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General and abdominal adiposity and hypertension in eight world regions : a pooled analysis of 837 population-based studies with 7·5 million participants

(2024) LANCET. 404(10455). p.851-863
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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.

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MLA
Zhou, Bin, et al. “General and Abdominal Adiposity and Hypertension in Eight World Regions : A Pooled Analysis of 837 Population-Based Studies with 7·5 Million Participants.” LANCET, vol. 404, no. 10455, 2024, pp. 851–63, doi:10.1016/s0140-6736(24)01405-3.
APA
Zhou, B., Bennett, J. E., Wickham, A. P., Singleton, R. K., Mishra, A., Carrillo-Larco, R. M., … 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. LANCET, 404(10455), 851–863. https://doi.org/10.1016/s0140-6736(24)01405-3
Chicago author-date
Zhou, Bin, James E Bennett, Aidan P Wickham, Rosie K Singleton, Anu Mishra, Rodrigo M Carrillo-Larco, Nayu Ikeda, et al. 2024. “General and Abdominal Adiposity and Hypertension in Eight World Regions : A Pooled Analysis of 837 Population-Based Studies with 7·5 Million Participants.” LANCET 404 (10455): 851–63. https://doi.org/10.1016/s0140-6736(24)01405-3.
Chicago author-date (all authors)
Zhou, Bin, James E Bennett, Aidan P Wickham, Rosie K Singleton, Anu Mishra, Rodrigo M Carrillo-Larco, Nayu Ikeda, Lakshya Jain, Ana Barradas-Pires, Rachel A Heap, Victor PF Lhoste, Kate E Sheffer, Nowell H Phelps, Archie W Rayner, Edward W Gregg, Mark Woodward, Gretchen A Stevens, Maria LC Iurilli, Goodarz Danaei, Mariachiara Di Cesare, Carlos A Aguilar-Salinas, Noor Ani Ahmad, Pascal Bovet, Zhengming Chen, Albertino Damasceno, Sarah L Filippi, Imre Janszky, Andre P Kengne, Young-Ho Khang, Kamlesh Khunti, Avula Laxmaiah, Lee-Ling Lim, Lauren Lissner, Paula Margozzini, Jean Claude N Mbanya, Stephen T McGarvey, Jonathan E Shaw, Stefan Söderberg, Luis Adrián Soto-Mota, Junyang Wang, Francesco Zaccardi, Leandra Abarca-Gómez, Mohsen Abbasi-Kangevari, Shynar Abdrakhmanova, Suhaila Abdul Ghaffar, Hanan F Abdul Rahim, Zulfiya Abdurrahmonova, Niveen M Abu-Rmeileh, Benjamin Acosta-Cazares, Ishag Adam, Marzena Adamczyk, Wichai Aekplakorn, Imelda A Agdeppa, Javad Aghazadeh-Attari, Charles Agyemang, Mohamad Hasnan Ahmad, Ali Ahmadi, Naser Ahmadi, Nastaran Ahmadi, Soheir H Ahmed, Wolfgang Ahrens, Gulmira Aitmurzaeva, Kamel Ajlouni, Hazzaa M Al-Hazzaa, Halima Al-Hinai, Jawad A Al-Lawati, Rajaa Al-Raddadi, Deena Al Asfoor, Huda M Al Hourani, Monira Alarouj, Fadia AlBuhairan, Shahla AlDhukair, Mohamed M Ali, Anna V Alieva, Abdullah Alkandari, Buthaina M Alkhatib, Eman Aly, Deepak N Amarapurkar, Pilar Amiano Etxezarreta, Norbert Amougou, Lars Bo Andersen, Sigmund A Anderssen, Odysseas Androutsos, Ranjit Mohan Anjana, Alireza Ansari-Moghaddam, Elena Anufrieva, Hajer Aounallah-Skhiri, Tahir Aris, Raphael E Arku, Nimmathota Arlappa, Krishna K Aryal, Felix K Assah, Batyrbek Assembekov, Maria Cecília F Assunção, Juha Auvinen, Mária Avdičová, Kishwar Azad, Ana Azevedo, Mohsen Azimi-Nezhad, Fereidoun Azizi, Flora Bacopoulou, Suhad Bahijri, Izet Bajramovic, Nagalla Balakrishna, Mohamed Bamoshmoosh, Maciej Banach, Piotr Bandosz, José R Banegas, Rafał Baran, Carlo M Barbagallo, Valter 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Tomasz Grodzicki, Else Karin Grøholt, Anders Grøntved, Viviana Guajardo, Pilar Guallar-Castillón, Maëlenn Guerchet, Ramiro Guerrero, Andre L Guimaraes, Unjali P Gujral, Martin C Gulliford, Marc J Gunter, Rajeev Gupta, Oye Gureje, Mirjana A Gurinović, Beata Gurzkowska, Laura Gutierrez, Xinyi Gwee, Rosa Haghshenas, Hamid Hakimi, Jytte Halkjær, Ian R Hambleton, Behrooz Hamzeh, Willem A Hanekom, Dominique Hange, Abu AM Hanif, Sari Hantunen, Jie Hao, Carla Menêses Hardman, Louise Hardy, Rachakulla Hari Kumar, Javad Harooni, Seyed Mohammad Hashemi-Shahri, Maria Hassapidou, Jun Hata, Teresa Haugsgjerd, Mirjam Heinen, Marleen Elisabeth Hendriks, Rafael dos Santos Henrique, Ana Henriques, Leticia Hernandez Cadena, Sauli Herrala, Marianella