AUTHOR=Zhang Ping , Xiong Yangyang , Chen Menghan , Zhang Huaide , Sun Nan , Wu Fan , Yang Jiayu , Ren Yongcheng TITLE=The relationship between hypertriglyceridemic wait-to-height ratio and hypertension–diabetes comorbidity among older adult JOURNAL=Frontiers in Public Health VOLUME=11 YEAR=2023 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1292738 DOI=10.3389/fpubh.2023.1292738 ISSN=2296-2565 ABSTRACT=Objective

Limited information is available on the effect of hypertriglyceridemic waist-to-height ratio (HTHWH) and hypertension–diabetes comorbidity (HAD) in older adult people. We aimed to explore the relationship between HTHWH and HAD for the co-management of hypertension and diabetes mellitus in the older adult.

Methods

A cross-sectional study, randomized cluster sampling from 10 community health service centers, and multivariate logistic regression were used in this study. A total of 3,501 participants aged 65 years or older recruited between January 2019 and December 2019 completed the study.

Results

Among 3,501 participants, the median age was 69.96 years, and 42.50% were men. A total of 1,207 subjects were in the HTHWH group, and the prevalence rate of HAD was 17.23% in this group. Multivariate logistic regression analysis showed that, as compared with the normal group, the risk of HAD in the HTHWH group increased by 2.05 times (OR = 3.05, 95% CI: 2.06–4.51). The risks of hypertension or diabetes mellitus (HOD), hypertension, and diabetes mellitus were also increased in the HTHWH group, with their ORs (95%CIs) being 1.82 (1.44–2.29), 1.73 (1.38–2.17), and 2.28 (1.66–3.13), respectively.

Conclusion

HTHWH significantly increases the risk of HAD and can be used as a reliable tool to screen the high-risk population for HAD.