Zhou, B, Bennett, JE, Wickham, AP, Singleton, RK, Mishra, A, Carrillo-Larco, RM, Ikeda, N, Jain, L, Barradas-Pires, A, Heap, RA, Lhoste, VPF, Sheffer, KE, Phelps, NH, Rayner, AW, Gregg, EW, Woodward, M, Stevens, GA, Iurilli, MLC, Danaei, G, Di Cesare, M et al, Aguilar-Salinas, CA, Ahmad, NA, Bovet, P, Chen, Z, Damasceno, A, Filippi, SL, Janszky, I, Kengne, AP, Khang, Y-H, Khunti, K, Laxmaiah, A, Lim, L-L, Lissner, L, Margozzini, P, Mbanya, JCN, McGarvey, ST, Shaw, JE, Söderberg, S, Soto-Mota, LA, Wang, J, Zaccardi, F, Abarca-Gómez, L, Abbasi-Kangevari, M, Abdrakhmanova, S, Abdul Ghaffar, S, Abdul Rahim, HF, Abdurrahmonova, Z, Abu-Rmeileh, NM, Acosta-Cazares, B, Adam, I, Adamczyk, M, Aekplakorn, W, Agdeppa, IA, Aghazadeh-Attari, J, Agyemang, C, Ahmad, MH, Ahmadi, A, Ahmadi, N, Ahmadi, N, Ahmed, SH, Ahrens, W, Aitmurzaeva, G, Ajlouni, K, Al-Hazzaa, HM, Al-Hinai, H, Al-Lawati, JA, Al-Raddadi, R, Al Asfoor, D, Al Hourani, HM, Alarouj, M, AlBuhairan, F, AlDhukair, S, Ali, MM, Alieva, AV, Alkandari, A, Alkhatib, BM, Aly, E, Amarapurkar, DN, Amiano Etxezarreta, P, Amougou, N, Andersen, LB, Anderssen, SA, Androutsos, O, Anjana, RM, Ansari-Moghaddam, A, Anufrieva, E, Aounallah-Skhiri, H, Aris, T, Arku, RE, Arlappa, N, Aryal, KK, Assah, FK, Assembekov, B, Assunção, MCF, Auvinen, J, Avdičová, M, Azad, K, Azevedo, A, Azimi-Nezhad, M, Azizi, F, Bacopoulou, F, Bahijri, S, Bajramovic, I, Balakrishna, N, Bamoshmoosh, M, Banach, M, Bandosz, P, Banegas, JR, Baran, R, Barbagallo, CM, Barbosa Filho, V, Barceló, A, Baretić, M, Barnoya, J, Barrera, L, Barros, AJD, Barros, MVG, Basit, A, Bastos, JL, Batieha, AM, Batista, AP, Batista, RL, Battakova, Z, Baur, LA, Bayauli, PM, Bel-Serrat, S, Belavendra, A, Ben Romdhane, H, Benedek, T, Benedics, J, Benet, M, Benitez Rolandi, GE, Benzeval, M, Bere, E, Berger, N, Bergh, IH, Berkinbayev, S, Bernabe-Ortiz, A, Bettiol, H, Beybey, AF, Bezerra, J, Bhagyalaxmi, A, Bhargava, SK, Bika Lele, EC, Bikbov, MM, Bista, B, Bjelica, DJ, Bjerregaard, P, Bjertness, E, Bjertness, MB, Björkelund, C, Bloch, KV, Blokstra, A, Bo, S, Bobak, M, Boddy, LM, Boehm, BO, Boggia, JG, Bogova, E, Bonaccio, M, Bonilla-Vargas, A, Borghs, H, Botomba, S, Bourne, R, Boymatova, K, Braeckman, L, Braithwaite, T, Brajkovich, I, Branca, F, Brenner, H, Brewster, LM, Briceño, Y, Brinduse, L, Bringolf-Isler, B, Brito, M, Brug, J, Bugge, A, Buntinx, F, Buoncristiano, M, Burns, C, Cabrera de