Relationship Between Dynamic Changes in Body Weight and Blood Pressure: The ESTEBAN Survey.
blood pressure
hypertension
obesity
weight change
Journal
American journal of hypertension
ISSN: 1941-7225
Titre abrégé: Am J Hypertens
Pays: United States
ID NLM: 8803676
Informations de publication
Date de publication:
24 09 2019
24 09 2019
Historique:
received:
14
04
2019
revised:
20
05
2019
accepted:
07
06
2019
pubmed:
21
6
2019
medline:
1
9
2020
entrez:
21
6
2019
Statut:
ppublish
Résumé
Obesity is one of the main determinants of blood pressure. The aim of this study was to evaluate and quantify the relations between the different anthropometric indices and blood pressure (BP) stratified by gender. Cross-sectional analyses were performed using data from 2,105 adults from the ESTEBAN survey, a representative sample of the French population. Partial Pearson correlation analysis was used to assess the correlation between BP and anthropometric indices. Regressions were adjusted on age, antihypertensive therapies, socioeconomic levels, dietary intakes, and cardiovascular risk factors. A weight variation index, as adjusted weight variation/year, was calculated as (weight maximum - weight minimum) / (age of weight max - age of weight min). This index was adjusted on the BMI reported during the inclusion and time elapsed since weight variation from the moment of inclusion. In the Esteban population stratified by gender, this weight index had the highest r-value of correlation with all BP parameters compared with all anthropometric indices (WC, WHR, WHtR) in both genders. In men, weight variation more than +1 kg/year is associated with 5.5 mm Hg increase in systolic BP and with 1.8 mm Hg increase in diastolic BP. In women, more than +1 kg/year is associated with 3.3 mm Hg increase in systolic BP and with 1.0 mm Hg increase in diastolic BP. A dynamic view of body weight change appears more predictive in BP change than a static view expressed by BMI. Public health initiatives to maintain a youthful body weight during life course are majors to prevent hypertension. The study was registered in the French National Agency for Medicines and Health Products Safety (no. 2012-A00456-34) and was approved by the Advisory Committee for Protection of Persons in Biomedical Research.
Sections du résumé
BACKGROUND
Obesity is one of the main determinants of blood pressure. The aim of this study was to evaluate and quantify the relations between the different anthropometric indices and blood pressure (BP) stratified by gender.
METHODS
Cross-sectional analyses were performed using data from 2,105 adults from the ESTEBAN survey, a representative sample of the French population. Partial Pearson correlation analysis was used to assess the correlation between BP and anthropometric indices. Regressions were adjusted on age, antihypertensive therapies, socioeconomic levels, dietary intakes, and cardiovascular risk factors. A weight variation index, as adjusted weight variation/year, was calculated as (weight maximum - weight minimum) / (age of weight max - age of weight min). This index was adjusted on the BMI reported during the inclusion and time elapsed since weight variation from the moment of inclusion.
RESULTS
In the Esteban population stratified by gender, this weight index had the highest r-value of correlation with all BP parameters compared with all anthropometric indices (WC, WHR, WHtR) in both genders. In men, weight variation more than +1 kg/year is associated with 5.5 mm Hg increase in systolic BP and with 1.8 mm Hg increase in diastolic BP. In women, more than +1 kg/year is associated with 3.3 mm Hg increase in systolic BP and with 1.0 mm Hg increase in diastolic BP.
CONCLUSION
A dynamic view of body weight change appears more predictive in BP change than a static view expressed by BMI. Public health initiatives to maintain a youthful body weight during life course are majors to prevent hypertension.
REGISTRATION
The study was registered in the French National Agency for Medicines and Health Products Safety (no. 2012-A00456-34) and was approved by the Advisory Committee for Protection of Persons in Biomedical Research.
Identifiants
pubmed: 31219160
pii: 5520988
doi: 10.1093/ajh/hpz096
doi:
Types de publication
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1003-1012Informations de copyright
© American Journal of Hypertension, Ltd 2019. All rights reserved. For Permissions, please email: journals.permissions@oup.com.