Unhealthy behavior and risk of hypertension
Michelle Cherfan
(1, 2)
,
Alexandre Vallée
(3, 4)
,
Sofiane Kab
(5)
,
Pascale Salameh
(6, 7)
,
Marcel Goldberg
(5, 3)
,
Marie Zins
(5, 3)
,
Jacques Blacher
(1, 3, 4)
1
CRESS - U1153 -
Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle
2 LU / ULB - الجامعة اللبنانية [بيروت] = Lebanese University [Beirut] = Université libanaise [Beyrouth]
3 UPD5 Médecine - Université Paris Descartes - Faculté de Médecine
4 Centre de Diagnostic et de Thérapeutique, Hôpital de l’Hôtel-Dieu [Paris]
5 CONSTANCES - Cohortes épidémiologiques en population
6 FSP III - Faculty of Public Health [Lebanese University]
7 INSPECT-LB - Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie [Beyrouth, Liban]
2 LU / ULB - الجامعة اللبنانية [بيروت] = Lebanese University [Beirut] = Université libanaise [Beyrouth]
3 UPD5 Médecine - Université Paris Descartes - Faculté de Médecine
4 Centre de Diagnostic et de Thérapeutique, Hôpital de l’Hôtel-Dieu [Paris]
5 CONSTANCES - Cohortes épidémiologiques en population
6 FSP III - Faculty of Public Health [Lebanese University]
7 INSPECT-LB - Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie [Beyrouth, Liban]
Pascale Salameh
- Fonction : Auteur
- PersonId : 775869
- ORCID : 0000-0002-4780-0772
- IdRef : 060947519
Marcel Goldberg
- Fonction : Auteur
- PersonId : 852663
Marie Zins
- Fonction : Auteur
- PersonId : 871742
Résumé
Objectives: We aimed to evaluate the individual and combined association between unhealthy behavior and hypertension (HTN).
Methods: We conducted cross-sectional analysis using data from the population-based cohort study CONSTANCES. Blood pressure measurements were taken based on standardized operational procedures. Dietary adherence was done following the dietary approach to stop HTN diet. We considered heavy alcohol drinking, sedentary-level physical activity, low/medium dietary adherence and overweight/obesity as unhealthy behaviors. Participants' characteristics were compared according to the number of unhealthy behaviors and the association between HTN and unhealthy behaviors was estimated using logistic regression.
Results: A total of 86 448 volunteer participants were included and the prevalence of HTN was of 31.1%. Of those with HTN, 8.2, 33.0, 44.3 and 14.5% exhibited 0, 1, 2 or at least 3 unhealthy behaviors, respectively. In both sexes, the prevalence of HTN increased with low/medium dietary adherence compared with high (P < 0.01), in overweight/obese compared with normal BMI (P < 0.001), with heavy alcohol consumption compared with moderate or never (P < 0.05) and with sedentary physical activity level compared to high in women only (P = 0.049). Combination of several unhealthy behaviors was associated with increased odds of HTN (P trend <0.001); men reporting 2 or at least 3 unhealthy behaviors had an adjusted odds ratio of HTN of 1.77 and 2.29, respectively, while women had an adjusted odds ratio of 1.71 and 2.14, respectively.
Format du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Unhealthy behavior and risk of hypertension
|
Résumé |
en
Objectives: We aimed to evaluate the individual and combined association between unhealthy behavior and hypertension (HTN).
Methods: We conducted cross-sectional analysis using data from the population-based cohort study CONSTANCES. Blood pressure measurements were taken based on standardized operational procedures. Dietary adherence was done following the dietary approach to stop HTN diet. We considered heavy alcohol drinking, sedentary-level physical activity, low/medium dietary adherence and overweight/obesity as unhealthy behaviors. Participants' characteristics were compared according to the number of unhealthy behaviors and the association between HTN and unhealthy behaviors was estimated using logistic regression.
Results: A total of 86 448 volunteer participants were included and the prevalence of HTN was of 31.1%. Of those with HTN, 8.2, 33.0, 44.3 and 14.5% exhibited 0, 1, 2 or at least 3 unhealthy behaviors, respectively. In both sexes, the prevalence of HTN increased with low/medium dietary adherence compared with high (P < 0.01), in overweight/obese compared with normal BMI (P < 0.001), with heavy alcohol consumption compared with moderate or never (P < 0.05) and with sedentary physical activity level compared to high in women only (P = 0.049). Combination of several unhealthy behaviors was associated with increased odds of HTN (P trend <0.001); men reporting 2 or at least 3 unhealthy behaviors had an adjusted odds ratio of HTN of 1.77 and 2.29, respectively, while women had an adjusted odds ratio of 1.71 and 2.14, respectively.
|
Auteur(s) |
Michelle Cherfan
1, 2
, Alexandre Vallée
3, 4
, Sofiane Kab
5
, Pascale Salameh
6, 7
, Marcel Goldberg
5, 3
, Marie Zins
5, 3
, Jacques Blacher
1, 3, 4
1
CRESS - U1153 -
Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle
( 516244 )
- Université Paris 13, U.F.R de Santé, Médecine et Biologie Humaine
Rez-de-chaussée, porte 26
74 rue Marcel Cachin
93017 Bobigny cedex
- France
2
LU / ULB -
الجامعة اللبنانية [بيروت] = Lebanese University [Beirut] = Université libanaise [Beyrouth]
( 303340 )
- P.O. Box 6573/14 Badaro, Museum, Beirut
- Liban
3
UPD5 Médecine -
Université Paris Descartes - Faculté de Médecine
( 12951 )
- 15 rue de l'École de médecine - 75270 Paris Cedex 06
- France
4
Centre de Diagnostic et de Thérapeutique, Hôpital de l’Hôtel-Dieu [Paris]
( 476119 )
- Paris
- France
5
CONSTANCES -
Cohortes épidémiologiques en population
( 417444 )
- Hôpital Paul Brousse - Bâtiment 15/16
16 avenue Paul Vaillant-Couturier
94807 Villejuif
- France
6
FSP III -
Faculty of Public Health [Lebanese University]
( 220176 )
- Pierre Gemayel University Campus - Fanar
- Liban
7
INSPECT-LB -
Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie [Beyrouth, Liban]
( 557102 )
- Beyrouth
- Liban
|
Audience |
Internationale
|
Langue du document |
Anglais
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Date de publication |
2019
|
Volume |
37
|
Numéro |
11
|
Page/Identifiant |
2180-2189
|
Public visé |
Scientifique
|
Sous-type de document pour les Articles |
Research article
|
Domaine(s) |
|
Financement |
|
Projet(s) ANR |
|
Mots-clés |
en
alcohol consumption, BMI, dietary approach to stop hypertension diet, epidemiology, hypertension, lifestyle behavior, physical activity
|
DOI | 10.1097/HJH.0000000000002157 |
UT key WOS | 000509478200010 |
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