Association of lifestyle with blood pressure and hypertension risk in middle-aged and older adults

ZHANG Hai-qing; HE Mei-an; ZHANG Xiao-min

doi:10.16462/j.cnki.zhjbkz.2021.11.007

Volume 25 Issue 11

Nov. 2021

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ZHANG Hai-qing, HE Mei-an, ZHANG Xiao-min. Association of lifestyle with blood pressure and hypertension risk in middle-aged and older adults[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(11): 1276-1281. doi: 10.16462/j.cnki.zhjbkz.2021.11.007

Citation:

ZHANG Hai-qing, HE Mei-an, ZHANG Xiao-min. Association of lifestyle with blood pressure and hypertension risk in middle-aged and older adults[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(11): 1276-1281. doi: 10.16462/j.cnki.zhjbkz.2021.11.007

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Association of lifestyle with blood pressure and hypertension risk in middle-aged and older adults

doi: 10.16462/j.cnki.zhjbkz.2021.11.007

Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Funds:

National Natural Scientific Foundation of China 81973128

National Key Research and Development Program of China 2016YFC0900800

More Information

Corresponding author: ZHANG Xiao-min, E-mail: mingxz117@163.com
Received Date: 2021-02-26
Rev Recd Date: 2021-04-27

Available Online: 2021-12-04

Publish Date: 2021-11-10

Abstract

Abstract

Objective To explore the association between lifestyle and its changes with blood pressure levels and hypertension risk in middle-aged and older people. Methods A total of 7 671 participants were included the analyses in Dongfeng-Tongji Cohort from 2008 to 2010. Linear and Logistic regression models were used to estimate the relationship between lifestyle and blood pressure as well as hypertension, respectively. Results After adjusting for confounders, the result showed the dose-response associations between increased lifestyle scores and blood pressure as well as hypertension; compared with lifestyle scored 0-1 at baseline, the systolic blood pressure, diastolic blood pressure, and mean arterial pressure decreased 4.03, 2.25, and 2.84 mm Hg in > 4 scores groups, respectively; the OR of incident hypertension risk was 0.68 (95% CI: 0.52-0.88). Each increment in lifestyle score was associated with a 9% decreased risk of incident hypertension (OR=0.91, 95% CI: 0.87-0.95). During the 5-year period from baseline to follow-up in 2013, the maintenance of > 3 scores group was associated with hypertension (OR=0.61, 95% CI: 0.47-0.80), but increment from 0-2 scores at baseline to > 3 scores at follow-up did not reduce incident hypertension risk (OR=0.87, 95% CI: 0.54-1.40). Conclusion In the middle-aged and older population, early and long-term adherence to a healthy lifestyle has the greatest benefit for the prevention and control of hypertension.
- Healthy lifestyle,
- Blood pressure,
- Hypertension,
- Dongfeng-Tongji cohort,
- Middle-aged and older adults

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References(22)

References

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