Secular trends in the association between obesity and hypertension among adults in the United States, 1999-2014
Secular trends in the association between obesity and hypertension among adults in the United States, 1999-2014
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DOI：
10.1016/j.ejim.2019.02.012
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发表时间：
2019-04-01
影响因子：
8
通讯作者：
Loprinzi, Paul D.
中科院分区：
文献类型：
--
作者：
Ryu, Seungho;Frith, Emily;Loprinzi, Paul D.
目的：研究1999-2014年间美国成年人肥胖与高血压关系的长期趋势。方法：采用1999-2014年8个调查周期的美国国民健康与营养调查数据。肥胖是通过测量的身体质量指数来确定的，高血压是通过测量的血压和自我报告的药物使用情况来评估的。结果：从1999年到2014年，超重/肥胖和高血压之间的关联存在显著的正线性趋势(p=.006)。结论：我们的研究结果表明，超重/肥胖和高血压之间的关联随着时间的推移而变得更强。持续监测与肥胖和高血压相关的时间变化是必要的，以监测这些变化如何可能成为慢性病风险变化的基础。研究意义：这项新研究评估肥胖和高血压之间的关联程度在过去15年中是否发生了变化。
Objective: To examine the secular trends in the association between obesity and hypertension among American adults between 1999 and 2014.Methods: Data from the 1999-2014 National Health and Nutrition Examination Survey (eight survey cycles) were used. Obesity was determined from measured body mass index, with hypertension assessed from measured blood pressure and self-reported medication use. Meta-regression was used to examine the linear, quadratic, and cubic trends of the relationship between the observed odds ratio effect sizes (obesity and hypertension) and the NHANES cycles (year) using a random-effects model.Results: Across the years of 1999 to 2014, there was a significant, positive linear trend (p = .006) in the association between overweight/obesity and hypertension.Conclusion: Our findings suggest that the association between overweight/obesity and hypertension is becoming stronger over time. Continued surveillance of temporal changes associated with obesity and hypertension is necessary to monitor how such changes may underlie changes in the risk for chronic disease.Significance of the Study: This novel study evaluates whether the magnitude of association between obesity and hypertension has changed over the last 15-years.