Increased Body Mass Index and Hypertension: An Unbreakable Bond

Overview

Journal Int J Prev Med

Date 2020 Nov 19

PMID 33209225

Authors

Ioannis Vrettos

Panagiota Voukelatou

Evelina Pappa

Chrysoula Beletsioti

Angelos Papadopoulos

Dimitris Niakas

Affiliations

Soon will be listed here.

Abstract

Background: Adherence with lifestyle recommendations is low among hypertensive patients. The main objective of this study was to assess the prevalence of diagnosed hypertension among the Greek urban population and to examine how lifestyle and sociodemographic characteristics differ between already known hypertensive and the rest of the population.

Methods: In this cross-sectional survey, data were collected from 1,060 participants (mean age 47.1 ± 16.9 (mean ± 1andard deviation), 52.7% females). Sociodemographic characteristics, health risk factors, and medical history were involved. Body mass index (BMI) (kg/m) was calculated, according to reported height and weight. Parametric tests and multiple logistic regression analysis were applied to identify whether socio-demographic characteristics and health risk factors differed between known hypertensive and the rest of the population.

Results: Already known hypertensives were 179 (101 females-78 males). The prevalence of known hypertension was 16.9% (18.1% in females and 15.6% in males). In multivariate analysis, known hypertensives were more likely to have advanced age ( < 0,001, OR = 1.101, 95%CI 1.081-1.121) and increased BMI ( < 0,001, OR = 1.138, 95%CI 1.085-1.194). Moreover, they had a higher probability of suffering from other cardiovascular diseases or sharing other risk factors for cardiovascular diseases.

Conclusions: Among Greek urban population, almost one to six adults knows to suffer from hypertension. In spite the recommendations, patients who were aware of their illness have increased BMI compared with the rest of the population.

References

Rahmouni K, Correia M, Haynes W, Mark A . Obesity-associated hypertension: new insights into mechanisms. Hypertension. 2004; 45(1):9-14. DOI: 10.1161/01.HYP.0000151325.83008.b4. View

Strauss R . Comparison of measured and self-reported weight and height in a cross-sectional sample of young adolescents. Int J Obes Relat Metab Disord. 1999; 23(8):904-8. DOI: 10.1038/sj.ijo.0800971. View

Stevens V, Obarzanek E, Cook N, Lee I, Appel L, West D . Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. 2001; 134(1):1-11. DOI: 10.7326/0003-4819-134-1-200101020-00007. View

Chockalingam A, Campbell N, Fodor J . Worldwide epidemic of hypertension. Can J Cardiol. 2006; 22(7):553-5. PMC: 2560860. DOI: 10.1016/s0828-282x(06)70275-6. View

Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M . 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013; 31(7):1281-357. DOI: 10.1097/01.hjh.0000431740.32696.cc. View

Larsson U, Karlsson J, Sullivan M . Impact of overweight and obesity on health-related quality of life--a Swedish population study. Int J Obes Relat Metab Disord. 2002; 26(3):417-24. DOI: 10.1038/sj.ijo.0801919. View

Chen Y, Copeland W, Vedanthan R, Grant E, Lee J, Gu D . Association between body mass index and cardiovascular disease mortality in east Asians and south Asians: pooled analysis of prospective data from the Asia Cohort Consortium. BMJ. 2014; 347:f5446. PMC: 3788174. DOI: 10.1136/bmj.f5446. View

Scheltens T, Beulens J, Verschuren W, Boer J, Hoes A, Grobbee D . Awareness of hypertension: will it bring about a healthy lifestyle?. J Hum Hypertens. 2010; 24(9):561-7. DOI: 10.1038/jhh.2010.26. View

Kim Y, Kong K . Do Hypertensive Individuals Who Are Aware of Their Disease Follow Lifestyle Recommendations Better than Those Who Are Not Aware?. PLoS One. 2015; 10(8):e0136858. PMC: 4552668. DOI: 10.1371/journal.pone.0136858. View

10.

Leiter L, Abbott D, Campbell N, Mendelson R, OGILVIE R, Chockalingam A . Lifestyle modifications to prevent and control hypertension. 2. Recommendations on obesity and weight loss. Canadian Hypertension Society, Canadian Coalition for High Blood Pressure Prevention and Control, Laboratory Centre for Disease Control at.... CMAJ. 1999; 160(9 Suppl):S7-12. PMC: 1230334. View

11.

Ho A, Bartels C, Thorpe C, Pandhi N, Smith M, Johnson H . Achieving Weight Loss and Hypertension Control Among Obese Adults: A US Multidisciplinary Group Practice Observational Study. Am J Hypertens. 2016; 29(8):984-91. PMC: 4941595. DOI: 10.1093/ajh/hpw020. View

12.

Harsha D, Bray G . Weight loss and blood pressure control (Pro). Hypertension. 2008; 51(6):1420-5. DOI: 10.1161/HYPERTENSIONAHA.107.094011. View

13.

Frisoli T, Schmieder R, Grodzicki T, Messerli F . Beyond salt: lifestyle modifications and blood pressure. Eur Heart J. 2011; 32(24):3081-7. DOI: 10.1093/eurheartj/ehr379. View

14.

Hu H, Li G, Arao T . Prevalence rates of self-care behaviors and related factors in a rural hypertension population: a questionnaire survey. Int J Hypertens. 2013; 2013:526949. PMC: 3683479. DOI: 10.1155/2013/526949. View

15.

Jones D, Miller M, Wofford M, Anderson Jr D, Cameron M, Willoughby D . The effect of weight loss intervention on antihypertensive medication requirements in the hypertension Optimal Treatment (HOT) study. Am J Hypertens. 2000; 12(12 Pt 1-2):1175-80. DOI: 10.1016/s0895-7061(99)00123-5. View

16.

Zhao G, Ford E, Li C, Mokdad A . Weight control behaviors in overweight/obese U.S. adults with diagnosed hypertension and diabetes. Cardiovasc Diabetol. 2009; 8:13. PMC: 2657116. DOI: 10.1186/1475-2840-8-13. View

17.

Banegas J, Graciani A, de la Cruz-Troca J, Leon-Munoz L, Guallar-Castillon P, Coca A . Achievement of cardiometabolic goals in aware hypertensive patients in Spain: a nationwide population-based study. Hypertension. 2012; 60(4):898-905. DOI: 10.1161/HYPERTENSIONAHA.112.193078. View

18.

Akbarpour S, Khalili D, Zeraati H, Mansournia M, Ramezankhani A, Fotouhi A . Healthy lifestyle behaviors and control of hypertension among adult hypertensive patients. Sci Rep. 2018; 8(1):8508. PMC: 5981436. DOI: 10.1038/s41598-018-26823-5. View

19.

Gee M, Bienek A, Campbell N, Bancej C, Robitaille C, Kaczorowski J . Prevalence of, and barriers to, preventive lifestyle behaviors in hypertension (from a national survey of Canadians with hypertension). Am J Cardiol. 2011; 109(4):570-5. DOI: 10.1016/j.amjcard.2011.09.051. View

20.

Chobanian A, Bakris G, Black H, Cushman W, Green L, Izzo Jr J . Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42(6):1206-52. DOI: 10.1161/01.HYP.0000107251.49515.c2. View