Diverse associations between adiposity and blood pressure among 80,000 multi-ethnic Chinese adults

BMC Public Health

Research

Zhimiao Yu¹  Qiang Tan²  Jianzhong Yin³  Feng Hong⁴  Ciren Laba⁵  Yongyue Pan⁶  Haojiang Zuo⁷  Xing Zhao⁷  Peibin Zeng⁷  Xinyu Wu⁷  Yuan Zhang⁷  Jiayi Chen⁷ 

[1] Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan, China;Chongqing Center for Disease Control and Prevention, Chongqing, China;School of Public Health, Kunming Medical University, Kunming, Yunnan, China;Baoshan College of Traditional Chinese Medicine, Baoshan, Yunnan, China;School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Guizhou Medical University, Guiyang, Guizhou, China;Tibet Center for Disease Control and Prevention, Lhasa, Tibet, China;Tibet University, Lhasa, Tibet, China;West China School of Public Health and West China Fourth Hospital, Sichuan University, 16#, Section 3, Renmin Road South, 610041, Chengdu, Sichuan, China;

关键词: Blood pressure;    Central adiposity;    General adiposity;    Multi-ethnic region;    Population characteristics;   

DOI  :  10.1186/s12889-023-15224-7

 received in 2022-09-13, accepted in 2023-02-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAdiposity is widely recognized as one of the risk factors for high blood pressure (BP) and increasing adiposity is associated with elevated BP. However, which measures of adiposity could be most strongly associated with BP in multi-ethnic population remains uncertain, giving rise to implications that population-based adiposity measures could be necessary.Methods80,000 multi-ethnic adults recruited from 5 provinces across Southwest China during 2018 ~ 2019 were studied. Multiple linear regression was applied to investigate the associations of systolic blood pressure (SBP) with: (1) two measures of general adiposity, body mass index (BMI) and height-adjusted weight; and (2) three measures of central adiposity, waist circumference (WC), hip circumference (HC) and waist hip ratio (WHR).ResultsTwo distinct population-specific patterns were identified, as “BMI to SBP” and “WC to SBP”. 90% of the participants fall into “BMI to SBP” pattern, in which the associations of SBP with BMI were independent of WC, and SBP-WC associations were considerably decreased by adjustment for BMI. And in this pattern, 10 kg/m2 greater BMI was associated with 11.9 mm Hg higher SBP on average. As for the rest population (Han males in Yunnan and Tibetans in Lhasa), they are suited for “WC to SBP” pattern, 10 cm wider WC was associated with 3.4 mm Hg higher SBP.ConclusionOur results indicated that when selecting proper predictors for BP, population-specific adiposity measures are needed, considering ethnicity, sex and residing regions. A better understanding of adiposity and BP may better contribute to the potential clinical practices and developing precision application strategies.

【 授权许可】

CC BY   
© The Author(s) 2023

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