Herrera-Cuenca, Victor M Herrera, Isabelle Herter-Aeberli, Karl-Heinz Herzig, Ramin Heshmat, Allan G Hill, Sai Yin Ho, Michelle Holdsworth, Reza Homayounfar, Clara Homs, Emiel O Hoogendijk, Andrea RVR Horimoto, Claudia M Hormiga, Bernardo L Horta, Leila 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Somi, Elin P Sørgjerd, Maroje Sorić, Victoria E Soto-Rojas, Aïcha Soumaré, Alfonso Sousa-Poza, Igor Spiroski, Jan A Staessen, Andreas Stang, Jostein Steene-Johannessen, Peter Stehle, Aryeh D Stein, George S Stergiou, Jakub Stokwiszewski, Ekaterina Stoyanova, Gareth Stratton, Karien Stronks, Lela Sturua, Milton F Suarez-Ortegón, Phalakorn Suebsamran, Gerhard Sulo, Johan Sundström, Paibul Suriyawongpaisal, Boyd A Swinburn, René Charles Sylva, Lucjan Szponar, E Shyong Tai, Konstantinos D Tambalis, Abdonas Tamosiunas, Baimakhan Tanabayev, Maya Tanrygulyyeva, Mohammed Rasoul Tarawneh, Jakob Tarp, Carolina B Tarqui-Mamani, Radka Taxová Braunerová, Saskia Te Velde, William R Tebar, Grethe S Tell, Tania Tello, KR Thankappan, Xenophon Theodoridis, Sathish Thirunavukkarasu, Nihal Thomas, Amanda G Thrift, Ľubica Tichá, Erik J Timmermans, Dwi Hapsari Tjandrarini, Anne Tjonneland, Janne S Tolstrup, Murat Topbas, Laura Torres-Collado, Giota Touloumi, Pierre Traissac, Areti Triantafyllou, Atul 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Zeljkovic Vrkic, Bing Zhang, Zhen-Yu Zhang, Yanitsa V Zhecheva, Bekbolat Zholdin, Paul Zimmet, Marie Zins, Julio Zuñiga Cisneros, Monika Zuziak, and Majid Ezzati. 2024. “General and Abdominal Adiposity and Hypertension in Eight World Regions : A Pooled Analysis of 837 Population-Based Studies with 7·5 Million Participants.” LANCET 404 (10455): 851–863. doi:10.1016/s0140-6736(24)01405-3.
Vancouver
1.
Zhou B, Bennett JE, Wickham AP, Singleton RK, Mishra A, Carrillo-Larco RM, et al. General and abdominal adiposity and hypertension in eight world regions : a pooled analysis of 837 population-based studies with 7·5 million participants. LANCET. 2024;404(10455):851–63.
IEEE
[1]
B. Zhou et al., “General and abdominal adiposity and hypertension in eight world regions : a pooled analysis of 837 population-based studies with 7·5 million participants,” LANCET, vol. 404, no. 10455, pp. 851–863, 2024.
@article{01J6HHV0NJAE0Z0J1XA24VPGCW,
  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.}},
  author       = {{Zhou, Bin and Bennett, James E and Wickham, Aidan P and Singleton, Rosie K and Mishra, Anu and Carrillo-Larco, Rodrigo M and Ikeda, Nayu and Jain, Lakshya and Barradas-Pires, Ana and Heap, Rachel A and Lhoste, Victor PF and Sheffer, Kate E and Phelps, Nowell H and Rayner, Archie W and Gregg, Edward W and Woodward, Mark and Stevens, Gretchen A and Iurilli, Maria LC and Danaei, Goodarz and Di Cesare, Mariachiara and Aguilar-Salinas, Carlos A and Ahmad, Noor Ani and Bovet, Pascal and Chen, Zhengming and Damasceno, Albertino and Filippi, Sarah L and Janszky, Imre and Kengne, Andre P and Khang, Young-Ho and Khunti, Kamlesh and Laxmaiah, Avula and Lim, Lee-Ling and Lissner, Lauren and Margozzini, Paula and Mbanya, Jean Claude N and McGarvey, Stephen T and Shaw, Jonathan E and Söderberg, Stefan and Soto-Mota, Luis Adrián and Wang, Junyang and Zaccardi, Francesco and Abarca-Gómez, Leandra and Abbasi-Kangevari, Mohsen and Abdrakhmanova, Shynar and Abdul Ghaffar, Suhaila and Abdul Rahim, Hanan F and Abdurrahmonova, Zulfiya and Abu-Rmeileh, Niveen M and Acosta-Cazares, Benjamin and Adam, Ishag and Adamczyk, Marzena and Aekplakorn, Wichai and Agdeppa, Imelda A and Aghazadeh-Attari, Javad and Agyemang, Charles and Ahmad, Mohamad Hasnan and Ahmadi, Ali and Ahmadi, Naser and Ahmadi, Nastaran and Ahmed, Soheir H and Ahrens, Wolfgang and Aitmurzaeva, Gulmira and Ajlouni, Kamel and Al-Hazzaa, Hazzaa M and Al-Hinai, Halima and Al-Lawati, Jawad A and Al-Raddadi, Rajaa and Al Asfoor, Deena and Al Hourani, Huda M and Alarouj, Monira and AlBuhairan, Fadia and AlDhukair, Shahla and Ali, Mohamed M and Alieva, Anna V and Alkandari, Abdullah and Alkhatib, Buthaina M and Aly, Eman and Amarapurkar, Deepak N and Amiano