Body flexibility and incident hypertension: The Niigata wellness study.


Journal

Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 08 01 2020
revised: 17 10 2020
accepted: 22 10 2020
pubmed: 4 11 2020
medline: 16 6 2021
entrez: 3 11 2020
Statut: ppublish

Résumé

A high level of physical fitness, especially cardiorespiratory fitness, is associated with lower incidence of hypertension. However, the relationship between flexibility, which is a component of physical fitness, and the incidence of hypertension is unknown. The purpose of this study was to investigate the relationship between flexibility and the incidence of hypertension in a cohort study. A total of 22,972 (14,805 men and 8167 women; median age 49 years) normotensive participants were included in this study. Between April 2001 and March 2002, flexibility (standing forward bending) was measured using a standing trunk flexion meter. The participants were divided into quartiles of flexibility by sex and age group. Hypertension was defined as systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, or a self-reported history of previously diagnosed hypertension or current medication for hypertension at a health examination between April 2002 and March 2008. Hazard ratios and 95% confidence intervals (95% CI) for the incidence of hypertension were estimated using Cox proportional hazards models after adjusting for age, sex, body mass index, exercise habits, smoking status, and drinking status. During 102,948 person years of follow-up (median 5.6 years), 4235 participants developed hypertension. Compared with the lowest flexibility (quartile 1), hazard ratios and 95% CI were 0.96 (0.88 - 1.04) for quartile 2, 0.94 (0.86 - 1.03) for quartile 3, and 0.83 (0.76 - 0.91) for quartile 4. A high level of flexibility was associated with lower incidence of hypertension, independent of other confounding factors.

Identifiants

pubmed: 33141990
doi: 10.1111/sms.13867
doi:

