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September 28, 1940


JAMA. 1940;115(13):1103-1104. doi:10.1001/jama.1940.02810390043014

While the prevailing opinion assumes a constitutional factor in hypertensive diseases, there is no unanimity of opinion on the relation between gross body structure and blood pressure. Robinson and Brucer1 based their study of this question on a statistical analysis of the periodic health examination records of 3,658 unselected men and women (age concentration of the 1,861 males between 31 and 55 years, that of 1,797 females between 27 and 50 years) who were classified into linear, or narrow chested, and lateral, or broad chested, groups by means of a simple anthropometric index found by dividing chest circumference by standing height and ignoring body weight. Persons of linear build were defined as having a chest/height ratio of less than 0.50, their chest measurement being less than half their height; those of lateral build showed on the average an index of 0.59 or over. A gradual increase in chest circumference