Cargando…

Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study

The aim of this study was to determine the predictors of new-onset hypertension when the definition of hypertension is changed from the traditional definition (140/90 mmHg) to a new definition (130/80 mmHg). Using data from the Taiwan Biobank, a total of 17,072 and 21,293 participants in the new and...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Yi-Hsueh, Chen, Szu-Chia, Lee, Wen-Hsien, Chen, Ying-Chih, Hsu, Po-Chao, Tsai, Wei-Chung, Lee, Chee-Siong, Lin, Tsung-Hsien, Hung, Chih-Hsing, Kuo, Chao-Hung, Su, Ho-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779332/
https://www.ncbi.nlm.nih.gov/pubmed/36554404
http://dx.doi.org/10.3390/ijerph192416525
_version_ 1784856583466909696
author Liu, Yi-Hsueh
Chen, Szu-Chia
Lee, Wen-Hsien
Chen, Ying-Chih
Hsu, Po-Chao
Tsai, Wei-Chung
Lee, Chee-Siong
Lin, Tsung-Hsien
Hung, Chih-Hsing
Kuo, Chao-Hung
Su, Ho-Ming
author_facet Liu, Yi-Hsueh
Chen, Szu-Chia
Lee, Wen-Hsien
Chen, Ying-Chih
Hsu, Po-Chao
Tsai, Wei-Chung
Lee, Chee-Siong
Lin, Tsung-Hsien
Hung, Chih-Hsing
Kuo, Chao-Hung
Su, Ho-Ming
author_sort Liu, Yi-Hsueh
collection PubMed
description The aim of this study was to determine the predictors of new-onset hypertension when the definition of hypertension is changed from the traditional definition (140/90 mmHg) to a new definition (130/80 mmHg). Using data from the Taiwan Biobank, a total of 17,072 and 21,293 participants in the new and traditional definition groups were analyzed, respectively. During a mean follow-up period of 3.9 years, 3641 and 3002 participants developed hypertension in the new and traditional definition groups, respectively. After multivariable analysis, older age (OR, 1.035; 95% CI, 1.030 to 1.039; p < 0.001), male sex (OR, 1.332; 95% CI, 1.194 to 1.486; p < 0.001), high systolic blood pressure (SBP) (OR, 1.067; 95% CI, 1.062 to 1.073; p < 0.001), high diastolic blood pressure (DBP) (OR, 1.048; 95% CI, 1.040 to 1.056; p < 0.001), high heart rate (OR, 1.007; 95% CI, 1.002 to 1.012; p = 0.004), high body mass index (BMI) (OR, 1.091; 95% CI, 1.077 to 1.106; p < 0.001), high fasting glucose (OR, 1.004; 95% CI, 1.001 to 1.006; p = 0.002), and high triglycerides (OR, 1.001; 95% CI, 1.000 to 1.001; p = 0.004) were significantly associated with new-onset hypertension in the new definition group. In the traditional definition group, the predictors of new-onset hypertension were older age (OR, 1.038; 95% CI, 1.032 to 1.043; p < 0.001), high SBP (OR, 1.078; 95% CI, 1.072 to 1.084; p < 0.001), high DBP (OR, 1.039; 95% CI, 1.031 to 1.046; p < 0.001), high heart rate (OR, 1.005; 95% CI, 1.000 to 1.010; p = 0.032), high BMI (OR, 1.072; 95% CI, 1.058 to 1.087; p < 0.001), high fasting glucose (OR, 1.003; 95% CI, 1.000 to 1.005; p = 0.020), low cholesterol (OR, 0.998; 95% CI, 0.997 to 0.999; p = 0.004), high triglycerides (OR, 1.001; 95% CI, 1.000 to 1.001; p = 0.001), and low estimated glomerular filtration rate (eGFR) (OR, 0.995; 95% CI, 0.993 to 0.997; p < 0.001). In conclusion, older age, high SBP and DBP, high heart rate, high BMI, high fasting glucose, and high triglycerides were useful predictors of new-onset hypertension in both the new and traditional definition groups. However, male sex was a significant predictor of new-onset hypertension only in the new definition group, and low cholesterol and low eGFR were significant predictors of new-onset hypertension only in the traditional definition group. Hence, changing the diagnostic cut-off value for hypertension may have a significant impact on the association of some clinical and laboratory parameters with new-onset hypertension.