León, A, Caixeta, RB, Cama, T, Can, G, Cândido, APC, Cañete, F, Capanzana, MV, Čapková, N, Capuano, E, Capuano, R, Capuano, V, Cardoso, VC, Carlsson, AC, Casanueva, FF, Casas, M, Censi, L, Cervantes‐Loaiza, M, Chamnan, P, Chamukuttan, S, Chan, Q, Chaturvedi, N, Chen, F, Chen, H, Chen, L-S, Cheng, YJ, Cheraghian, B, Chetrit, A, Chikova-Iscener, E, Chinapaw, MJM, Chinnock, A, Chiolero, A, Chirita-Emandi, A, Chirlaque, M-D, Chong, CL, Christofaro, DG, Chudek, J, Cifkova, R, Cirillo, M, Claessens, F, Clare, P, Cohen, E, Confortin, SC, Coppinger, TC, Cortés, LY, Cosmin, CR, Costanzo, S, Cowan, MJ, Cowell, C, Crampin, AC, Cross, AJ, Crujeiras, AB, Cruz, JJ, Cucu, AM, Cureau, FV, Cuschieri, S, D'Arrigo, G, d'Orsi, E, da Silva-Ferreira, H, Dahm, CC, Dallongeville, J, Dankner, R, Davletov, K, de Assis Guedes de Vasconcelos, F, de Assis, MAA, De Bacquer, D, De Bacquer, J, de Bont, J, De Curtis, A, de Fragas Hinnig, P, de Gaetano, G, De Henauw, S, De Miguel-Etayo, P, de Oliveira, PD, de Paiva, KM, De Ridder, K, de Valois Correia Júnior, MA, Deepa, M, DeGennaro, VJ, Demarest, S, Dennison, E, Deschamps, V, Dhimal, M, Díez Ripollés, MP, Dika, Z, Djalalinia, S, Dominguez, L, Donati, MB, Donfrancesco, C, Dong, G, Donoso, SP, Dorobantu, M, Dörr, M, Dragano, N, Drygas, W, Du, S, Duante, CA, Duboz, P, Duda, RB, Duleva, VL, Dushpanova, A, Dyussupova, A, Dziankowska-Zaborszczyk, E, Ebrahimi, N, Echeverría, G, Eddie, R, Eftekhar, E, Efthymiou, V, Egbagbe, EE, Eghtesad, S, Ekelund, U, El-Khateeb, M, El Ati, J, Elosua, R, Enang, O, Erasmus, RT, Erem, C, Ergor, G, Eriksen, L, Eriksson, JG, Escobedo-de la Peña, J, Esmaeili, A, Evans, RG, Fakhradiyev, I, Fakhretdinova, AA, Fall, CH, Faramarzi, E, Farjam, M, Farzadfar, F, Farzi, Y, Fattahi, MR, Fawwad, A, Felix-Redondo, FJ, Ferguson, TS, Fernandes, RA, Fernández-Bergés, D, Fernando, DR, Ferrante, D, Ferrari, G, Ferrari, M, Ferreccio, C, Ferrer, E, Figueiró, TH, Fijalkowska, A, Fink, G, Fisberg, M, Forsner, M, Fottrell, EF, Fouad, HM, Francis, DK, Frontera, G, Fuchs, FD, Fuchs, SC, Furdela, V, Furusawa, T, Gabriela, SA, Gaciong, Z, Galán Cuesta, M, Galbarczyk, A, Galcheva, SV, Galfo, M, Garcia-de-la-Hera, M, Garcia, P, Garnett, SP, Gasull, M, Gazzinelli, A, Gehring, U, Gerdts, E, Ghaderi, E, Ghamari, S-H, Ghanbari, A, Ghasemi, E, Gheorghe-Fronea, O-F, Ghimire, A, Gialluisi, A, Giampaoli, S, Gianfagna, F, Gironella, G, Giwercman, A, Gkiouras, K, Glushkova, N, Godara, R, Godos, J, Goldberg, M, Gómez, G, Gómez Gómez, JH, Gomez, LF, Gómez, SF, Gomula, A, Gonçalves Cordeiro da Silva, B, Gonçalves, H, Gonçalves, M, González-Alvarez, AD, Gonzalez-Chica, DA, González-Gil, EM, Gonzalez-Gross, M, González-Rivas, JP, Gonzalez, AR, Gottrand, F, Grafnetter, D, Grajda, A, Grammatikopoulou, MG, Grodzicki, T, Grøholt, EK, Grøntved, A, Guajardo, V, Guallar-Castillón, P, Guerchet, M, Guerrero, R, Guimaraes, AL, Gujral, UP, Gulliford, MC, Gunter, MJ, Gupta, R, Gureje, O, Gurinović, MA, Gurzkowska, B, Gutierrez, L, Gwee, X, Haghshenas, R, Hakimi, H, Halkjær, J, Hambleton, IR, Hamzeh, B, Hanekom, WA, Hange, D, Hanif, AAM, Hantunen, S, Hao, J, Hardman, CM, Hardy, L, Hari