Non-interventional weight changes affect systolic blood pressure in normotensive individuals.
normotensive
systolic blood pressure
weight changes
Journal
Journal of clinical hypertension (Greenwich, Conn.)
ISSN: 1751-7176
Titre abrégé: J Clin Hypertens (Greenwich)
Pays: United States
ID NLM: 100888554
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
revised:
04
02
2021
received:
18
01
2021
accepted:
06
02
2021
pubmed:
7
3
2021
medline:
29
6
2021
entrez:
6
3
2021
Statut:
ppublish
Résumé
The association between obesity and hypertension is well established. Weight loss has been shown to reduce blood pressure (BP) among hypertensive patients. Nevertheless, the effect of weight changes on BP in normotensive individuals is less clear. The author explored the association between non-interventional weight alterations and BP changes in a large cohort of normotensive adults. This is a retrospective analysis of normotensive individuals, between 2010 and 2018. All weight changes were non-interventional. Body mass index (BMI) and BP were measured annually. Patients were divided according to the change in BMI between visits: reduction of more than 5% ("large reduction"), between 2.5% and 5% ("moderate reduction"), reduction of <2.5% or elevation of <2.5% ("unchanged"), elevation between 2.5% and 5% ("moderate increase"), and elevation of more than 5% ("large increase"). The primary outcome was the change in systolic BP (SBP) between the visits. The final analysis included 8723 individuals. 20% of the patients reduced their BMI by at least 2.5% and 24.5% increased their BMI by more than 2.5%. "High reduction" inferred an absolute decrease of 3.6 mmHg in SBP, while "large increase" resulted in an absolute increase of 1.9 mmHg in SBP. The proportion of individuals with at least 10 mmHg decrease in SBP progressively declined according to the relative decrease in BMI, and the proportion of patients with at least 10 mmHg increase in SBP progressively increased. This effect was more pronounced in individuals with higher baseline SBP. Among normotensive adults, modest non-interventional weight changes may have significant effects on SBP.
Identifiants
pubmed: 33675167
doi: 10.1111/jch.14228
pmc: PMC8678651
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
990-998Informations de copyright
© 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.
Références
Ann Intern Med. 2006 Jan 3;144(1):21-8
pubmed: 16389251
Lancet Diabetes Endocrinol. 2015 Mar;3(3):207-15
pubmed: 25066177
Hypertension. 2003 Nov;42(5):878-84
pubmed: 12975389
Lancet. 2015 Sep 5;386(9997):964-73
pubmed: 26369473
Diabetes Care. 2011 Jul;34(7):1481-6
pubmed: 21593294
N Engl J Med. 1995 Sep 14;333(11):677-85
pubmed: 7637744
Surg Obes Relat Dis. 2013 Jul-Aug;9(4):559-68
pubmed: 22608055
Lancet. 2011 Mar 26;377(9771):1085-95
pubmed: 21397319
Obes Surg. 2018 Jul;28(7):1845-1851
pubmed: 29725978
J Hum Hypertens. 1988 Dec;2(4):207-17
pubmed: 3070038
Curr Obes Rep. 2017 Jun;6(2):187-194
pubmed: 28455679
Am J Public Health. 2004 Jan;94(1):19-22
pubmed: 14713688
Hypertension. 2014 Sep;64(3):501-7
pubmed: 24958503
Hypertension. 2008 Jun;51(6):1420-5; discussion 1425
pubmed: 18474829
Circulation. 2015 Dec 1;132(22):2134-45
pubmed: 26362633
Cancer Epidemiol. 2016 Apr;41:8-15
pubmed: 26775081
Atherosclerosis. 2015 Apr;239(2):629-33
pubmed: 25683387
Natl Vital Stat Rep. 2007 Nov 20;56(5):1-95
pubmed: 18092547
Ann Epidemiol. 1991 May;1(4):363-70
pubmed: 1669517
JAMA. 1978 Oct 6;240(15):1607-10
pubmed: 691146
Int J Obes. 1985;9(2):107-14
pubmed: 3897080
Ann Intern Med. 2001 Jan 2;134(1):1-11
pubmed: 11187414
Obesity (Silver Spring). 2015 Dec;23(12):2319-20
pubmed: 26523739
BMC Public Health. 2009 Mar 25;9:88
pubmed: 19320986
J Clin Hypertens (Greenwich). 2021 May;23(5):990-998
pubmed: 33675167
Curr Hypertens Rep. 2013 Aug;15(4):409-16
pubmed: 23677623
Am J Hypertens. 2006 Nov;19(11):1103-9
pubmed: 17070419
Arch Intern Med. 1993 Aug 9;153(15):1773-82
pubmed: 8333814
N Engl J Med. 2017 Jul 6;377(1):13-27
pubmed: 28604169
Am J Hypertens. 2017 Dec 8;31(1):11-17
pubmed: 28985287
JAMA. 2006 Apr 5;295(13):1549-55
pubmed: 16595758
Circulation. 2014 Jun 24;129(25 Suppl 2):S102-38
pubmed: 24222017
Cochrane Database Syst Rev. 2011 Sep 07;(9):CD008274
pubmed: 21901719
Circulation. 2018 Mar 13;137(11):1132-1142
pubmed: 29133606
N Engl J Med. 1997 Apr 17;336(16):1117-24
pubmed: 9099655
J Hypertens. 2015 Jun;33(6):1215-25
pubmed: 25668345
Hypertension. 2004 Aug;44(2):127-33
pubmed: 15262911
J Hypertens. 2011 Mar;29(3):553-64
pubmed: 21119532
JAMA. 2003 May 21;289(19):2560-72
pubmed: 12748199
Hypertension. 2018 Jun;71(6):e13-e115
pubmed: 29133356
Lancet. 2014 Aug 30;384(9945):766-81
pubmed: 24880830
Med Sci Monit. 2005 Sep;11(9):CR403-9
pubmed: 16127357
Circulation. 2012 Dec 18;126(25):2983-9
pubmed: 23151344
Hypertension. 2005 Mar;45(3):356-62
pubmed: 15630041
Circulation. 1983 May;67(5):968-77
pubmed: 6219830
Lancet. 2002 Jul 20;360(9328):237-45
pubmed: 12133673
JAMA Surg. 2014 Mar;149(3):275-87
pubmed: 24352617
Circ Res. 2019 Mar 29;124(7):1009-1024
pubmed: 30920920
JAMA. 2007 Nov 21;298(19):2296-304
pubmed: 18029834
J Hypertens. 2014 Apr;32(4):840-8
pubmed: 24366034
J Hypertens. 1987 Aug;5(4):397-400
pubmed: 3668243