Etxezarreta, Pilar and Amougou, Norbert and Andersen, Lars Bo and Anderssen, Sigmund A and Androutsos, Odysseas and Anjana, Ranjit Mohan and Ansari-Moghaddam, Alireza and Anufrieva, Elena and Aounallah-Skhiri, Hajer and Aris, Tahir and Arku, Raphael E and Arlappa, Nimmathota and Aryal, Krishna K and Assah, Felix K and Assembekov, Batyrbek and Assunção, Maria Cecília F and Auvinen, Juha and Avdičová, Mária and Azad, Kishwar and Azevedo, Ana and Azimi-Nezhad, Mohsen and Azizi, Fereidoun and Bacopoulou, Flora and Bahijri, Suhad and Bajramovic, Izet and Balakrishna, Nagalla and Bamoshmoosh, Mohamed and Banach, Maciej and Bandosz, Piotr and Banegas, José R and Baran, Rafał and Barbagallo, Carlo M and Barbosa Filho, Valter and Barceló, Alberto and Baretić, Maja and Barnoya, Joaquin and Barrera, Lena and Barros, Aluisio JD and Barros, Mauro Virgílio Gomes and Basit, Abdul and Bastos, Joao Luiz and Batieha, Anwar M and Batista, Aline P and Batista, Rosangela L and Battakova, Zhamilya and Baur, Louise A and Bayauli, Pascal M and Bel-Serrat, Silvia and Belavendra, Antonisamy and Ben Romdhane, Habiba and Benedek, Theodora and Benedics, Judith and Benet, Mikhail and Benitez Rolandi, Gilda Estela and Benzeval, Michaela and Bere, Elling and Berger, Nicolas and Bergh, Ingunn Holden and Berkinbayev, Salim and Bernabe-Ortiz, Antonio and Bettiol, Heloísa and Beybey, Augustin F and Bezerra, Jorge and Bhagyalaxmi, Aroor and Bhargava, Santosh K and Bika Lele, Elysée Claude and Bikbov, Mukharram M and Bista, Bihungum and Bjelica, Dusko J and Bjerregaard, Peter and Bjertness, Espen and Bjertness, Marius B and Björkelund, Cecilia and Bloch, Katia V and Blokstra, Anneke and Bo, Simona and Bobak, Martin and Boddy, Lynne M and Boehm, Bernhard O and Boggia, Jose G and Bogova, Elena and Bonaccio, Marialaura and Bonilla-Vargas, Alice and Borghs, Herman and Botomba, Steve and Bourne, Rupert and Boymatova, Khadichamo and Braeckman, Lutgart and Braithwaite, Tasanee and Brajkovich, Imperia and Branca, Francesco and Brenner, Hermann and Brewster, Lizzy M and Briceño, Yajaira and Brinduse, Lacramioara and Bringolf-Isler, Bettina and Brito, Miguel and Brug, Johannes and Bugge, Anna and Buntinx, Frank and Buoncristiano, Marta and Burns, Con and Cabrera de León, Antonio and Caixeta, Roberta B and Cama, Tilema and Can, Günay and Cândido, Ana Paula C and Cañete, Felicia and Capanzana, Mario V and Čapková, Naděžda and Capuano, Eduardo and Capuano, Rocco and Capuano, Vincenzo and Cardoso, Viviane C and Carlsson, Axel C and Casanueva, Felipe F and Casas, Maribel and Censi, Laura and Cervantes‐Loaiza, Marvin and Chamnan, Parinya and Chamukuttan, Snehalatha and Chan, Queenie and Chaturvedi, Nish and Chen, Fangfang and Chen, Huashuai and Chen, Long-Sheng and Cheng, Yiling J and Cheraghian, Bahman and Chetrit, Angela and Chikova-Iscener, Ekaterina and Chinapaw, Mai JM and Chinnock, Anne and Chiolero, Arnaud and Chirita-Emandi, Adela and Chirlaque, María-Dolores and Chong, Chean Lin and Christofaro, Diego G and Chudek, Jerzy and Cifkova, Renata and Cirillo, Massimo and Claessens, Frank and Clare, Philip and Cohen, Emmanuel and Confortin, Susana C and Coppinger, Tara C and Cortés, Lilia Yadira and Cosmin, Cojocaru R and Costanzo, Simona and Cowan, Melanie J and Cowell, Chris and Crampin, Amelia C and Cross, Amanda J and Crujeiras, Ana B and Cruz, Juan J and Cucu, Alexandra M and Cureau, Felipe V and Cuschieri, Sarah and D'Arrigo, Graziella and d'Orsi, Eleonora and da Silva-Ferreira, Haroldo and Dahm, Christina C and Dallongeville, Jean and Dankner, Rachel and Davletov, Kairat and de Assis Guedes de Vasconcelos, Francisco and de Assis, Maria Alice Altenburg and De Bacquer, Dirk and De Bacquer, Jaco and de Bont, Jeroen and De Curtis, Amalia and de Fragas Hinnig, Patrícia and de Gaetano, Giovanni and De Henauw, Stefaan and De Miguel-Etayo, Pilar and de Oliveira, Paula Duarte and de Paiva, Karina Mary and De Ridder, Karin and de Valois Correia Júnior, Marco Aurélio and Deepa, Mohan and DeGennaro, Vincent Jr and Demarest, Stefaan and Dennison, Elaine and Deschamps, Valérie and