Kumar, R, Harooni, J, Hashemi-Shahri, SM, Hassapidou, M, Hata, J, Haugsgjerd, T, Heinen, M, Hendriks, ME, Henrique, RDS, Henriques, A, Hernandez Cadena, L, Herrala, S, Herrera-Cuenca, M, Herrera, VM, Herter-Aeberli, I, Herzig, K-H, Heshmat, R, Hill, AG, Ho, SY, Holdsworth, M, Homayounfar, R, Homs, C, Hoogendijk, EO, Horimoto, ARVR, Hormiga, CM, Horta, BL, Houti, L, Howitt, C, Htay, TT, Htet, AS, Htike, MMT, Huerta, JM, Huhtaniemi, IT, Huiart, L, Huidumac Petrescu, C, Huisman, M, Husseini, A, Huybrechts, I, Hwalla, N, Iacoviello, L, Iakupova, EM, Iannone, AG, Igland, J, Ijoma, C, Iotova, V, Irazola, VE, Ishida, T, Isiguzo, GC, Islam, M, Islam, SMS, Islek, D, Ittermann, T, Ivanova-Pandourska, IY, Iwasaki, M, Jääskeläinen, T, Jackson, RT, Jaddou, HY, Jadoul, M, Jafar, T, Jan, N, Janus, E, Jarani, J, Jarnig, G, Jarvelin, M-R, Jasienska, G, Jelaković, A, Jelaković, B, Jha, AK, Jimenez, RO, Jöckel, K-H, Joffres, M, Jokelainen, JJ, Jonas, JB, Joshi, P, Joshi, R, Josipović, J, Joukar, F, Jóźwiak, JJ, Juolevi, A, Juresa, V, Jureša, V, Kaaks, R, Kaducu, FO, Kadvan, AL, Kafatos, A, Kajantie, EO, Kakutia, N, Kállayová, D, Kalmatayeva, Z, Kalter-Leibovici, O, Kannan, S, Kapantais, E, Karaglani, E, Karakosta, A, Karki, KB, Kassi Anicet, A, Katibeh, M, Katulanda, P, Katzmarzyk, PT, Kauhanen, J, Kazakbaeva, GM, Kaze, FF, Ke, C, Keinänen-Kiukaanniemi, S, Kelishadi, R, Kelleher, C, Kemper, HCG, Keramati, M, Kersting, M, Khader, YS, Khaledifar, A, Khalili, D, Kheiri, B, Kheradmand, M, Khosravi, A, Kiechl-Kohlendorfer, U, Kiechl, SJ, Kiechl, S, Kim, HC, Klakk, H, Klanarong, S, Klanova, J, Klimek, M, Knoflach, M, Kobel, S, Koirala, B, Kolle, E, Kolsteren, P, König, J, Korpelainen, R, Korrovits, P, Korzycka, M, Kos, J, Koskinen, S, Koussoh Simone, M, Kovács, É, Kovalskys, I, Kowlessur, S, Koziel, S, Kratenova, J, Kratzer, W, Kriemler, S, Kristensen, PL, Krizan, H, Kroker-Lobos, MF, Krokstad, S, Kruger, HS, Kruger, R, Kryst, Ł, Kubinova, R, Kujala, UM, Kujundzic, E, Kulaga, Z, Kulimbet, M, Kumari, M, Kunešová, M, Kurjata, P, Kyobutungi, C, La, QN, Labadarios, D, Lachat, C, Lai, D, Laid, Y, Lall, L, Landaeta Jimenez, M, Landais, E, Lankila, T, Lanska, V, Lappas, G, Larijani, B, Lateva, MP, Latt, TS, Laurenzi, M, Lazo-Porras, M, Le Coroller, G, Le Nguyen Bao, K, Lehtimäki, T, Lemogoum, D, Leong, E, Leszczak, J, Leung, GM, Li, Y, Liivak, M, Lim, C, Lim, W-Y, Lima-Costa, MF, Lin, H-H, Lind, L, Litwin, M, Liu, L, Liu, X, Longo