Analysis Of Anthropometric Risk Factor Profile Correlates Of Hypertension
BACKGROUND: Hypertension is an important risk
factor for cardiovascular disease (CVD) and has become a major global burden on
public health .Obesity and weight gain has been reported in previous studies as
the most important determinants of hypertension. Close link between obesity and
hypertension forms part of a broader relationship between body weight and blood
pressure (BP) among others.
OF THE STUDY: This call for a study to a
analyse the anthropometric risk factor profile correlates of blood pressure
(BP) levels in a representative sample of market women in Juaben.
AND METHODS: The study was carried out using
questionnaire as well as direct measurement within the period of March/April, 2015.
The study recorded high levels of
prevalence of all the selected anthropometric risk factor profiles of high
blood pressure (hypertension). A prevalence rate of 74% was noted for obesity.
Among other variables, the following prevalence rates were recorded: 85.1%
for excess WHR, 56% for excess abdominal
circumference/girth, 84% for sum of various classes of hypertension for
systolic and 48% for diastolic. An
analysis of correlations of anthropometric profiles of height and BMI on systolic blood pressure were significantly
correlated respectively (r=.417 and r=.366, p-value at 0.01). Contrary to this, statistically insignificant
correlations were observed on both systolic and diastolic blood
pressures respectively for weight r=.140
and r=.183; waist circumference r=.152 and r=.096; hip circumference r=.244 and r=.105; abdominal circumference/girth r= .082 and r=-.042; heart rate r=.187 and r=.141, p-value at 0.01).
Among anthropometric variables, waist to hip ratio showed statistically insignificant correlation on BMI
(r=.083, p-value at 0.01)
whereas weight r=.792; height r= -.405; waist circumference r=.469; abdominal circumference/girth r=.446 were statistically significant on BMI (p-value at 0.01) and hip circumference (r=.371, p-value at 0.05)
Against this, this study
proposed the following recommendations for consideration; organisation of health talk on weight management practices among market women.
There should be an awareness creation
on hypertension prevention as well as increased advocacy on vegetable and
Dunbar National Fitness Survey (1992). Health Education Authority and Sports
Amoah, A.G.B., Owusu, K.O., Adjei, S. (2002).Diabetes in Ghana: A Community
Prevalence Study in Greater Accra. Diabetes Research and Clinical Practice,
2002; 56: 197-205.
 Birth to Twenty Study (2002).
Physical Activity and South African Children –Some Shocking Findings. March
2002. Study Updates.
 Canadian Fitness and
Lifestyle Research Institute (1998). Physical Inactivity Crisis Of Children And
Youth Continues to Worsen. February 2, 1998.
 Center for Disease Control
and Prevention (2001). Increasing Physical Activity: A Report on
Recommendations of the Task Force on Community Preventive Services. Morbidity
And Mortality Weekly Report 50:1-16
Chen, Y.M., Ho SC., Woo, J.L., Leung, S.S., Lam, T.H., Janus, E.D. (2001)
Association between simple anthropometric indices and cardiovascular risk
factors. Int J Obes Relat Metab Disord;25:1689–1697.
Dalton, M., Cameron, A.J., Zimmet, P.Z. (2003). Waist circumference, waist–hip
ratio and body mass index and their correlation with cardiovascular disease
risk factors in Australian adults. J Intern Med; 254:555–563.
 Dekkers, J.C., Treiber, F.A.,
Kapuku, G., Snieder, H. (2003). Differential Influence of Family History of
Hypertension and Premature Myocardial Infarction on Systolic Blood Pressure and
Left Ventricular Mass Trajectories In Youth. Pediatrics 111:1387–93
 Fava, C., Burri, P., Almgren,
P., Groop, L., Hulthen. U.L., Melander, O. (2004). Heritability of Ambulatory
and Office Blood Pressure Phenotypes in Swedish Families. J. Hypertens. 22:1717–21
Ferguson, T.S., Younger, N.O., Tulloch-Reid, M.K. (2008). Prevalence of
prehypertension and its relationship to risk factors for cardiovascular disease
in Jamaica: Analysis from a crosssectional survey. BMC Cardiovascular
Field, A.E., Coakley, E.H., Must, A. (2001). Impact of overweight on the risk
of developing common chronic diseases during a 10-year period. Arch Int
Flegal, K.M.., Carroll, M.D., Ogden, C.L., Johnson, C.L. (2002). Prevalence And
Trends In Obesity Among US Adults, 1999-2000.American Medical Assoc. Must et
 Franklin, M., Jagoe, K., Edwards, R., Whiting, D., Unwin, N.
