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Reference Details
Hasselmann, M. H., Faerstein, E., Werneck, G. L., Chor, D. and Lopes, C. S. (2008), "Association between abdominal circumference and hypertension among women: the Pro-Saude Study.", Cad Saude Publica, 24, 5: 1187-91.

This study aimed to estimate the prevalence of hypertension according to levels of abdominal circumference (AC) and body mass index (BMI, expressed as kg/m(2)) among public employees at a university in Rio de Janeiro, Brazil. Cross-sectional data were obtained for 1,743 non-pregnant women aged 24-69 years participating in the Pro-Saude Study. Underweight women and those with BMI > 35kg/m(2) were excluded. Hypertension was defined as systolic blood pressure >140mmHg or diastolic > 90mmHg or the use of anti-hypertensive drugs. Age-adjusted prevalence rates for hypertension were calculated considering two strata of AC (normal: < 88cm; high: > 88cm) and three levels of BMI (normal: 18.5-24.9kg/m(2); overweight: 25.0-29.9kg/m(2); and obesity I: 30.0-34.9kg/m(2)). Among normal-weight women, participants with high AC showed a two-fold higher prevalence of hypertension as compared to those with AC < 88cm (18% vs. 8%, p < 0.05). Routine measurement of AC, in addition to BMI, could contribute to early identification of hypertension in women.

Hasselmann, Maria Helena Faerstein, Eduardo Werneck, Guilherme L Chor, Dora Lopes, Claudia S English Abstract Brazil Cadernos de saude publica / Ministerio da Saude, Fundacao Oswaldo Cruz, Escola Nacional de Saude Publica Cad Saude Publica. 2008 May