Abril, G, Lopes, O, Lopez-Garcia, E, López-Gil, JF, Lopez, T, Lozano, JE, Lukrafka, JL, Luksiene, D, Lundqvist, A, Lunet, N, Lunogelo, C, Lustigová, M, M'Buyamba-Kabangu, J-R, Machado-Coelho, GLL, Machado-Rodrigues, AM, Macia, E, Madar, AA, Maestre, GE, Maggi, S, Magliano, DJ, Magnacca, S, Magriplis, E, Mahasampath, G, Maire, B, Makdisse, M, Malekpour, M-R, Malekzadeh, F, Malekzadeh, R, Mallikharjuna Rao, K, Malyutina, S, Maniego, LV, Manios, Y, Mann, JI, Mansour-Ghanaei, F, Manzato, E, Mapatano, MA, Maria-Magdalena, R, Mariño, J, Markaki, A, Marques, LP, Marrugat, J, Martorell, R, Maruszczak, K, Masala, G, Mascarenhas, LP, Masimango Imani, M, Masinaei, M, Mathiesen, EB, Matijasevich, A, Matłosz, P, Matsha, TE, Matsudo, V, Matteo, G, Maulik, PK, Mavrogianni, C, Mc Donald Posso, AJ, McFarlane, SR, McLean, RM, Mediene Benchekor, S, Mehlig, K, Mehrparvar, AH, Melgarejo, JD, Méndez, F, Mendivil, CO, Mendoza Montano, C, Menezes, AMB, Mensink, GBM, Mereke, A, Meshram, II, Meto, DT, Meyer, HE, Mi, J, Miłkowska, K, Miller, JC, Milushkina, O, Minderico, CS, Mini, GK, Miquel, JF, Miranda, JJ, Mirjalili, MR, Mišigoj-Duraković, M, Mistretta, A, Mocanu, V, Modesti, PA, Moghaddam, SS, Mohammad, K, Mohammadi, MR, Mohammadi, Z, Mohammadifard, N, Mohammadpourhodki, R, Mohan, V, Mohd Yusoff, MF, Mohebbi, I, Møller, NC, Molnár, D, Momenan, A, Mondo, CK, Monroy-Valle, MM, Montenegro Mendoza, RA, Monterrubio-Flores, E, Monyeki, KDK, Moon, JS, Moosazadeh, M, Moradpour, F, Moreira, LB, Morejon, A, Moreno, LA, Morgan, K, Moschonis, G, Moslem, A, Mosquera, M, Mossakowska, M, Mostafa, A, Mostafavi, S-A, Motlagh, ME, Motta, J, Moura-dos-Santos, MA, Mridha, MK, Msyamboza, KP, Mu, TT, Muca, F, Mugoša, B, Munroe, PB, Mursu, J, Musa, KI, Musić Milanović, S, Musil, V, Musinguzi, G, Mustafa, N, Muyer, MTM-C, Nabipour, I, Naidu, BM, Najafi, F, Nalecz, H, Námešná, J, Narayan, KMV, Naseri, T, Nathalie, M, Neelapaichit, N, Nejatizadeh, A, Nenko, I, Nervi, F, Neuhauser, HK, Ng, TP, Nguyen, CT, Nguyen, QV, Nguyen, QN, Ni, MY, Nie, P, Nieto-Martínez, RE, Niiranen, TJ, Ninomiya, T, Nishi, N, Nishtar, S, Noale, M, Noboa, OA, Nogueira, H, Norton, KI, Noto, D, Nowak-Szczepanska, N, Nsour, MA, Nuhoğlu, I, Nurk, E, Nuwaha, F, Nyirenda, M, O'Neill, TW, Ochimana, C, Ochoa-Avilés, AM, Oda, E, Odili, AN, Oh, K, Ohtsuka, R, Oldenburg, B, Olié, V, Omar, MA, Omar, SM, Onat, A, Ong, SK, Onland-Moret, NC, Ono, LM, Onodugo, O, Ordunez, P, Ornelas, R, Ortiz, AP, Ortiz, PJ, Osmond, C, Ostojic, SM, Ostovar, A, Otero, JA, Ottendahl, CB, Otu, A, Overvad, K, Owusu-Dabo, E, Padez, CP, Pagkalos, I, Pajula, N, Palloni, A, Palmieri, L, Pan, W-H, Panza, F, Paoli, M, Papadopoulou, SK, Pareja, RG, Park, S-W, Park, S, Parnell, WR, Parsaeian, M, Pascanu, IM, Pasquet, P, Patel, ND, Pavlyshyn, H, Pechlaner, R, Pećin, I, Pedro, JM, Peixoto, SV, Peltonen, M, Pereira, AC, Peres, KGDA, Peres, MA, Perez-Londoño, A, Pérez, CM, Peterkova, V, Petrovna