Associations Between Hypertension and Body Mass Index and Waist Circumference in U.S. Adults: A Comparative Analysis by Gender

Roka, Ranjana; Michimi, Akihiko; Macy, Gretchen

doi:10.1007/s40292-015-0106-3

Cited by 24 publications

(18 citation statements)

References 37 publications

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“…However, whether exercise alone could affect abdominal obesity or blood pressure was not validated because lifestyle factors were not adjusted in the program. Similarly, in the previous studies that analyzed the association between baseline waist circumference and hypertension risk, adjustment for physical activity did not affect the association between abdominal obesity and hypertension . In our study, we observed that, even though this was not an intervention study, baseline physical activity did not affect the deleterious effects of abdominal obesity on incident hypertension.…”

Section: Discussionsupporting

confidence: 78%

“…Similarly, in the previous studies that analyzed the association between baseline waist circumference and hypertension risk, adjustment for physical activity did not affect the association between abdominal obesity and hypertension. 8,25,26 In our study, we observed that, even though this was not an intervention study, baseline physical activity did not affect the deleterious effects of abdominal obesity on incident hypertension. Thus, in preventing hypertension, prompt treatment of abdominal obesity is more important than solely being physically active.…”

Section: Discussionmentioning

confidence: 55%

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Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population‐based study

Rhee

Cho

Kwon

et al. 2018

J of Clinical Hypertension

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The presence of abdominal obesity and lack of physical activity are both risk factors for the development of hypertension. The aim of this study was to analyze the risk of developing hypertension according to baseline waist circumference (WC). In total, 16 312 476 non‐hypertensive participants who were covered by the National Health Insurance Service (NHIS) from 2009 to 2012 in Korea were included in the study. The participants were divided into six groups according to the level of baseline WC with a 5‐cm interval starting from 80 cm in men and 75 cm in women. The risk for the future development of hypertension was assessed in 2015 using the claims data on the diagnosis of hypertension and prescription of anti‐hypertensive medications. Approximately 7.8% of the participants developed hypertension over a median follow‐up of 5.48 years. The proportion of participants who developed hypertension significantly increased from 4.2% in the WC level 1% to 17.5% in the WC level 6. After adjusting for confounding factors, level 6 of the baseline WC had a higher hazard ratio (HR) for the development of hypertension among the 6 levels of baseline with level 3 as the reference (1736; 95% confidence interval [95% CI]: 1.72‐1.753). The participants with abdominal obesity had a significantly higher HR than those without abdominal obesity regardless of whether they engage in high‐ or moderate‐intensity physical intensity (1.741; 95% CI: 1.718‐1.764). WC had a linear association with the development of hypertension based on this large nationwide population‐based cohort study, which was not influenced by physical activity.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 55%

Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population‐based study

Rhee

Cho

Kwon

et al. 2018

J of Clinical Hypertension

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“…Nevertheless, to the best of our knowledge, there is still no evidence of a significant association between hypertension and LSG histopathology. As for a potential confounder's association to the exposure under examination, BMI was significantly associated with HTN [29], DM2 [30], H. pylori [31], gender [32] and age [32]. The current study used multivariable regression analysis to control for such identified confounders during data analysis, as recommended by others [33].…”

Section: Discussionmentioning

confidence: 99%

Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

2019

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Background Obesity is a risk for many different cancers. Laparoscopic sleeve gastrectomy (LSG) is common, and benign or premalignant histopathology types are reported in the removed gastric specimens. We assessed whether higher BMI was associated with certain benign or pre-malignant histopathological changes. Method Retrospective chart review of all primary LSG patients (N = 1555). Demographic, clinical, and LSG histopathology data were retrieved. BMI of patients with specific benign or pre-malignant conditions in their gastric specimens was compared with the BMI of the rest of the patients with abnormal histopathology specimens and also compared with the BMI of patients with normal control specimens.Results Females comprised 70% of the patients. Mean BMI were 46.3 (females) and 48 (males). Normal LSG specimens comprised 52%. Most common abnormal histopathologies were chronic inactive gastritis (33%), chronic active gastritis (6.8%), follicular gastritis (2.7%), lymphoid aggregates (2.2%), intestinal metaplasia (1.4%) and GIST (0.7%). After controlling for confounders (age, gender, H. pylori, diabetes mellitus type 2, hypertension), no significant association was observed between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies. Conclusion When confounders were taken into account, there appeared no significant associations between the BMI of patients with specific benign or pre-malignant histopathology compared with the BMI of the rest of the patients with abnormal histopathologies and compared to the BMI of patients with normal histopathologies of their gastric specimens. There was a very weak correlation between BMI and other covariates.

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“…In our study, the prevalence of hypertension adjusted for age, sex and country of origin was similar in PLHIV and in the general population. However, after further adjustment for BMI, a strong predictor of hypertension [42], it becomes evident that in fact, PLHIV have higher prevalence of hypertension, compared to the general population.…”

Section: Hiv-infected Predicted % (95% Ci)mentioning

confidence: 99%

Cardiovascular risk factors in HIV infected individuals: Comparison with general adult control population in Greece

Touloumi¹,

Kalpourtzi²,

Papastamopoulos³

et al. 2020

PLoS ONE

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Background Although combined antiretroviral therapy has substantially improved the prognosis of people living with HIV (PLHIV), mortality remains higher compared to the general population, mainly due to higher prevalence of non-HIV-related comorbidities, including cardiovascular diseases (CVD). We assessed the prevalence of CVD risk and its contributing factors in adult PLHIV versus general population controls in Greece.

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Associations Between Hypertension and Body Mass Index and Waist Circumference in U.S. Adults: A Comparative Analysis by Gender

Abstract: BMI and WC may influence hypertension differently among males and females.

Cited by 24 publications

References 37 publications

Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population‐based study

Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population‐based study

Compared to What? Is BMI Associated with Histopathological Changes in Laparoscopic Sleeve Gastrectomy Specimens?

Cardiovascular risk factors in HIV infected individuals: Comparison with general adult control population in Greece

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