This study aimed to examine the association between body mass index (BMI) and abdominal obesity with hypertension in Indonesian women.Design and Method:
Cross-sectional study based on nationally representative Indonesia Basic Health Research 2013. Total of 313,714 women aged 18 years or more were included in the analysis. BMI and abdominal obesity obtained from waist circumference measurement were classified using standard Indonesian classification systems. Descriptive statistic using chi-square test for categorical variables and student's t-test for continuous variables were done to analyze characteristics distribution. Logistic regression analysis was used to examine the association of BMI, abdominal obesity and their combined effect on hypertension risk. After adjusting for covariates, subjects classified as abdominal obese and normal BMI; abdominal obese and overweight; abdominal obese and obese group were compared with no abdominal obesity and normal BMI group to obtain the odds ratio.Results:
The odds ratio (OR) of obese Indonesian women for having hypertension adjusted for covariates and abdominal obesity is 2.23 with 95% confidence interval (CI) 2.18–2.29. Indonesian women with abdominal obesity have 50% higher odds to get hypertension compared to people without abdominal obese after adjusted for covariates and BMI (OR 1.50; 95% CI 1.47–1.53). The odds of people with abdominal obese and normal BMI (OR 1.50, 95% CI 1.47–1.54); abdominal obese and overweight (OR 2.17, 95% CI 2.11–2.23); abdominal obese and obese (OR 3.39, 95% CI 3.32–3.47) to get hypertension is increasing respectively.Conclusions:
Abdominal obesity and BMI are associated with hypertension in Indonesian women. Combined effect of abdominal obesity with overweight or obese increases the odds of hypertension. Both abdominal obesity and BMI are risk factors for hypertension in Indonesian women.