The Correlation Between Obesity Phenotypes and High Normal Blood Pressure in Fuzhou Community Residents

Abstract

Abstract Background To explore the correlation between obesity phenotypes and high normal blood pressure (BP) among residents residing in Fuzhou communities. Methods A cross-sectional study was conducted and on-site questionnaire survey, physical examinations and laboratory tests were carried out on the residents aged over 18 years in communities of Fuzhou city from 2018 to 2019, in which 900 people with normal BP and 1,006 people with high normal BP were included for analysis. Univariate analysis and multivariate logistic regression model were utilized to analyze the relationship between obesity phenotypes and high normal BP. Receiver operating characteristic (ROC) curve was used to analyze the predictive power of various obesity phenotypes for high normal BP in different genders. Results The rates of overweight and obesity, abdominal obesity (28.4% vs. 16.0%, P < 0.001), and abnormal waist-to-height ratio (61.6% vs. 41.1%, P < 0.001) were higher in the high normal BP group than those in normal BP group. Multivariate logistic regression analysis showed that high normal BP was positively correlated with body mass index, waist circumference, and waist-to-height ratio. Furthermore, overweight (OR, 95% CI: 1.896, 1.390–2.587), obesity (2.489, 1.427–4.342), abdominal obesity (1.598, 1.152–2.215), and abnormal waist-to-height ratio (2.110, 1.579–2.821) were risk factors of high normal BP among females while abdominal obesity (1.649, 1.021–2.661) and abnormal waist-to-height ratio (1.504, 1.044–2.165) were risk factors of high normal BP among males. The ROC area under the curve was over 0.6 for all obesity types. Conclusions Overweight, obesity, abdominal obesity, and abnormal waist-to-height ratio are risk factors of high normal BP.