Kovtun, O, Peykari, N, Pham, ST, Pichardo, RN, Pierre-Marie, P, Pikhart, H, Pilav, A, Piler, P, Piwonska, A, Pizarro, AN, Plata, S, Pop, RM, Popkin, BM, Popovic, SR, Porta, M, Poudyal, A, Pourfarzi, F, Pourshams, A, Poustchi, H, Pradeepa, R, Price, AJ, Prista, A, Providencia, R, Puder, JJ, Pudule, I, Puhakka, S, Puiu, M, Punab, M, Qorbani, M, Quialheiro, A, Quintana, HK, Quiroga-Padilla, PJ, Quoc Bao, T, Rach, S, Rahimikazerooni, S, Rahman, M, Raitakari, O, Rakhmatulloev, S, Rakovac, I, Ramachandran, A, Ramadan, OPC, Ramirez-Zea, M, Ramos, R, Rampal, L, Rampal, S, Ramsay, SE, Rangel Junior, JFLB, Rangel Reina, DA, Rangelova, LS, Rarra, V, Rashidi, M-M, Rech, CR, Redon, J, Regecová, V, Renner, JDP, Repasy, JA, Reuter, CP, Revilla, L, Reynolds, A, Rezaei, N, Rezaianzadeh, A, Riboli, E, Rigo, F, Rigotti, A, Riley, LM, Rinke de Wit, TF, Risérus, U, Ritti-Dias, RM, Roa, RG, Roccaldo, R, Rodríguez-Artalejo, F, Rodriguez-Perez, MDC, Rodríguez-Villamizar, LA, Rodríguez, AY, Roggenbuck, U, Rohloff, P, Rojas-Martinez, R, Romeo, EL, Rosario, RV, Rosengren, A, Rouse, I, Rubinstein, A, Ruiz-Betancourt, BS, Ruiz-Castell, M, Ruiz Moreno, E, Rusakova, IA, Rusek, W, Rust, P, Rutkowski, M, Saamel, M, Sabbaghi, H, Sachdev, HS, Sadjadi, A, Safarpour, AR, Safi, S, Saghi, MH, Saidi, O, Saieva, C, Sakata, S, Saki, N, Šalaj, S, Salazar Martinez, E, Salkhanova, A, Salonen, JT, Samoutian, M, Sánchez-Abanto, J, Sánchez Rodríguez, I, Santos, DA, Santos, IS, Santos, MP, Santos, TR, Saramies, JL, Sardinha, LB, Sarganas, G, Sarrafzadegan, N, Saum, K-U, Savin, S, Sbaraini, M, Scazufca, M, Schaan, BD, Schienkiewitz, A, Schindler, K, Schipf, S, Schmidt, AF, Schmidt, B, Schmidt, CO, Schöttker, B, Schramm, S, Schramm, S, Schröder, H, Schultsz, C, Schutte, AE, Sebert, S, Sedaghattalab, M, Sein, AA, Sen, A, Sepanlou, SG, Sequera, G, Ševčíková, Ľ, Sewpaul, R, Shamah-Levy, T, Shamshirgaran, SM, Sharafkhah, M, Sharma, SK, Sharman, A, Shayanrad, A, Shayesteh, AA, Shengelia, L, Shibuya, K, Shimizu-Furusawa, H, Shiri, R, Shoranov, M, Shrestha, N, Si-Ramlee, K, Sibai, AM, Sidossis, LS, Silva, AM, Silva, CRDM, Silva, DAS, Silva, KS, Sim, X, Simon, M, Sjöström, M, Skoblina, NA, Slowikowska-Hilczer, J, Slusarczyk, P, Smeeth, L, Smith, L, Soares, FC, Sobek, G, Sobngwi, E, Sodemann, M, Soemantri, A, Solfrizzi, V, Somi, MH, Sørgjerd, EP, Sorić, M, Soto-Rojas, VE, Soumaré, A, Sousa-Poza, A, Spiroski, I, Staessen, JA, Stang, A, Steene-Johannessen, J, Stehle, P, Stein, AD, Stergiou, GS, Stokwiszewski, J, Stoyanova, E, Stratton, G, Stronks, K, Sturua, L, Suarez-Ortegón, MF, Suebsamran, P, Sulo, G, Sundström, J, Suriyawongpaisal, P, Swinburn, BA, Sylva, RC, Szponar, L, Tai, ES, Tambalis, KD, Tamosiunas, A, Tanabayev, B, Tanrygulyyeva, M, Tarawneh, MR, Tarp, J, Tarqui-Mamani, CB, Taxová