Body Fat Distribution and the Risk of Hypertension and Diabetes among Japanese Men and Women
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To identify anthropometrical indices of body fat distribution for predicting the risk of hypertension and diabetes,a population-based prospective study was designed. Subjects in two communities (n=2,422 and3,195), who were free of hypertension and diabetes, respectively, were followed-up. The area and genderspecificrisk of hypertension and diabetes were compared among tertiles of body mass index (BMI) andbody fat distribution, including waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio(WHtR), and subscapular skinfold-thickness (SSF). During the 10-year follow-up for hypertension and diabetes,the incident cases of hypertension were 72 for Yao men, 125 for Kyowa men, 160 for Yao women and193 for Kyowa women and those of diabetes were 27, 64, 37 and 77, respectively. One SD differences in BMIand WC were associated with 1.2 to1.6-fold higher risk of hypertension, and that of SSF was associated with1.4 to 1.6-fold higher risk of diabetes for both men and women in Yao and for women, but not men, inKyowa. One SD differences of BMI, WC and WHtR were also associated with 1.4 to 2.0-fold higher risk ofdiabetes for Yao and Kyowa women. In conclusion, the significant predictors for hypertension were BMI andWC and those for diabetes were BMI and SSF in both genders in both communities, except for men inKyowa. WC and WHtR were also predictors for diabetes in women but not in men.
- Hypertension research
Hypertension research 31(5), 851-857, 2008-05-01
the Japanese Society of Hypertension