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Body mass index, neck circumference, and hypertension: a prospective cohort study

OBJECTIVE: This study aimed to investigate the association between BMI combined with neck circumference and the risk of hypertension. METHODS: We selected participants from the Kailuan study in 2014 who were normotensive as our research subjects. We compared the risk of hypertension among individual...

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Detalles Bibliográficos
Autores principales: Ren, Tao-jun, Zhang, Kun, Li, Wen-juan, Ren, Shu-tang, Huang, Yun-zhou, Yang, Ning, Wu, Shou-ling, Li, Yu-ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578437/
https://www.ncbi.nlm.nih.gov/pubmed/37849941
http://dx.doi.org/10.3389/fcvm.2023.1269328
Descripción
Sumario:OBJECTIVE: This study aimed to investigate the association between BMI combined with neck circumference and the risk of hypertension. METHODS: We selected participants from the Kailuan study in 2014 who were normotensive as our research subjects. We compared the risk of hypertension among individuals in group 1 (non-obese with low neck circumference), group 2 (non-obese with high neck circumference), group 3 (obese with low neck circumference), and group 4 (obese with high neck circumference). RESULTS: After a median observation period of 3.86 years, hypertension occurred in 13,383 participants. Subjects in Group 2, 3, and 4 had significantly higher risks of hypertension compared to Group 1, with hazard ratios (HRs) of 1.066 (95% CI: 1.025, 1.110), 1.322 (95% CI: 1.235, 1.415), and 1.422 (95% CI: 1.337, 1.512), respectively. Additionally, adding BMI to a conventional model had a greater incremental effect on predicting hypertension compared to adding neck circumference alone. However, considering both BMI and neck circumference together further improved the prediction of hypertension. CONCLUSION: Individuals with both high BMI and high neck circumference face a higher risk of hypertension. Moreover, BMI is a superior predictor of hypertension risk compared to neck circumference, but using both of these measures can further enhance the accuracy of hypertension risk prediction.