Braunerová, R, Te Velde, S, Tebar, WR, Tell, GS, Tello, T, Thankappan, KR, Theodoridis, X, Thirunavukkarasu, S, Thomas, N, Thrift, AG, Tichá, Ľ, Timmermans, EJ, Tjandrarini, DH, Tjonneland, A, Tolstrup, JS, Topbas, M, Torres-Collado, L, Touloumi, G, Traissac, P, Triantafyllou, A, Trivedi, A, Tshepo, L, Tsintavis, P, Tuitele, J, Tuliakova, AM, Tulloch-Reid, MK, Tullu, F, Tuomainen, T-P, Turley, ML, Tzala, E, Tzotzas, T, Tzourio, C, Ueda, P, Ugel, E, Ukoli, FAM, Usupova, Z, Uusitalo, HMT, Uysal, N, Valdivia, G, Valvi, D, van Dam, RM, van den Born, B-J, Van der Heyden, J, van der Schouw, YT, Van Lippevelde, W, Van Minh, H, Van Schoor, NM, van Valkengoed, IGM, Vanderschueren, D, Vanuzzo, D, Varela-Moreiras, G, Vargas, LN, Vasan, SK, Vasques, DG, Vega, T, Velasquez-Melendez, G, Velika, B, Verdot, C, Verloigne, M, Veronesi, G, Verschuren, WMM, Verstraeten, R, Viet, L, Vik, FN, Vilar, M, Villalpando, S, Vioque, J, Virtanen, JK, Visser, M, Viswanathan, B, Vladulescu, M, Völzke, H, Voutilainen, A, Vrijheid, M, Wade, AN, Wan Bebakar, WM, Wan Mohamud, WN, Wanderley Júnior, RDS, Wang, C, Wang, H, Wang, N, Wang, Q, Wang, X, Wang, YX, Wang, Y-W, Wannamethee, SG, Wareham, N, Wartha, O, Weber, A, Webster-Kerr, K, Wedderkopp, N, Weghuber, D, Wei, W, Westbury, L, Whincup, PH, Wickramasinghe, K, Widhalm, K, Widyahening, IS, Więcek, A, Wilks, RJ, Willeit, K, Willeit, P, Williams, J, Wilsgaard, T, Wojtyniak, B, Wong-McClure, RA, Wong, A, Wong, EB, Wu, FC, Wyszyńska, J, Xu, H, Xu, L, Yaacob, NA, Yan, L, Yan, W, Yang, Y, Yépez García, M, Yoosefi, M, Yoshihara, A, Younger-Coleman, NO, Yu, Y-L, Yu, Y, Yusoff, AF, Zafiropulos, V, Zainuddin, AA, Zamani, F, Zambon, S, Zampelas, A, Zapata, ME, Zaw, KK, Zdrojewski, T, Żegleń, M, Zejglicova, K, Zeljkovic Vrkic, T, Zhang, B, Zhang, Z-Y, Zhecheva, YV, Zholdin, B, Zimmet, P, Zins, M, Zuñiga Cisneros, J, Zuziak, M and Ezzati, M (2024) General and abdominal adiposity and hypertension in eight world regions: a pooled analysis of 837 population-based studies with 7·5 million participants. The Lancet, 404 (10455). pp. 851-863. ISSN 0140-6736

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Abstract

Background Adiposity can be measured using BMI (which is based on weight and height) as well as indices of abdominal adiposity. We examined the association between BMI and waist-to-height ratio (WHtR) within and across populations of different world regions and quantified how well these two metrics discriminate between people with and without hypertension. Methods We used data from studies carried out