six preventable risk factors to achieving the 25×25 non-communicable disease mortality reduction target : a modelling study", Lancet Glob Health, 3, pp.e746~e757 (2015)[DOI]
- Chobanian AV, "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", Hypertension, 42, pp.1206~1252 (2003)[DOI]
- Chobanian AV, "Shattuck lecture. The hypertension paradox--more uncontrolled disease despite improved therapy", N Engl J Med, 361, pp.878~887 (2009)[DOI]
- Jayedi A, "Body mass index, abdominal adiposity, weight gain and risk of developing hypertension : a systematic review and dose-response meta-analysis of more than 2. 3 million participants", Obes Rev, 19, pp.654~667 (2018)[DOI]
- Lee CM, "Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI : a meta-analysis", J Clin Epidemiol, 61, pp.646~653 (2008)[DOI]
- Coutinho T, "Central obesity and survival in subjects with coronary artery disease : a systematic review of the literature and collaborative analysis with individual subject data", J Am Coll Cardiol, 57, pp.1877~1886 (2011)[DOI]
- Koh H, "Visceral adiposity, not abdominal subcutaneous fat area, is associated with high blood pressure in Japanese men : the Ohtori study", Hypertens Res, 34, pp.565~572 (2011)[DOI]
- Chandra A, "The relationship of body mass and fat distribution with incident hypertension : observations from the Dallas Heart Study", J Am Coll Cardiol, 64, pp.997~1002 (2014)[DOI]
- Amato MC, "Visceral Adiposity Index : a reliable indicator of visceral fat function associated with cardiometabolic risk", Diabetes Care, 33, pp.920~922 (2010)[DOI]
- Bozorgmanesh M, "Predictive performances of lipid accumulation product vs. adiposity measures for cardiovascular diseases and all-cause mortality, 8. 6-year follow-up : Tehran lipid and glucose study", Lipids Health Dis, 9, pp.100~ (2010)[DOI]
- Stepien M, "New obesity indices and adipokines in normotensive patients and patients with hypertension : comparative pilot analysis", Angiology, 65, pp.333~342 (2014)[DOI]
- Xia MF, "A indicator of visceral adipose dysfunction to evaluate metabolic health in adult Chinese", Sci Rep, 6, pp.38214~ (2016)[DOI]
- Wei J, "Comparisons of visceral adiposity index, body shape index, body mass index and waist circumference and their associations with diabetes mellitus in adults", Nutrients, 11, pp.1580~ (2019)[DOI]
- Wu J, "A novel visceral adiposity index for prediction of type 2 diabetes and pre-diabetes in Chinese adults : a 5-year prospective study", Sci Rep, 7, pp.13784~ (2017)[DOI]
- Huang YC, "Comparison of innovative and traditional cardiometabolic indices in estimating atherosclerotic cardiovascular disease risk in adults", Diagnostics(Basel), 11, pp.603~ (2021)[DOI]
- Sun JY, "Association between waist circumference and the prevalence of(Pre)hypertension among 27, 894 US adults", Front Cardiovasc Med, 8, pp.717257~ (2021)[DOI]
- Li B, "Chinese visceral adiposity index is more closely associated with hypertension and prehypertension than traditional adiposity indices in Chinese population : results from the REACTION study", Front Endocrinol(Lausanne), 13, pp.921997~ (2022)[DOI]
- Han M, "Chinese visceral adiposity index, a novel indicator of visceral obesity for assessing the risk of incident hypertension in a prospective cohort study", Br J Nutr, 126, pp.612~620 (2021)[DOI]
- Kim HL, "The 2022 focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension", Clin Hypertens, 29, pp.11~ (2023)[DOI]
- "The Asian-Pacific perspective: redefining obesity and its treatment" (2000)[URL]
- American Diabetes Association, "2. Classification and diagnosis of diabetes : standards of medical care in diabetes-2021", Diabetes Care, 44(Suppl 1), pp.S15~S33 (2021)[DOI]
- Park SK, "Effect of overweight and obesity(defined by asian-specific cutoff criteria)on left ventricular diastolic function and structure in a general Korean population", Circ J, 80, pp.2489~2495 (2016)[DOI]
- Wakabayashi I, "Stronger associations of obesity with prehypertension and hypertension in young women than in young men", J Hypertens, 30, pp.1423~1429 (2012)[DOI]
- Tang L, "The association of visceral adipose tissue and subcutaneous adipose tissue with metabolic risk factors in a large population of Chinese adults", Clin Endocrinol(Oxf), 85, pp.46~53 (2016)[DOI]
- Deng WW, "Body mass index compared with abdominal obesity indicators in relation to prehypertension and hypertension in adults : the CHPSNE study", Am J Hypertens, 26, pp.58~67 (2013)[DOI]
- Kanaya AM, "Adipocytokines attenuate the association between visceral adiposity and diabetes in older adults", Diabetes Care, 27, pp.1375~1380 (2004)[DOI]
- Misra A, "Insulin resistance syndrome(metabolic syndrome)and obesity in Asian Indians : evidence and implications", Nutrition, 20, pp.482~491 (2004)[DOI]
- Camhi SM, "The relationship of waist circumference and BMI to visceral, subcutaneous, and total body fat : sex and race differences", Obesity(Silver Spring), 19, pp.402~408 (2011)[DOI]
- Liu A, "Ethnic differences in body fat distribution among Asian pre-pubertal children : a cross-sectional multicenter study", BMC Public Health, 11, pp.500~ (2011)[DOI]
- Kapoor N, "Normal weight obesity : an underrecognized problem in individuals of South Asian descent", Clin Ther, 41, pp.1638~1642 (2019)[DOI]
- Tian Q, "Characteristics of physical fitness and cardiometabolic risk in Chinese university students with normal-weight obesity : a cross-sectional study", Diabetes Metab Syndr Obes, 13, pp.4157~4167 (2020)[DOI]
- Chandra A, "The relationship of body mass and fat distribution with incident hypertension : observations from the Dallas Heart Study", J Am Coll Cardiol, 64, pp.997~1002 (2014)[DOI]
- Fox CS, "Abdominal visceral and subcutaneous adipose tissue compartments : association with metabolic risk factors in the Framingham Heart Study", Circulation, 116, pp.39~48 (2007)[DOI]
- Alvarez GE, "Sympathetic neural activation in visceral obesity", Circulation, 106, pp.2533~2536 (2002)[DOI]
- Seven E, "Abdominal adiposity distribution quantified by ultrasound imaging and incident hypertension in a general population", Hypertension, 68, pp.1115~1122 (2016)[DOI]
- Gómez-Ambrosi J, "Body mass index classification misses subjects with increased cardiometabolic risk factors related to elevated adiposity", Int J Obes(Lond), 36, pp.286~294 (2012)[DOI]
- Janghorbani M, "Utility of the visceral adiposity index and hypertriglyceridemic waist phenotype for predicting incident hypertension", Endocrinol Metab(Seoul), 32, pp.221~229 (2017)[DOI]
- Hu L, "Different adiposity indices and their associations with hypertension among Chinese population from Jiangxi province", BMC Cardiovasc Disord, 20, pp.115~ (2020)[DOI]