Dhimal, Meghnath and Díez Ripollés, María Pilar and Dika, Zivka and Djalalinia, Shirin and Dominguez, Liria and Donati, Maria Benedetta and Donfrancesco, Chiara and Dong, Guanghui and Donoso, Silvana P and Dorobantu, Maria and Dörr, Marcus and Dragano, Nico and Drygas, Wojciech and Du, Shufa and Duante, Charmaine A and Duboz, Priscilla and Duda, Rosemary B and Duleva, Vesselka L and Dushpanova, Anar and Dyussupova, Azhar and Dziankowska-Zaborszczyk, Elzbieta and Ebrahimi, Narges and Echeverría, Guadalupe and Eddie, Ricky and Eftekhar, Ebrahim and Efthymiou, Vasiliki and Egbagbe, Eruke E and Eghtesad, Sareh and Ekelund, Ulf and El-Khateeb, Mohammad and El Ati, Jalila and Elosua, Roberto and Enang, Ofem and Erasmus, Rajiv T and Erem, Cihangir and Ergor, Gul and Eriksen, Louise and Eriksson, Johan G and Escobedo-de la Peña, Jorge and Esmaeili, Ali and Evans, Roger G and Fakhradiyev, Ildar and Fakhretdinova, Albina A and Fall, Caroline H and Faramarzi, Elnaz and Farjam, Mojtaba and Farzadfar, Farshad and Farzi, Yosef and Fattahi, Mohammad Reza and Fawwad, Asher and Felix-Redondo, Francisco J and Ferguson, Trevor S and Fernandes, Romulo A and Fernández-Bergés, Daniel and Fernando, Desha R and Ferrante, Daniel and Ferrari, Gerson and Ferrari, Marika and Ferreccio, Catterina and Ferrer, Eldridge and Figueiró, Thamara Hubler and Fijalkowska, Anna and Fink, Günther and Fisberg, Mauro and Forsner, Maria and Fottrell, Edward F and Fouad, Heba M and Francis, Damian K and Frontera, Guillermo and Fuchs, Flavio D and Fuchs, Sandra C and Furdela, Viktoriya and Furusawa, Takuro and Gabriela, Stefan Adela and Gaciong, Zbigniew and Galán Cuesta, Manuel and Galbarczyk, Andrzej and Galcheva, Sonya V and Galfo, Myriam and Garcia-de-la-Hera, Manoli and Garcia, Pablo and Garnett, Sarah P and Gasull, Magda and Gazzinelli, Andrea and Gehring, Ulrike and Gerdts, Eva and Ghaderi, Ebrahim and Ghamari, Seyyed-Hadi and Ghanbari, Ali and Ghasemi, Erfan and Gheorghe-Fronea, Oana-Florentina and Ghimire, Anup and Gialluisi, Alessandro and Giampaoli, Simona and Gianfagna, Francesco and Gironella, Glen and Giwercman, Aleksander and Gkiouras, Konstantinos and Glushkova, Natalya and Godara, Ramesh and Godos, Justyna and Goldberg, Marcel and Gómez, Georgina and Gómez Gómez, Jesús Humberto and Gomez, Luis F and Gómez, Santiago F and Gomula, Aleksandra and Gonçalves Cordeiro da Silva, Bruna and Gonçalves, Helen and Gonçalves, Mauer and González-Alvarez, Ana D and Gonzalez-Chica, David A and González-Gil, Esther M and Gonzalez-Gross, Marcela and González-Rivas, Juan P and Gonzalez, Angel R and Gottrand, Frederic and Grafnetter, Dušan and Grajda, Aneta and Grammatikopoulou, Maria G and Grodzicki, Tomasz and Grøholt, Else Karin and Grøntved, Anders and Guajardo, Viviana and Guallar-Castillón, Pilar and Guerchet, Maëlenn and Guerrero, Ramiro and Guimaraes, Andre L and Gujral, Unjali P and Gulliford, Martin C and Gunter, Marc J and Gupta, Rajeev and Gureje, Oye and Gurinović, Mirjana A and Gurzkowska, Beata and Gutierrez, Laura and Gwee, Xinyi and Haghshenas, Rosa and Hakimi, Hamid and Halkjær, Jytte and Hambleton, Ian R and Hamzeh, Behrooz and Hanekom, Willem A and Hange, Dominique and Hanif, Abu AM and Hantunen, Sari and Hao, Jie and Hardman, Carla Menêses and Hardy, Louise and Hari Kumar, Rachakulla and Harooni, Javad and Hashemi-Shahri, Seyed Mohammad and Hassapidou, Maria and Hata, Jun and Haugsgjerd, Teresa and Heinen, Mirjam and Hendriks, Marleen Elisabeth and Henrique, Rafael dos Santos and Henriques, Ana and Hernandez Cadena, Leticia and Herrala, Sauli and Herrera-Cuenca, Marianella and Herrera, Victor M and Herter-Aeberli, Isabelle and Herzig, Karl-Heinz and Heshmat, Ramin and Hill, Allan G and Ho, Sai Yin and Holdsworth, Michelle and Homayounfar, Reza and Homs, Clara and Hoogendijk, Emiel O and Horimoto, Andrea RVR and Hormiga, Claudia M and Horta, Bernardo L and Houti, Leila and Howitt, Christina and Htay, Thein Thein and Htet, Aung Soe and Htike, Maung Maung Than and Huerta, José María and Huhtaniemi, Ilpo Tapani and Huiart, Laetitia and Huidumac