from 1990 to 2023 on BMI, WHtR and hypertension in people aged 20–64 years in representative samples of the general population in eight world regions. We graphically compared the regional distributions of BMI and WHtR, and calculated Pearson’s correlation coefficients between BMI and WHtR within each region. We used mixed-effects linear regression to estimate the extent to which WHtR varies across regions at the same BMI. We graphically examined the prevalence of hypertension and the distribution of people who have hypertension both in relation to BMI and WHtR, and we assessed how closely BMI and WHtR discriminate between participants with and without hypertension using C-statistic and net reclassification improvement (NRI). Findings The correlation between BMI and WHtR ranged from 0·76 to 0·89 within different regions. After adjusting for age and BMI, mean WHtR was highest in south Asia for both sexes, followed by Latin America and the Caribbean and the region of central Asia, Middle East and north Africa. Mean WHtR was lowest in central and eastern Europe for both sexes, in the high-income western region for women, and in Oceania for men. Conversely, to achieve an equivalent WHtR, the BMI of the population of south Asia would need to be, on average, 2·79 kg/m² (95% CI 2·31–3·28) lower for women and 1·28 kg/m² (1·02–1·54) lower for men than in the high-income western region. In every region, hypertension prevalence increased with both BMI and WHtR. Models with either of these two adiposity metrics had virtually identical C-statistics and NRIs for every region and sex, with C-statistics ranging from 0·72 to 0·81 and NRIs ranging from 0·34 to 0·57 in different region and sex combinations. When both BMI and WHtR were used, performance improved only slightly compared with using either adiposity measure alone. Interpretation BMI can distinguish young and middle-aged adults with higher versus lower amounts of abdominal adiposity with moderate-to-high accuracy, and both BMI and WHtR distinguish people with or without hypertension. However, at the same BMI level, people in south Asia, Latin America and the Caribbean, and the region of central Asia, Middle East and north Africa, have higher WHtR than in the other regions.

Item Type:	Article
Uncontrolled Keywords:	11 Medical and Health Sciences; General & Internal Medicine
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Sport & Exercise Sciences
Publisher:	Elsevier
SWORD Depositor:	A Symplectic
Date Deposited:	03 Sep 2024 11:42
Last Modified:	19 Sep 2024 14:57
DOI or ID number:	10.1016/s0140-6736(24)01405-3
URI:	https://researchonline.ljmu.ac.uk/id/eprint/24071

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