COMPARATIVE ANALYSIS OF ANTHROPOMETRIC INDEXS TO PREDICT HYPERTENSION RISK IN EMPLOYEES CIMAHI CITY 2018

Abstract

Background: Anthropometric indicator such as Body Mass Index (BMI), Waist Circumference (WC) and Waist to Height Ratio (WHtR) can be used to predict the risk of hypertension. This study aimsto compare anthropometry in predicting the risk of hypertension in employees in Cimahi City. Methods:The design study was cross-sectional with diagnostic test. This study used secondary data ofNon-Communicable Diseases (NCD) screening 827 employees with age ≥ 15 years. The ROC (receiver operating characteristic)curves were analyzed to identify the optimal cut-off points and to compare the capacity of anthropometric indexes for prediction hypertension by gender using Stata.13 software. Result: The hypertension cases in men 65.32% was higher than women 34.68%. TheArea under the Curve (AUC) of WC 0.70 (95%CI=0.66-0.74) was more than WHtR 0.66 (95%CI=0.62-0.70) and BMI 0.64 (95%CI=0.60-0.69). Based on gender, the highest AUC of men was WC 0.69 (95%CI=0.64-0.75) and the highest AUC of women was WC and WHtR 0.67 (95%CI=0.60-0.74). The optimal cut-off points in predicting hypertension were BMI 25.89 (Sn=67.05%, Sp=57.95%),WC 90 cm (Sn=76.30%,Sp=54.74%) and WHtR 0,56 (Sn=68.79%,Sp=59.02%). Conclusion:Based on the result, waist circumference can be used as an anthropometric index indicator better than WHtR and BMI in predicting hypertension risk in employees Cimahi City.

Keywords

• Hypertension
• obesity
• Diagnostic Test