format Online
Article
Text
id pubmed-9779332
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-97793322022-12-23 Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study Liu, Yi-Hsueh Chen, Szu-Chia Lee, Wen-Hsien Chen, Ying-Chih Hsu, Po-Chao Tsai, Wei-Chung Lee, Chee-Siong Lin, Tsung-Hsien Hung, Chih-Hsing Kuo, Chao-Hung Su, Ho-Ming Int J Environ Res Public Health Article The aim of this study was to determine the predictors of new-onset hypertension when the definition of hypertension is changed from the traditional definition (140/90 mmHg) to a new definition (130/80 mmHg). Using data from the Taiwan Biobank, a total of 17,072 and 21,293 participants in the new and traditional definition groups were analyzed, respectively. During a mean follow-up period of 3.9 years, 3641 and 3002 participants developed hypertension in the new and traditional definition groups, respectively. After multivariable analysis, older age (OR, 1.035; 95% CI, 1.030 to 1.039; p < 0.001), male sex (OR, 1.332; 95% CI, 1.194 to 1.486; p < 0.001), high systolic blood pressure (SBP) (OR, 1.067; 95% CI, 1.062 to 1.073; p < 0.001), high diastolic blood pressure (DBP) (OR, 1.048; 95% CI, 1.040 to 1.056; p < 0.001), high heart rate (OR, 1.007; 95% CI, 1.002 to 1.012; p = 0.004), high body mass index (BMI) (OR, 1.091; 95% CI, 1.077 to 1.106; p < 0.001), high fasting glucose (OR, 1.004; 95% CI, 1.001 to 1.006; p = 0.002), and high triglycerides (OR, 1.001; 95% CI, 1.000 to 1.001; p = 0.004) were significantly associated with new-onset hypertension in the new definition group. In the traditional definition group, the predictors of new-onset hypertension were older age (OR, 1.038; 95% CI, 1.032 to 1.043; p < 0.001), high SBP (OR, 1.078; 95% CI, 1.072 to 1.084; p < 0.001), high DBP (OR, 1.039; 95% CI, 1.031 to 1.046; p < 0.001), high heart rate (OR, 1.005; 95% CI, 1.000 to 1.010; p = 0.032), high BMI (OR, 1.072; 95% CI, 1.058 to 1.087; p < 0.001), high fasting glucose (OR, 1.003; 95% CI, 1.000 to 1.005; p = 0.020), low cholesterol (OR, 0.998; 95% CI, 0.997 to 0.999; p = 0.004), high triglycerides (OR, 1.001; 95% CI, 1.000 to 1.001; p = 0.001), and low estimated glomerular filtration rate (eGFR) (OR, 0.995; 95% CI, 0.993 to 0.997; p < 0.001). In conclusion, older age, high SBP and DBP, high heart rate, high BMI, high fasting glucose, and high triglycerides were useful predictors of new-onset hypertension in both the new and traditional definition groups. However, male sex was a significant predictor of new-onset hypertension only in the new definition group, and low cholesterol and low eGFR were significant predictors of new-onset hypertension only in the traditional definition group. Hence, changing the diagnostic cut-off value for hypertension may have a significant impact on the association of some clinical and laboratory parameters with new-onset hypertension. MDPI 2022-12-09 /pmc/articles/PMC9779332/ /pubmed/36554404 http://dx.doi.org/10.3390/ijerph192416525 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Yi-Hsueh
Chen, Szu-Chia
Lee, Wen-Hsien
Chen, Ying-Chih
Hsu, Po-Chao
Tsai, Wei-Chung
Lee, Chee-Siong
Lin, Tsung-Hsien
Hung, Chih-Hsing
Kuo, Chao-Hung
Su, Ho-Ming
Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title_full Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title_fullStr Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title_full_unstemmed Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title_short Prognostic Factors of New-Onset Hypertension in New and Traditional Hypertension Definition in a Large Taiwanese Population Follow-up Study
title_sort prognostic factors of new-onset hypertension in new and traditional hypertension definition in a large taiwanese population follow-up study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779332/
https://www.ncbi.nlm.nih.gov/pubmed/36554404
http://dx.doi.org/10.3390/ijerph192416525
work_keys_str_mv AT liuyihsueh prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT chenszuchia prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT leewenhsien prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT chenyingchih prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT hsupochao prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT tsaiweichung prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT leecheesiong prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT lintsunghsien prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT hungchihhsing prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT kuochaohung prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy
AT suhoming prognosticfactorsofnewonsethypertensioninnewandtraditionalhypertensiondefinitioninalargetaiwanesepopulationfollowupstudy