Association between anthropometric indices and 5-year hypertension incidence in the general japanese population

Association between anthropometric indices and 5-year hypertension incidence in the general japanese population


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ABSTRACT No existing reports demonstrate the association between anthropometric indices (body mass index, waist circumference, body roundness index, a body shape index) and hypertension


according to sex and age in the general Japanese population. This retrospective analysis involved individuals aged 30–69 years who underwent annual medical checkups at Kagoshima Koseiren


Hospital in 2005–2019, and who did not meet hypertension criteria at baseline. The outcome was hypertension incidence after 5 years, and its association with baseline anthropometric indices


was evaluated using multivariable logistic regression analysis by sex and age. In 41,902 participants (age 52.3 ± 10.2 years, 47.7% men), 7622 individuals (18.2%) developed hypertension


after 5 years. Body mass index, waist circumference, and body roundness index were significantly associated with the development of hypertension in both men and women across all age


categories from 30 s to 60 s. In the population with a body mass index <25 kg/m2, waist circumference and body roundness index were significantly associated with hypertension after 5


years. A body shape index was significantly associated with the development of hypertension in men in their 40 s and 50 s but not in women of any age group. The area under the curve values


were lower for a body shape index than for body mass index, waist circumference, and body roundness index in both men and women of all age groups. A body shape index was not a stronger


indicator for 5-year hypertension incidence than body mass index, waist circumference, or body roundness index in both men and women across age groups from their 30s–60 s. The results of


this study will help to more efficiently identify populations at high risk of developing hypertension and provide preventive interventions. Access through your institution Buy or subscribe


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ACKNOWLEDGEMENTS We thank the medical staff at Kagoshima Kouseiren Hospital for their support in data collection. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Cardiovascular


Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan Shin Kawasoe, Takuro Kubozono, Anwar Ahmed Salim, Satoko Ojima, Satoshi


Yamaguchi, Yoshiyuki Ikeda & Mitsuru Ohishi * Kagoshima Kouseiren Hospital, Kagoshima, Japan Hironori Miyahara & Koichi Tokushige * School of Health Sciences, Faculty of Medicine,


Kagoshima University, Kagoshima, Japan Masaaki Miyata Authors * Shin Kawasoe View author publications You can also search for this author inPubMed Google Scholar * Takuro Kubozono View


author publications You can also search for this author inPubMed Google Scholar * Anwar Ahmed Salim View author publications You can also search for this author inPubMed Google Scholar *


Satoko Ojima View author publications You can also search for this author inPubMed Google Scholar * Satoshi Yamaguchi View author publications You can also search for this author inPubMed 


Google Scholar * Yoshiyuki Ikeda View author publications You can also search for this author inPubMed Google Scholar * Hironori Miyahara View author publications You can also search for


this author inPubMed Google Scholar * Koichi Tokushige View author publications You can also search for this author inPubMed Google Scholar * Masaaki Miyata View author publications You can


also search for this author inPubMed Google Scholar * Mitsuru Ohishi View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence


to Takuro Kubozono. ETHICS DECLARATIONS CONFLICT OF INTEREST The authors declare no competing interests. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard


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CITE THIS ARTICLE Kawasoe, S., Kubozono, T., Salim, A.A. _et al._ Association between anthropometric indices and 5-year hypertension incidence in the general Japanese population. _Hypertens


Res_ 47, 867–876 (2024). https://doi.org/10.1038/s41440-023-01505-6 Download citation * Received: 14 August 2023 * Revised: 17 October 2023 * Accepted: 20 October 2023 * Published: 15


November 2023 * Issue Date: April 2024 * DOI: https://doi.org/10.1038/s41440-023-01505-6 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get


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Hypertension * Obesity * Body roundness index * A body shape index