Substances chimiques

Blood Glucose 0
Triglycerides 0
Cholesterol 97C5T2UQ7J

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

702-709

Subventions

Organisme : Japan Society for the Promotion of Science

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

World Health Organization. Global status report on noncommunicable diseases 2014. 2014; http://www.who.int/nmh/publications/ncd-status-report-2014/en/. Accessed August 6, 2020
World Health Organization. A global brief on hypertension: silent killer, global public health crisis. 2013; http://apps.who.int/iris/bitstream/10665/79059/1/WHO_DCO_WHD_2013.2_eng.pdf. Accessed August 5, 2020
American College of Sports Medicine, Riebe D, Ehrman JK, Liguori G, Magal M. ACSM's Guidelines for Exercise Testing and Prescription (10th edn). Philadelphia, PA: Wolters Kluwer; 2018.
Blair SN, Goodyear NN, Gibbons LW, Cooper KH. Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA. 1984;252(4):487-490.
Sawada S, Tanaka H, Funakoshi M, Shindo M, Kono S, Ishiko T. Five year prospective study on blood pressure and maximal oxygen uptake. Clin Exp Pharmacol Physiol. 1993;20(7-8):483-487.
Liu J, Sui X, Lavie CJ, et al. Effects of cardiorespiratory fitness on blood pressure trajectory with aging in a cohort of healthy men. J Am Coll Cardiol. 2014;64(12):1245-1253.
Lakatta EG. Arterial and Cardiac Aging: Major Shareholders in Cardiovascular Disease Enterprises: Part I: Aging Arteries: A "Set Up" for Vascular Disease. Circulation. 2003;107(1):139-146.
Yambe M, Tomiyama H, Yamada J, et al. Arterial stiffness and progression to hypertension in Japanese male subjects with high normal blood pressure. J Hypertens. 2007;25(1):87-93.
Yamamoto K, Kawano H, Gando Y, et al. Poor trunk flexibility is associated with arterial stiffening. Am J Physiol Heart Circ Physiol. 2009;297(4):H1314-1318.
Francois B, De Paepe A, Matton MT, Clement D. Pulse wave velocity recordings in a family with ecchymotic Ehlers-Danlos syndrome. Int Angiol. 1986;5(1):1-5.
Boutouyrie P, Germain DP, Fiessinger JN, Laloux B, Perdu J, Laurent S. Increased carotid wall stress in vascular Ehlers-Danlos syndrome. Circulation. 2004;109(12):1530-1535.
Handler CE, Child A, Light ND, Dorrance DE. Mitral valve prolapse, aortic compliance, and skin collagen in joint hypermobility syndrome. Br Heart J. 1985;54(5):501-508.
Uiterwaal CS, Grobbee DE, Sakkers RJ, Helders PJ, Bank RA, Engelbert RH. A relation between blood pressure and stiffness of joints and skin. Epidemiology. 2003;14(2):223-227.
Kikuchi N, Zempo H, Fuku N, et al. Association between ACTN3 R577X Polymorphism and Trunk Flexibility in 2 Different Cohorts. Int J Sports Med. 2017;38(5):402-406.
Deschamps CL, Connors KE, Klein MS, et al. The ACTN3 R577X Polymorphism Is Associated with Cardiometabolic Fitness in Healthy Young Adults. PLoS One. 2015;10(6):e0130644.
Heianza Y, Kato K, Kodama S, et al. Stability and changes in metabolically healthy overweight or obesity and risk of future diabetes: Niigata wellness study. Obesity (Silver Spring). 2014;22(11):2420-2425.
Umemura S, Arima H, Arima S, et al. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019). Hypertens Res. 2019;42(9):1235-1481.
James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-520.
Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39(33):3021-3104.
Cox DR. Regression Models and Life-Tables. J R Stat Soc Series B Stat Methodol. 1972;34(2):187-220.
Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71(19):e127-e248.
World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). 2000; https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/. Accessed August 5, 2020
MacArthur DG, North KN. A gene for speed? The evolution and function of alpha-actinin-3. BioEssays. 2004;26(7):786-795.
Franklin SS, Wt G, Wong ND, et al. Hemodynamic patterns of age-related changes in blood pressure. The Framingham Heart Study. Circulation. 1997;96(1):308-315.
Medeiros HB, de Araujo DS, de Araujo CG. Age-related mobility loss is joint-specific: an analysis from 6,000 Flexitest results. Age (Dordr). 2013;35(6):2399-2407.
Johns RJ, Wright V. Relative importance of various tissues in joint stiffness. J Appl Physiol. 1962;17(5):824-828.
Alter MJ. Science of Flexibility (3rd edn). Champaign, IL: Human Kinetics; 2004.
Nichols WW, O'Rourke MF, Vlachopoulos C. McDonald's Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles, (6th edn). London: Hodder Arnold; 2011.
Allander E, Bjornsson OJ, Olafsson O, Sigfusson N, Thorsteinsson J. Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side: a comparison between two populations. Int J Epidemiol. 1974;3(3):253-261.
Astrand H, Stalhand J, Karlsson J, Karlsson M, Sonesson B, Lanne T. In vivo estimation of the contribution of elastin and collagen to the mechanical properties in the human abdominal aorta: effect of age and sex. J Appl Physiol (1985). 2011;110(1):176-187.
Kruse NT, Silette CR, Scheuermann BW. Influence of passive stretch on muscle blood flow, oxygenation and central cardiovascular responses in healthy young males. Am J Physiol Heart Circ Physiol. 2016;310(9):H1210-1221.
Yamato Y, Hasegawa N, Sato K, Hamaoka T, Ogoh S, Iemitsu M. Acute Effect of Static Stretching Exercise on Arterial Stiffness in Healthy Young Adults. Am J Phys Med Rehabil. 2016;95(10):764-770.
Wong A, Figueroa A. Eight weeks of stretching training reduces aortic wave reflection magnitude and blood pressure in obese postmenopausal women. J Hum Hypertens. 2014;28(4):246-250.
Nishiwaki M, Yonemura H, Kurobe K, Matsumoto N. Four weeks of regular static stretching reduces arterial stiffness in middle-aged men. Springerplus. 2015;4:555.
Patel C, North WR. Randomised controlled trial of yoga and bio-feedback in management of hypertension. Lancet. 1975;2(7925):93-95.
Hunter SD, Dhindsa MS, Cunningham E, et al. Impact of Hot Yoga on Arterial Stiffness and Quality of Life in Normal and Overweight/Obese Adults. J Phys Act Health. 2016;13(12):1360-1363.
Patil SG, Aithala MR, Das KK. Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: A randomized controlled study. Complement Ther Med. 2015;23(4):562-569.
Hunter SD, Dhindsa MS, Cunningham E, et al. The effect of Bikram yoga on arterial stiffness in young and older adults. J Altern Complement Med. 2013;19(12):930-934.
Ministry of Health Labour and Welfare. The National Health and Nutrition Survey in Japan, 2014. 2014; http://www.mhlw.go.jp/bunya/kenkou/eiyou/h26-houkoku.html. Accessed July 23, 2020.
Sawada SS, Lee IM, Naito H, Tsukamoto K, Muto T, Blair SN. Muscular and performance fitness and the incidence of type 2 diabetes: prospective study of Japanese men. J Phys Act Health. 2010;7(5):627-632.
Karvinen S, Waller K, Silvennoinen M, et al. Physical activity in adulthood: genes and mortality. Sci Rep. 2015;5:18259.
Kujala UM. Is physical activity a cause of longevity? It is not as straightforward as some would believe. A critical analysis. Br J Sports Med. 2018;52(14):914-918.
Kujala UM. Physical activity, genes, and lifetime predisposition to chronic disease. Eur Rev Aging Phys Act. 2011;8(1):31-36.

Auteurs

Yuko Gando (Y)

Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan.

Susumu S Sawada (SS)

Faculty of Sport Sciences, Waseda University, Saitama, Japan.

Haruki Momma (H)

Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan.

Ryoko Kawakami (R)

Faculty of Sport Sciences, Waseda University, Saitama, Japan.

Motohiko Miyachi (M)

Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan.

I-Min Lee (IM)

Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Steven N Blair (SN)

Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.

Minoru Tashiro (M)

Niigata Association of Occupational Health, Niigata, Japan.

Chika Horikawa (C)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan.
Department of Health and Nutrition, University of Niigata Prefecture Faculty of Human Life Studies, Niigata, Japan.

Yasuhiro Matsubayashi (Y)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan.

Takaho Yamada (T)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan.

Kazuya Fujihara (K)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan.

Kiminori Kato (K)

Department of Prevention of Noncommunicable Diseases and Promotion of Health Checkup, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Hirohito Sone (H)

Department of Hematology, Endocrinology and Metabolism, Niigata University Faculty of Medicine, Niigata, Japan.

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