(1990). Tobacco Smoking in Tanzania, East Africa: Population Based Smoking
Prevalence Using Expired Alveolar Carbon Monoxide as a Validation Tool
 Frantz, J., Phillips, J.,
Amosun, S. (2003). Promotion Of Physical Activity In South African Youth - Is
It The Answer to the Public Health Burden Of Chronic Disease? African Journal
for Physical, Health Education, Recreation And Dance 9(2): 200-207
 Galderisi, M., Benjamin, E.J., Evans, J.C., D’Agostino, R.B. (1993).
Impact of Heart Rate and PR Interval On Doppler Indexes Of Left Ventricular
Diastolic Filling. The American Journal of Cardiology, Ncbi.Nlm.Nih.Gov
Garrow, J.S. (1988). Obesity and Related Diseases. London: Churchill
Livingstone; 1988. Pp. 1–16.
Ghana Statistical Service (GSS). (2004). Noguchi Memorial Institute for Medical
Research (NMIMR)and ORC Macro. 2004. Ghana Demographic and Health Survey,
2003. Ghana Statistical Service: Accra, Ghana, 2004.
 Guo, S., Roche, A., Chumlea,
W., Gardner, J., Siervogel, R. (1994). The Predictive Value of Childhood Body
Mass Index Values for Overweight at Age 35. American Journal of Clinical
Nutrition 59: 810-819.
 Hajjar, I., Jane, M. K., Theodore, A. K. (2006). Hypertension: Trends
in Prevalence, Incidence, and Control .Annual Review Of Public Health. Vol. 27:
Han, T.S., McNeill, G., Seidell, J.C., Lean, M.E.( 1997). Predicting
intra-abdominal fatness from anthropometric measures: the influence of stature.
Int J Obes Relat Metab Disord.;21: 587–593.
Kannel, W.B.( 2000). Risk stratification in hypertension: new insight from the
Framingham study. Am J Hypertens.;13:3S–10S.
Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. (2005).
Global burden of hypertension: analysis of worldwide data. Lancet.;365:217–223.
 Kissebah, A.H., Krakower, G.R. (1994). Regional Adiposity and
Morbidity. Physiol Rev. 1994;74:761–811.
Lawes, C.M., Vander Hoorn, S., Law, M.R., Elliott, P., MacMahon, S., Rodgers A.
( 2006). Blood pressure and the global burden of disease 2000. Part II:
estimates of attributable burden. J Hypertens.24:423–443.
 Owusu-Dabo, E., Lewis, S., McNeill, A., Gilmore, A., Bril, J. (2009).
Smoking Uptake and Prevalence in Ghana.
 Summerfield, L. (1998).
Promoting Physical Activity and Exercise among Children. http://www.Kidssource.Com
Van, I.T. (1985). Health Implications of Overweight and Obesity In The United
States. Ann Intern Med. 1985;103:983–988.
Vasan, R.S., Larson, M.G., Leip, E.P., Evans, J.C. (2001). Impact Of
High-Normal Blood Pressure On The Risk Of Cardiovascular Disease. New England
Journal Of Medicine. Content.Nejm.Org
World Health Organization.(1998). Obesity – Preventing and Managing the Global
Epidemic: Report of a WHO Consultation on Obesity. Geneva: World Health
Wolf, H.K., Tuomilehto, J., Kuulasmaa, K., Domarkiene, S., Cepaitis, Z.(1997) .
WHO MONICA Project. Blood Pressure Levels in The 41 Populations of the WHO
MONICA Project. J Hum Hypertens 1997; 11:733-42. [Pubmed]