PDF(Pubmed)
Abstract：
Obesity can be a major problem due to its potential to cause a number of health issues, including high blood pressure and diabetes. Many reports have come out of Palestine on overweight and obesity and their direct link to non-communicable diseases, although there is only limited evidence available on the connection between obesity and hypertension in Palestinian adults. We aimed to look at the associations between anthropometric and body composition variables and blood pressure in a large population of Palestinian adults (1337 subjects) and determine which anthropometric indices most strongly correlate with high blood pressure. Anthropometric measurements including height, waist circumference (WC), hip circumference (HC), body mass index (BMI), and total body fat (TBF) were assessed. A body composition analyzer was used to measure body weight, fat mass and fat-free mass. Systolic (SBP) and diastolic (DBP) blood pressure were measured using a Dinamap vital signs monitor. In both males and females, all the anthropometric measurements showed significant strong positive correlations with mean SBP and mean DBP (p < 0.01). SBP correlated the most strongly with waist circumference in all subjects (r = 0.444 in females, r = 0.422 in males), while DBP correlated the most strongly with WC in males (r = 0.386), but with TBF in females (r = 0.256). By controlling fat percentage, WC, HC, and BMI, which are affected by extra weight and lack of exercise, blood pressure levels can be regulated.
摘要：
肥胖可能是一个主要问题，因为它有可能导致许多健康问题，包括高血压和糖尿病。巴勒斯坦有许多关于超重和肥胖及其与非传染性疾病的直接联系的报告，尽管关于巴勒斯坦成年人肥胖和高血压之间联系的证据有限。我们旨在研究大量巴勒斯坦成年人（1337名受试者）的人体测量和身体成分变量与血压之间的关联，并确定哪些人体测量指标与高血压的相关性最强。人体测量，包括身高，腰围（WC），臀围（HC），体重指数（BMI），和全身脂肪（TBF）进行评估。使用身体成分分析仪测量体重，脂肪量和无脂肪量。使用Dinamap生命体征监测器测量收缩压（SBP）和舒张压（DBP）。在男性和女性中，所有人体测量结果均与平均SBP和平均DBP呈显著正相关(p<0.01)。在所有受试者中，SBP与腰围的相关性最强（女性中r=0.444，男性中r=0.422)，而男性DBP与WC的相关性最强(r=0.386)，但女性有TBF（r=0.256）。通过控制脂肪百分比，WC,HC,BMI,受到额外体重和缺乏锻炼的影响，血压水平可以调节。