Petrescu, Constanta and Huisman, Martijn and Husseini, Abdullatif and Huybrechts, Inge and Hwalla, Nahla and Iacoviello, Licia and Iakupova, Ellina M and Iannone, Anna G and Igland, Jannicke and Ijoma, Chinwuba and Iotova, Violeta and Irazola, Vilma E and Ishida, Takafumi and Isiguzo, Godsent C and Islam, Muhammad and Islam, Sheikh Mohammed Shariful and Islek, Duygu and Ittermann, Till and Ivanova-Pandourska, Ivaila Y and Iwasaki, Masanori and Jääskeläinen, Tuija and Jackson, Rod T and Jaddou, Hashem Y and Jadoul, Michel and Jafar, Tazeen and Jan, Nataša and Janus, Edward and Jarani, Juel and Jarnig, Gerald and Jarvelin, Marjo-Riitta and Jasienska, Grazyna and Jelaković, Ana and Jelaković, Bojan and Jha, Anjani Kumar and Jimenez, Ramon O and Jöckel, Karl-Heinz and Joffres, Michel and Jokelainen, Jari J and Jonas, Jost B and Joshi, Pradeep and Joshi, Rohina and Josipović, Josipa and Joukar, Farahnaz and Jóźwiak, Jacek J and Juolevi, Anne and Juresa, Vesna and Jureša, Vesna and Kaaks, Rudolf and Kaducu, Felix O and Kadvan, Agnes L and Kafatos, Anthony and Kajantie, Eero O and Kakutia, Natia and Kállayová, Daniela and Kalmatayeva, Zhanna and Kalter-Leibovici, Ofra and Kannan, Srinivasan and Kapantais, Efthymios and Karaglani, Eva and Karakosta, Argyro and Karki, Khem B and Kassi Anicet, Adoubi and Katibeh, Marzieh and Katulanda, Prasad and Katzmarzyk, Peter T and Kauhanen, Jussi and Kazakbaeva, Gyulli M and Kaze, François F and Ke, Calvin and Keinänen-Kiukaanniemi, Sirkka and Kelishadi, Roya and Kelleher, Cecily and Kemper, Han CG and Keramati, Maryam and Kersting, Mathilde and Khader, Yousef Saleh and Khaledifar, Arsalan and Khalili, Davood and Kheiri, Bahareh and Kheradmand, Motahareh and Khosravi, Alireza and Kiechl-Kohlendorfer, Ursula and Kiechl, Sophia J and Kiechl, Stefan and Kim, Hyeon Chang and Klakk, Heidi and Klanarong, Suntara and Klanova, Jana and Klimek, Magdalena and Knoflach, Michael and Kobel, Susanne and Koirala, Bhawesh and Kolle, Elin and Kolsteren, Patrick and König, Jürgen and Korpelainen, Raija and Korrovits, Paul and Korzycka, Magdalena and Kos, Jelena and Koskinen, Seppo and Koussoh Simone, Malik and Kovács, Éva and Kovalskys, Irina and Kowlessur, Sudhir and Koziel, Slawomir and Kratenova, Jana and Kratzer, Wolfgang and Kriemler, Susi and Kristensen, Peter Lund and Krizan, Helena and Kroker-Lobos, Maria F and Krokstad, Steinar and Kruger, Herculina S and Kruger, Ruan and Kryst, Łukasz and Kubinova, Ruzena and Kujala, Urho M and Kujundzic, Enisa and Kulaga, Zbigniew and Kulimbet, Mukhtar and Kumari, Meena and Kunešová, Marie and Kurjata, Pawel and Kyobutungi, Catherine and La, Quang Ngoc and Labadarios, Demetre and Lachat, Carl and Lai, Daphne and Laid, Youcef and Lall, Lachmie and Landaeta Jimenez, Maritza and Landais, Edwige and Lankila, Tiina and Lanska, Vera and Lappas, Georg and Larijani, Bagher and Lateva, Mina P and Latt, Tint Swe and Laurenzi, Martino and Lazo-Porras, Maria and Le Coroller, Gwenaëlle and Le Nguyen Bao, Khanh and Lehtimäki, Terho and Lemogoum, Daniel and Leong, Elvynna and Leszczak, Justyna and Leung, Gabriel M and Li, Yanping and Liivak, Merike and Lim, Charlie and Lim, Wei-Yen and Lima-Costa, M Fernanda and Lin, Hsien-Ho and Lind, Lars and Litwin, Mieczyslaw and Liu, Liping and Liu, Xiaotian and Longo Abril, Guadalupe and Lopes, Oscar and Lopez-Garcia, Esther and López-Gil, José Francisco and Lopez, Tania and Lozano, José Eugenio and Lukrafka, Janice L and Luksiene, Dalia and Lundqvist, Annamari and Lunet, Nuno and Lunogelo, Charles and Lustigová, Michala and M'Buyamba-Kabangu, Jean-René and Machado-Coelho, George LL and Machado-Rodrigues, Aristides M and Macia, Enguerran and Madar, Ahmed A and Maestre, Gladys E and Maggi, Stefania and Magliano, Dianna J and Magnacca, Sara and Magriplis, Emmanuella and Mahasampath, Gowri and Maire, Bernard and Makdisse, Marcia and Malekpour, Mohammad-Reza and Malekzadeh, Fatemeh and Malekzadeh, Reza and Mallikharjuna Rao, Kodavanti and Malyutina, Sofia and Maniego, Lynell V and Manios, Yannis and Mann, Jim I and Mansour-Ghanaei, Fariborz and