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Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults

Central obesity is associated with a higher risk of hypertension. This study aimed to analyze waist circumference (WC) trajectories and discover their association with blood pressure and the risk of hypertension. The data were obtained from the China Health and Nutrition Survey (CHNS), with a sample...

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Autores principales: Wang, Qi, Song, Xiaoyun, Du, Shufa, Du, Wenwen, Su, Chang, Zhang, Jiguo, Zhang, Xiaofan, Zhang, Bing, Wang, Huijun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9782435/
https://www.ncbi.nlm.nih.gov/pubmed/36558419
http://dx.doi.org/10.3390/nu14245260
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author Wang, Qi
Song, Xiaoyun
Du, Shufa
Du, Wenwen
Su, Chang
Zhang, Jiguo
Zhang, Xiaofan
Zhang, Bing
Wang, Huijun
author_facet Wang, Qi
Song, Xiaoyun
Du, Shufa
Du, Wenwen
Su, Chang
Zhang, Jiguo
Zhang, Xiaofan
Zhang, Bing
Wang, Huijun
author_sort Wang, Qi
collection PubMed
description Central obesity is associated with a higher risk of hypertension. This study aimed to analyze waist circumference (WC) trajectories and discover their association with blood pressure and the risk of hypertension. The data were obtained from the China Health and Nutrition Survey (CHNS), with a sample of 11,885 adults aged 18 or older. Trajectory groups of WC were identified by group-based trajectory modeling. Three trajectory groups were identified in males: “normal-stable group” (group 1), “normal-increase to central obesity group” (group 2), and “central obesity-slight decrease group” (group 3). There were also three identified in females: “normal-increase to central obesity group” (group 1), “normal-stable group” (group 2), and “central obesity-increase group” (group 3). For males, compared with group 1, systolic blood pressure (SBP) and diastolic blood pressure (DBP) increased by 2.47 mmHg and 2.13 mmHg, respectively, in group 2, and by 3.07 mmHg and 2.54 mmHg, respectively, in group 3. The adjusted hazard ratios (HR) and 95% confidence interval (95% CI) of hypertension in groups 2 and 3 were 1.16 (1.06–1.28) and 1.29 (1.10–1.50), respectively. For females, compared with group 2, SBP and DBP increased by 1.69 mmHg and 1.68 mmHg, respectively, in group 1, and by 4.96 mmHg and 2.77 mmHg, respectively, in group 3. The HR and 95% CI of hypertension in groups 2 and 3 were 1.21 (1.07–1.36) and 1.52(1.17–1.99), respectively. We found that the WC trajectory was a risk factor for hypertension and elevated blood pressure independent of basal WC. Increased risk of hypertension was nonlinearly associated with annual WC increase.
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spelling pubmed-97824352022-12-24 Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults Wang, Qi Song, Xiaoyun Du, Shufa Du, Wenwen Su, Chang Zhang, Jiguo Zhang, Xiaofan Zhang, Bing Wang, Huijun Nutrients Article Central obesity is associated with a higher risk of hypertension. This study aimed to analyze waist circumference (WC) trajectories and discover their association with blood pressure and the risk of hypertension. The data were obtained from the China Health and Nutrition Survey (CHNS), with a sample of 11,885 adults aged 18 or older. Trajectory groups of WC were identified by group-based trajectory modeling. Three trajectory groups were identified in males: “normal-stable group” (group 1), “normal-increase to central obesity group” (group 2), and “central obesity-slight decrease group” (group 3). There were also three identified in females: “normal-increase to central obesity group” (group 1), “normal-stable group” (group 2), and “central obesity-increase group” (group 3). For males, compared with group 1, systolic blood pressure (SBP) and diastolic blood pressure (DBP) increased by 2.47 mmHg and 2.13 mmHg, respectively, in group 2, and by 3.07 mmHg and 2.54 mmHg, respectively, in group 3. The adjusted hazard ratios (HR) and 95% confidence interval (95% CI) of hypertension in groups 2 and 3 were 1.16 (1.06–1.28) and 1.29 (1.10–1.50), respectively. For females, compared with group 2, SBP and DBP increased by 1.69 mmHg and 1.68 mmHg, respectively, in group 1, and by 4.96 mmHg and 2.77 mmHg, respectively, in group 3. The HR and 95% CI of hypertension in groups 2 and 3 were 1.21 (1.07–1.36) and 1.52(1.17–1.99), respectively. We found that the WC trajectory was a risk factor for hypertension and elevated blood pressure independent of basal WC. Increased risk of hypertension was nonlinearly associated with annual WC increase. MDPI 2022-12-09 /pmc/articles/PMC9782435/ /pubmed/36558419 http://dx.doi.org/10.3390/nu14245260 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
Wang, Qi
Song, Xiaoyun
Du, Shufa
Du, Wenwen
Su, Chang
Zhang, Jiguo
Zhang, Xiaofan
Zhang, Bing
Wang, Huijun
Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title_full Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title_fullStr Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title_full_unstemmed Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title_short Waist Circumference Trajectories in Relation to Blood Pressure and the Risk of Hypertension in Chinese Adults
title_sort waist circumference trajectories in relation to blood pressure and the risk of hypertension in chinese adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9782435/
https://www.ncbi.nlm.nih.gov/pubmed/36558419
http://dx.doi.org/10.3390/nu14245260
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