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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

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The Value of Four Anthropometric Indicators for Identifying Left Ventricular Hypertrophy in Chinese Hypertensive

Bokai Cheng1,2, Nan Lu1,3, Ge Song2

  • 1Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, China.

International Journal of Hypertension
|May 27, 2022
PubMed

Insights

Obesity indices like BMI and waist circumference are linked to left ventricular hypertrophy (LVH) in hypertensive patients. Managing weight may help lower the risk of developing LVH.

Area of Science:

  • Cardiology
  • Public Health
  • Anthropometry

Background:

  • Left ventricular hypertrophy (LVH) is an independent risk factor for hypertension.
  • Previous studies have not compared various body size indices with LVH in hypertensive populations.

Purpose of the Study:

  • To investigate the association between different anthropometric indices and LVH in a hypertensive population in rural China.
  • To identify obesity indicators as risk factors for LVH.

Main Methods:

  • Analysis of anthropometric indices and cardiovascular disease risk factors in 4,639 hypertensive patients.
  • Utilized Spearman's correlation, logistic regression, and ROC curve analyses.
  • Compared patients in the highest quartile of body size indices to the lowest.

Main Results:

  • Higher quartiles of BMI, WC, WHR, and WHtR were associated with increased likelihood of LVH.
  • Adjusted odds ratios for LVH were significant for BMI (3.55), WC (2.23), WHR (1.44), and WHtR (3.23).
  • ROC curve analysis indicated that BMI, WHtR, WHR, and WC are potential indicators associated with LVH.

Conclusions:

  • Four anthropometric indicators of obesity (BMI, WC, WHR, WHtR) are identified as risk factors for LVH in hypertensive individuals.
  • Weight control strategies may be beneficial in reducing the risk of developing left ventricular hypertrophy.

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