Manzato, Enzo and Mapatano, Mala Ali and Maria-Magdalena, Rosu and Mariño, Joany and Markaki, Anastasia and Marques, Larissa Pruner and Marrugat, Jaume and Martorell, Reynaldo and Maruszczak, Katharina and Masala, Giovanna and Mascarenhas, Luis P and Masimango Imani, Mannix and Masinaei, Masoud and Mathiesen, Ellisiv B and Matijasevich, Alicia and Matłosz, Piotr and Matsha, Tandi E and Matsudo, Victor and Giletta, Matteo and Maulik, Pallab K and Mavrogianni, Christina and Mc Donald Posso, Anselmo J and McFarlane, Shelly R and McLean, Rachael M and Mediene Benchekor, Sounnia and Mehlig, Kirsten and Mehrparvar, Amir Houshang and Melgarejo, Jesus D and Méndez, Fabián and Mendivil, Carlos O and Mendoza Montano, Carlos and Menezes, Ana Maria B and Mensink, Gert BM and Mereke, Alibek and Meshram, Indrapal I and Meto, Diane T and Meyer, Haakon E and Mi, Jie and Miłkowska, Karolina and Miller, Jody C and Milushkina, Olga and Minderico, Cláudia S and Mini, GK and Miquel, Juan Francisco and Miranda, J Jaime and Mirjalili, Mohammad Reza and Mišigoj-Duraković, Marjeta and Mistretta, Antonio and Mocanu, Veronica and Modesti, Pietro A and Moghaddam, Sahar Saeedi and Mohammad, Kazem and Mohammadi, Mohammad Reza and Mohammadi, Zahra and Mohammadifard, Noushin and Mohammadpourhodki, Reza and Mohan, Viswanathan and Mohd Yusoff, Muhammad Fadhli and Mohebbi, Iraj and Møller, Niels C and Molnár, Dénes and Momenan, Amirabbas and Mondo, Charles K and Monroy-Valle, Michele M and Montenegro Mendoza, Roger A and Monterrubio-Flores, Eric and Monyeki, Kotsedi Daniel K and Moon, Jin Soo and Moosazadeh, Mahmood and Moradpour, Farhad and Moreira, Leila B and Morejon, Alain and Moreno, Luis A and Morgan, Karen and Moschonis, George and Moslem, Alireza and Mosquera, Mildrey and Mossakowska, Malgorzata and Mostafa, Aya and Mostafavi, Seyed-Ali and Motlagh, Mohammad Esmaeel and Motta, Jorge and Moura-dos-Santos, Marcos André and Mridha, Malay K and Msyamboza, Kelias P and Mu, Thet Thet and Muca, Florian and Mugoša, Boban and Munroe, Patricia B and Mursu, Jaakko and Musa, Kamarul Imran and Musić Milanović, Sanja and Musil, Vera and Musinguzi, Geofrey and Mustafa, Norlaila and Muyer, Muel Telo Marie-Claire and Nabipour, Iraj and Naidu, Balkish M and Najafi, Farid and Nalecz, Hanna and Námešná, Jana and Narayan, KM Venkat and Naseri, Take and Michels, Nathalie and Neelapaichit, Nareemarn and Nejatizadeh, Azim and Nenko, Ilona and Nervi, Flavio and Neuhauser, Hannelore K and Ng, Tze Pin and Nguyen, Chung T and Nguyen, Quang V and Nguyen, Quang Ngoc and Ni, Michael Y and Nie, Peng and Nieto-Martínez, Ramfis E and Niiranen, Teemu J and Ninomiya, Toshiharu and Nishi, Nobuo and Nishtar, Sania and Noale, Marianna and Noboa, Oscar A and Nogueira, Helena and Norton, Kevin I and Noto, Davide and Nowak-Szczepanska, Natalia and Nsour, Mohannad Al and Nuhoğlu, Irfan and Nurk, Eha and Nuwaha, Fred and Nyirenda, Moffat and O'Neill, Terence W and Ochimana, Caleb and Ochoa-Avilés, Angélica M and Oda, Eiji and Odili, Augustine N and Oh, Kyungwon and Ohtsuka, Ryutaro and Oldenburg, Brian and Olié, Valérie and Omar, Mohd Azahadi and Omar, Saeed M and Onat, Altan and Ong, Sok King and Onland-Moret, N Charlotte and Ono, Lariane M and Onodugo, Obinna and Ordunez, Pedro and Ornelas, Rui and Ortiz, Ana P and Ortiz, Pedro J and Osmond, Clive and Ostojic, Sergej M and Ostovar, Afshin and Otero, Johanna A and Ottendahl, Charlotte B and Otu, Akaninyene and Overvad, Kim and Owusu-Dabo, Ellis and Padez, Cristina P and Pagkalos, Ioannis and Pajula, Natalja and Palloni, Alberto and Palmieri, Luigi and Pan, Wen-Harn and Panza, Francesco and Paoli, Mariela and Papadopoulou, Sousana K and Pareja, Rossina G and Park, Soon-Woo and Park, Suyeon and Parnell, Winsome R and Parsaeian, Mahboubeh and Pascanu, Ionela M and Pasquet, Patrick and Patel, Nikhil D and Pavlyshyn, Halyna and Pechlaner, Raimund and Pećin, Ivan and Pedro, João M and Peixoto, Sergio Viana and Peltonen, Markku and Pereira, Alexandre C and Peres, Karen GDA and Peres, Marco A and Perez-Londoño, Agustín and Pérez, Cynthia M and