Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees.
Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees.
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在英国警察部队的Airwave健康监测研究中，生活方式评分和高血压风险。
DOI：
10.3390/ijerph20054029
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发表时间：
2023-02-24
影响因子：
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通讯作者：
Griep, Linda M Oude
中科院分区：
文献类型：
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作者：
Aljuraiban, Ghadeer S;Gibson, Rachel;Chan, Doris S M;Elliott, Paul;Chan, Queenie;Griep, Linda M Oude
背景：有证据表明，促进健康生活方式的组合而不是仅仅关注单一行为可能会对血压（BP）产生更大的影响。我们的目的是评估生活方式因素及其对高血压和血压风险的影响。方法：我们分析了 Airwave 健康监测研究中 40,462 名英国警察人员的横断面健康筛查数据。计算了包括腰围、吸烟和血清总胆固醇在内的基本生活方式评分，数值越大表明生活方式越好。还制定了其他生活方式因素（睡眠时间、体力活动、酒精摄入量和饮食质量）的单独/综合评分。结果：基本生活方式得分提高 1 分与收缩压降低相关（SBP；-2.05 mmHg，95% CI：-2.15，-1.95）；舒张压（DBP；-1.98 mmHg，95%CI：-2.05，-1.91）与高血压风险呈负相关。其他因素的综合得分显示，在基本生活方式得分中添加睡眠、体力活动和饮食质量，虽然存在减弱但显着的关联。然而，饮酒并没有进一步减弱结果。结论：可改变的中介因素对血压的影响更大，即腰围和胆固醇水平以及可能直接影响它们的因素，如饮食、体力活动和睡眠。观察结果表明，酒精是血压与生活方式评分关系中的一个混杂因素。
Background: Evidence suggest that promoting a combination of healthy lifestyle behaviors instead of exclusively focusing on a single behavior may have a greater impact on blood pressure (BP). We aimed to evaluate lifestyle factors and their impact on the risk of hypertension and BP. Methods: We analyzed cross-sectional health-screening data from the Airwave Health Monitoring Study of 40,462 British police force staff. A basic lifestyle-score including waist-circumference, smoking and serum total cholesterol was calculated, with a greater value indicating a better lifestyle. Individual/combined scores of other lifestyle factors (sleep duration, physical activity, alcohol intake, and diet quality) were also developed. Results: A 1-point higher basic lifestyle-score was associated with a lower systolic BP (SBP; −2.05 mmHg, 95%CI: −2.15, −1.95); diastolic BP (DBP; −1.98 mmHg, 95%CI: −2.05, −1.91) and was inversely associated with risk of hypertension. Combined scores of other factors showed attenuated but significant associations with the addition of sleep, physical activity, and diet quality to the basic lifestyle-score; however, alcohol intake did not further attenuate results. Conclusions: Modifiable intermediary factors have a stronger contribution to BP, namely, waist-circumference and cholesterol levels and factors that may directly influence them, such as diet, physical activity and sleep. Observed findings suggest that alcohol is a confounder in the BP–lifestyle score relation.