title: Lean Body Mass as a Predictive Value of Hypertension in Young Adults, in Ankara, Turkey.
abstract: BACKGROUND
  The aim of this study was to assess the predictive capacity of body composition estimated by bioelectrical impedance analysis (BIA) to identify abnormal blood pressure in physical education and sport teaching students in the city of Ankara.
  
  
  METHODS
  Data for this cross-sectional study were obtained in the city of Ankara in 2014. A total of 133 students aged 20-35 yr participated in this study. Anthropometric measurements were measured. Body composition was assessed by BIA. Physical activity level (PAL) and usual dietary intake were assessed. Pre-hypertension and hypertension were defined, respectively, as BP ≥120 and/or 80, and ≥140 and /or 90 mmHg.
  
  
  RESULTS
  More overweight students showed abnormal BP especially SBP (P=0.005 and 0.002, respectively). Age adjusted regression showed significant association between arm circumference (β= 0.176, P 0.044), mid arm muscle circumference (MAMC) (β= 0.235, P 0.007), lean body mass (LBM) (β= 0.238, P 0.006), basal metabolism rate (BMR) (β= 0.219, P 0.012) and SBP and, also, MAMC (β= 0.201, P 0.022), LBM (β= 0.203, P 0.021), BMR (β= 0.189, P 0.030) and DBP. Fat intake was associated with DBP (β= 0.14, P =0.040). Multivariate regression models adjusted for age, BMI, WC and fat intake/kg body weight showed positive association of SBP with MAMC, BMR and LBM (P<0.05).
  
  
  CONCLUSIONS
  The relationship between blood pressure and body composition in young adults may be associated to LBM and MAMC. LBM or MAMC in this population may be indirect indicators of heart muscle mass and heart pumping power.
authors.affiliation: Dept. of Household Economy and Nutrition Education, Gazi University, Ankara, Turkey.
authors.forename: Yashar
authors.initials: Y
authors.lastname: Vaziri
authors.affiliation: Dept. of Household Economy and Nutrition Education, Gazi University, Ankara, Turkey.
authors.forename: Sidika
authors.initials: S
authors.lastname: Bulduk
authors.affiliation: Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Endocrinology and Metabolism Research Center (EMRC), Endocrinology and Metabolism Research Institute (EMRI), Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Zhaleh
authors.initials: Z
authors.lastname: Shadman
authors.affiliation: Meram School of Medicine, Selcuk University, Meram-Konya, Turkey.
authors.forename: Emre Ozgur
authors.initials: EO
authors.lastname: Bulduk
authors.affiliation: Cellular and Molecular Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Hedayati
authors.affiliation: Dept. of Physical Education and Sports, Gazi University, Ankara, Turkey.
authors.forename: Haluk
authors.initials: H
authors.lastname: Koc
authors.affiliation: Dept. of Physical Education and Sports, Gazi University, Ankara, Turkey.
authors.forename: Fatmanur
authors.initials: F
authors.lastname: Er
authors.affiliation: Dept. of Physical Education and Sports, Gazi University, Ankara, Turkey.
authors.forename: Ceren Suveren
authors.initials: CS
authors.lastname: Erdogan
keywords: Body mass index; Hypertension; Lean body mass; Turkey; Young adults
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