Peterkova, Valentina and Petrovna Kovtun, Olga and Peykari, Niloofar and Pham, Son Thai and Pichardo, Rafael N and Pierre-Marie, Preux and Pikhart, Hynek and Pilav, Aida and Piler, Pavel and Piwonska, Aleksandra and Pizarro, Andreia N and Plata, Silvia and Pop, Raluca M and Popkin, Barry M and Popovic, Stevo R and Porta, Miquel and Poudyal, Anil and Pourfarzi, Farhad and Pourshams, Akram and Poustchi, Hossein and Pradeepa, Rajendra and Price, Alison J and Prista, Antonio and Providencia, Rui and Puder, Jardena J and Pudule, Iveta and Puhakka, Soile and Puiu, Maria and Punab, Margus and Qorbani, Mostafa and Quialheiro, Anna and Quintana, Hedley K and Quiroga-Padilla, Pedro J and Quoc Bao, Tran and Rach, Stefan and Rahimikazerooni, Salar and Rahman, Mahmudur and Raitakari, Olli and Rakhmatulloev, Sherali and Rakovac, Ivo and Ramachandran, Ambady and Ramadan, Otim PC and Ramirez-Zea, Manuel and Ramos, Rafel and Rampal, Lekhraj and Rampal, Sanjay and Ramsay, Sheena E and Rangel Junior, João FLB and Rangel Reina, Daniel A and Rangelova, Lalka S and Rarra, Vayia and Rashidi, Mohammad-Mahdi and Rech, Cassiano Ricardo and Redon, Josep and Regecová, Valéria and Renner, Jane DP and Repasy, Judit A and Reuter, Cézane P and Revilla, Luis and Reynolds, Andrew and Rezaei, Negar and Rezaianzadeh, Abbas and Riboli, Elio and Rigo, Fernando and Rigotti, Attilio and Riley, Leanne M and Rinke de Wit, Tobias F and Risérus, Ulf and Ritti-Dias, Raphael M and Roa, Reina G and Roccaldo, Romana and Rodríguez-Artalejo, Fernando and Rodriguez-Perez, María del Cristo and Rodríguez-Villamizar, Laura A and Rodríguez, Andrea Y and Roggenbuck, Ulla and Rohloff, Peter and Rojas-Martinez, Rosalba and Romeo, Elisabetta L and Rosario, Rafaela V and Rosengren, Annika and Rouse, Ian and Rubinstein, Adolfo and Ruiz-Betancourt, Blanca Sandra and Ruiz-Castell, Maria and Ruiz Moreno, Emma and Rusakova, Iuliia A and Rusek, Wojciech and Rust, Petra and Rutkowski, Marcin and Saamel, Marge and Sabbaghi, Hamideh and Sachdev, Harshpal S and Sadjadi, Alireza and Safarpour, Ali Reza and Safi, Sare and Saghi, Mohammad Hossien and Saidi, Olfa and Saieva, Calogero and Sakata, Satoko and Saki, Nader and Šalaj, Sanja and Salazar Martinez, Eduardo and Salkhanova, Akkumis and Salonen, Jukka T and Samoutian, Margarita and Sánchez-Abanto, Jose and Sánchez Rodríguez, Inés and Santos, Diana A and Santos, Ina S and Santos, Maria Paula and Santos, Tamara R and Saramies, Jouko L and Sardinha, Luis B and Sarganas, Giselle and Sarrafzadegan, Nizal and Saum, Kai-Uwe and Savin, Stefan and Sbaraini, Mariana and Scazufca, Marcia and Schaan, Beatriz D and Schienkiewitz, Anja and Schindler, Karin and Schipf, Sabine and Schmidt, Amand Floriaan and Schmidt, Börge and Schmidt, Carsten O and Schöttker, Ben and Schramm, Sara and Schramm, Stine and Schröder, Helmut and Schultsz, Constance and Schutte, Aletta E and Sebert, Sylvain and Sedaghattalab, Moslem and Sein, Aye Aye and Sen, Abhijit and Sepanlou, Sadaf G and Sequera, Guillermo and Ševčíková, Ľudmila and Sewpaul, Ronel and Shamah-Levy, Teresa and Shamshirgaran, Seyed Morteza and Sharafkhah, Maryam and Sharma, Sanjib K and Sharman, Almaz and Shayanrad, Amaneh and Shayesteh, Ali Akbar and Shengelia, Lela and Shibuya, Kenji and Shimizu-Furusawa, Hana and Shiri, Rahman and Shoranov, Marat and Shrestha, Namuna and Si-Ramlee, Khairil and Sibai, Abla M and Sidossis, Labros S and Silva, Antonio M and Silva, Caroline Ramos de Moura and Silva, Diego Augusto Santos and Silva, Kelly Samara and Sim, Xueling and Simon, Mary and Sjöström, Michael and Skoblina, Natalia A and Slowikowska-Hilczer, Jolanta and Slusarczyk, Przemysław and Smeeth, Liam and Smith, Lee and Soares, Fernanda Cunha and Sobek, Grzegorz and Sobngwi, Eugène and Sodemann, Morten and Soemantri, Agustinus and Solfrizzi, Vincenzo and Somi, Mohammad Hossein and Sørgjerd, Elin P and Sorić, Maroje and Soto-Rojas, Victoria E and Soumaré, Aïcha and Sousa-Poza, Alfonso and Spiroski, Igor and Staessen, Jan A and Stang, Andreas and Steene-Johannessen, Jostein and Stehle, Peter and Stein, Aryeh D and