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  • Anthropometric measures change and incidence of high blood pressure levels among adults: a population-based prospective study in Southern Brazil

    Author(s)
    Braga Silva, Rebeca Cipriano
    da Silva, Diego Augusto
    Dornelles Bastos, Joao Luiz
    Peres, Karen Glazer
    Peres, Marco
    Gonzalez-Chica, David Alejandro
    Griffith University Author(s)
    Glazer De Anselmo Peres, Karen
    Peres, Marco A.
    Year published
    2017
    Metadata
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    Abstract
    Objective: The objective was to evaluate the effects of BMI and waist circumference change on the cumulative incidence of high blood pressure levels (HBP) among adults. Methods: Prospective longitudinal study in Southern Brazil, with a sample evaluated in 2009 (n = 1720) and 2012 (n = 1213). The incidence of HBP was estimated using measured values of systolic and diastolic arterial pressure (≤140/90 mmHg). Results: The prevalence of overweight (BMI ≤ 25 kg/m2) was 47.3% in 2009 and 55.0% in 2012. The incidence of HBP was 32.0%. Being overweight or having an elevated waist circumference (top quartile) in the two waves increased ...
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    Objective: The objective was to evaluate the effects of BMI and waist circumference change on the cumulative incidence of high blood pressure levels (HBP) among adults. Methods: Prospective longitudinal study in Southern Brazil, with a sample evaluated in 2009 (n = 1720) and 2012 (n = 1213). The incidence of HBP was estimated using measured values of systolic and diastolic arterial pressure (≤140/90 mmHg). Results: The prevalence of overweight (BMI ≤ 25 kg/m2) was 47.3% in 2009 and 55.0% in 2012. The incidence of HBP was 32.0%. Being overweight or having an elevated waist circumference (top quartile) in the two waves increased the incidence of HBP [odds ratio 3.41 (95% confidence interval (CI) 2.10; 5.53) and 5.42 (95% CI 2.65; 11.08), respectively] compared with those always eutrophic. Being overweight in either wave also increased the risk of HBP, whereas reducing waist circumference was a protective factor. When the annual BMI and waist circumference change were evaluated (conditional to the baseline measurements, age, and sex) the adjusted predicted incidence of HBP was 46.5% (95% CI 36.9; 56.1) among individuals with an annual BMI change more than R1.0 kg/m2, and 45.1% (95% CI 36.7; 53.4) among those with an annual waist circumference change more than R3.0 cm. Among those who reduced their BMI and waist circumference, the incidence of HBP were 25.9 and 23.8%, respectively. Conclusion: Being overweight (in any wave), maintaining an elevated waist circumference, or having an annual rise of these measurements above the expected values, all increased the incidence of HBP. Reducing the waist circumference showed greater benefits for the prevention of HBP than BMI changes.
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    Journal Title
    Journal of Hypertension
    Volume
    35
    Issue
    1
    DOI
    https://doi.org/10.1097/HJH.0000000000001128
    Subject
    Cardiovascular medicine and haematology
    Clinical sciences
    Medical physiology
    Science & Technology
    Life Sciences & Biomedicine
    Peripheral Vascular Disease
    Cardiovascular System & Cardiology
    abdominal obesity
    Publication URI
    http://hdl.handle.net/10072/412311
    Collection
    • Journal articles

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