{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:50:01Z","timestamp":1777553401456,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hypertension is known to be related to obesity and both are the major factors for cardiovascular diseases. The relationship between body composition and blood pressure (BP) are discussed recently. Our study aims to evaluate the association between waist circumference (WC) and appendicular muscle mass (AMM) in relation to BP among the community\u2010dwelling elderly population.<\/jats:p><jats:p>Total 3739 patients (1600 males and 2139 females) were recruited in a series of community\u2010based surveys that were conducted among the elderly population in Taiwan from 2017 to 2019. We collected data on anthropometric characteristics, handgrip strength, and BP using standard methods. AMM was calculated with an equation. History of chronic disease and lifestyle profiles were collected using questionnaires.<\/jats:p><jats:p>The group with high AMM to body weight ratio (AMMW) showed lower systolic BP (SBP) (136.8 \u00b1 19.1 to 140.6 \u00b1 17.0 for males; 137.8 \u00b1 18.3 to 142.7 \u00b1 17.5 for females, both <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Among central obese persons those with higher AMMW ratio had lower SBP. In the final model, AMMW in percentage is negatively associated to SBP (\u03b2\u00a0=\u00a0\u22120.641 in male, \u22120.780 in female, both <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01). In other words, every 10% increase in AMMW is associated with decrease of SBP 6.41\u00a0mmHg in male and 7.80\u00a0mmHg in female.<\/jats:p><jats:p>Obesity and central obesity were positively associated with BP. The AMMW ratio was negatively associated with HTN and with a protective effect on BP even among the central obese. Health promotion programs to increase physical training may prevent hypertension among the elderly in Taiwan.<\/jats:p>","DOI":"10.1111\/jch.14429","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T16:58:32Z","timestamp":1643389112000},"page":"184-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Obesity, waist circumference, and appendicular muscle mass ratio in relation to blood pressure among the community\u2010dwelling elderly population in Taiwan"],"prefix":"10.1111","volume":"24","author":[{"given":"Chun\u2010Yung","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Kaohsiung Armed Forces General Hospital  Kaohsiung Taiwan ROC"},{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri\u2010Service General Hospital National Defense Medical Center  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Chun","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine TaoYuan Armed Forces General Hospital  TaoYuan Taiwan ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Hsun","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri\u2010Service General Hospital National Defense Medical Center  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Der\u2010Min","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Public Health National Defense Medical Center  Taipei Taiwan ROC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chieh\u2010Hua","family":"Lu","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri\u2010Service General 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