Stergiou, George S and Stokwiszewski, Jakub and Stoyanova, Ekaterina and Stratton, Gareth and Stronks, Karien and Sturua, Lela and Suarez-Ortegón, Milton F and Suebsamran, Phalakorn and Sulo, Gerhard and Sundström, Johan and Suriyawongpaisal, Paibul and Swinburn, Boyd A and Sylva, René Charles and Szponar, Lucjan and Tai, E Shyong and Tambalis, Konstantinos D and Tamosiunas, Abdonas and Tanabayev, Baimakhan and Tanrygulyyeva, Maya and Tarawneh, Mohammed Rasoul and Tarp, Jakob and Tarqui-Mamani, Carolina B and Taxová Braunerová, Radka and Te Velde, Saskia and Tebar, William R and Tell, Grethe S and Tello, Tania and Thankappan, KR and Theodoridis, Xenophon and Thirunavukkarasu, Sathish and Thomas, Nihal and Thrift, Amanda G and Tichá, Ľubica and Timmermans, Erik J and Tjandrarini, Dwi Hapsari and Tjonneland, Anne and Tolstrup, Janne S and Topbas, Murat and Torres-Collado, Laura and Touloumi, Giota and Traissac, Pierre and Triantafyllou, Areti and Trivedi, Atul and Tshepo, Lechaba and Tsintavis, Panagiotis and Tuitele, John and Tuliakova, Azaliia M and Tulloch-Reid, Marshall K and Tullu, Fikru and Tuomainen, Tomi-Pekka and Turley, Maria L and Tzala, Evangelia and Tzotzas, Themistoklis and Tzourio, Christophe and Ueda, Peter and Ugel, Eunice and Ukoli, Flora AM and Usupova, Zhamyila and Uusitalo, Hannu MT and Uysal, Nalan and Valdivia, Gonzalo and Valvi, Damaskini and van Dam, Rob M and van den Born, Bert-Jan and Van der Heyden, Johan and van der Schouw, Yvonne T and Van Lippevelde, Wendy and Van Minh, Hoang and Van Schoor, Natasja M and van Valkengoed, Irene GM and Vanderschueren, Dirk and Vanuzzo, Diego and Varela-Moreiras, Gregorio and Vargas, Luz Nayibe and Vasan, Senthil K and Vasques, Daniel G and Vega, Tomas and Velasquez-Melendez, Gustavo and Velika, Biruta and Verdot, Charlotte and Verloigne, Maïté and Veronesi, Giovanni and Verschuren, WM Monique and Verstraeten, Roosmarijn and Viet, Lucie and Vik, Frøydis N and Vilar, Monica and Villalpando, Salvador and Vioque, Jesus and Virtanen, Jyrki K and Visser, Marjolein and Viswanathan, Bharathi and Vladulescu, Mihaela and Völzke, Henry and Voutilainen, Ari and Vrijheid, Martine and Wade, Alisha N and Wan Bebakar, Wan Mohamad and Wan Mohamud, Wan Nazaimoon and Wanderley Júnior, Rildo de Souza and Wang, Chongjian and Wang, Huijun and Wang, Ningli and Wang, Qian and Wang, Xiangjun and Wang, Ya Xing and Wang, Ying-Wei and Wannamethee, S Goya and Wareham, Nicholas and Wartha, Olivia and Weber, Adelheid and Webster-Kerr, Karen and Wedderkopp, Niels and Weghuber, Daniel and Wei, Wenbin and Westbury, Leo and Whincup, Peter H and Wickramasinghe, Kremlin and Widhalm, Kurt and Widyahening, Indah S and Więcek, Andrzej and Wilks, Rainford J and Willeit, Karin and Willeit, Peter and Williams, Julianne and Wilsgaard, Tom and Wojtyniak, Bogdan and Wong-McClure, Roy A and Wong, Andrew and Wong, Emily B and Wu, Frederick C and Wyszyńska, Justyna and Xu, Haiquan and Xu, Liang and Yaacob, Nor Azwany and Yan, Li and Yan, Weili and Yang, Yang and Yépez García, Martha and Yoosefi, Moein and Yoshihara, Akihiro and Younger-Coleman, Novie O and Yu, Yu-Ling and Yu, Yunjiang and Yusoff, Ahmad Faudzi and Zafiropulos, Vassilis and Zainuddin, Ahmad A and Zamani, Farhad and Zambon, Sabina and Zampelas, Antonis and Zapata, Maria Elisa and Zaw, Ko Ko and Zdrojewski, Tomasz and Żegleń, Magdalena and Zejglicova, Kristyna and Zeljkovic Vrkic, Tajana and Zhang, Bing and Zhang, Zhen-Yu and Zhecheva, Yanitsa V and Zholdin, Bekbolat and Zimmet, Paul and Zins, Marie and Zuñiga Cisneros, Julio and Zuziak, Monika and Ezzati, Majid}},
  issn         = {{0140-6736}},
  journal      = {{LANCET}},
  language     = {{eng}},
  number       = {{10455}},
  pages        = {{851--863}},
  title        = {{General and abdominal adiposity and hypertension in eight world regions : a pooled analysis of 837 population-based studies with 7·5 million participants}},
  url          = {{http://doi.org/10.1016/s0140-6736(24)01405-3}},
  volume       = {{404}},
  year         = {{2024}},
}

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