title: BMI is a Better Indicator of Cardiac Risk Factors, as against Elevated Blood Pressure in Apparently Healthy Female Adolescents and Young Adult Students: Results From a Cross-Sectional Study in Tripura.
abstract: BACKGROUND
  Anthropometric measures are used as indicators of elevated blood pressure, but reported to have variable sensitivity among populations. This study was undertaken to identify the better indicator of Cardiac-risk factors by statistical comparison of BMI, Waist circumference, and Waist to Height (WtHr) ratio in apparently healthy adolescents and young adult female students of Tripura.
  
  
  METHODS
  A cross-sectional study was conducted in a resource limited setup on 210 apparently healthy female adolescents and young adult students in Tripura. Mean (±SD) of all parameters were compared (ANOVA) to recognize significant independent (anthropometric measures) and dependent factors (blood pressure indices and so on). Correlation (r) analysis was used to identify the better (p) indicator of blood pressure indices (dependent variable) and its impact was assessed by Multiple Regression analysis.
  
  
  RESULTS
  blood pressure indices are comparatively higher in obese and overweight participants with statistically significant (95.5% confidence) mean differences. Significant correlation with dependent factors is observed with BMI followed by WtHr and Waist Circumference. Impact of anthropometric measures with blood pressure Indices is most significant for BMI (P≤ 0.020) followed by WtHr (P≤ 0.500) and waist circumference (P≤ 0.520).
  
  
  CONCLUSIONS
  BMI is a superior indicator of blood pressure indices and can identify participants at risk even in apparently healthy adolescent and young adult females.
authors.affiliation: Department of Medical Laboratory Technology, Women's Polytechnic, Hapania, Tripura, India.
authors.forename: Surajit
authors.initials: S
authors.lastname: Debnath
keywords: Adolescent; BMI; DBP; SBP; Tripura; anthropometric measures; blood pressure indices; female; heart rate; mean pressure; pulse pressure; rate pressure product; students; waist circumference; waist to height ratio; young adults