Abstract
Objective To investigate whether arm circumference (AC) and waist to arm ratio's relationship with ab-dominal obesity and other traditional risk factors in patients with essential hypertension and metabolic syndrome .Mteh ods Continuous selected newly diagnosed or untreated patients with primary hypertension 540 cases, according to arm circumfer-ence 28.8 cm as the cutoff point, all subjects were divided into group A (arm circumference≥28.8 cm) with 238 cases and group B ( arm circumference <28 .8 cm) of 302 cases;then all patients were divided into groups of metabolic syndrome with 236 cases and non-metabolic syndrome group with 304 cases, then data were compared among groups .Results Patients of group A'body mass index (BMI), waist circumference, waist ratio, systolic blood pressure, alanine aminotransferase (ALT), serum creatinine, serum uric acid, triglycerides, fasting blood glucose, hemoglobin were higher than group B (all P <0.05), age, pulse pressure, high-density lipoprotein cholesterol (HDL-C) in group A were lower than group B (all P <0.05).pa-tients in group of metabolic syndrome'WHR, BMI, waist circumference, waist ratio, arm circumference and ALT, serum uric acid , triglycerides , total cholesterol , fasting blood glucose and other metabolic indices higher than non-metabolic syndrome group ( P <0.05 ) , while HDL-C lower than that of non-metabolic syndrome group ( P <0.01).Linear correlation analy-sis showed that hypertension arm circumference and waist circumference , WHR was positively correlated with waist circumfer-ence ( r =0.688, r =0.703, respectively, all P <0.01).Metabolic syndrome arm circumference and waist circumference , WHR was positively correlated with waist circumference ( r =0.683, r =0.706, all P <0.01).Metabolic syndrome arm circumference and waist circumference , WHR was positively correlated with waist circumference ( r =0.683, r =0.706, both P <0.01).With abdominal obesity as the dependent variable ,Multivariate Logistic regression analysis showed that high arm circumference,waist arm ratio,ALT,triglycerides are risk factors for abdominal obesity occurred , OR (95% CI) were 13.358-71.422, 8.925-49.715, 1.004-1.051, 1 0.98-1.604.WHR, arm circumference as the diagnosis standard of abdominal obesity, the area under the ROC curve were greater than 0.7( P <0.01).Conclu sion Arm circumference, WHR and waist circumference was positively correlated with clinic systolic and ALT , creatinine , serum uric acid , triglycer-ides, fasting glucose and other closely related biochemical parameters and metabolic syndrome components .Arm circumfer-ence, WHR may become a new evaluation of abdominal obesity indicators .关键词
高血压,原发性/腹型肥胖/臂围/腰围/代谢综合征Key words
Hypertension , primary/Abdominal obesity/Arm circumference/Waist circumference/Metabolic syn-drome
