title: Association of modifiable lifestyle behaviors with hypertension by various body mass index categories in Tianjin province of China: a cross-sectional study.
abstract: The present study was conducted to identify the difference of the relationship between lifestyle behaviors with hypertension (HTN) by various body mass index (BMI) categories. A cross-sectional study was conducted among Tianjin urban communities. A total of 26 438 subjects were randomly selected. The authors evaluated associations of lifestyle behaviors with HTN among normal, overweight, and obese adults using a hierarchical logistic model considering the gross domestic product of residence as socioeconomic proxy. A positive association was found between BMI and the risk of HTN among male and female subjects. Current smoking was associated with a higher risk of HTN in overweight (odds ratio [OR] = 1.19, 95% confidence interval [CI] = 1.04-1.36) and obese groups (OR = 1.20, 95% CI = 1.03-1.53). There were statistically significant associations of current drinking with risk of HTN in normal weight (OR = 1.18, 95% CI = 1.01-1.31) and overweight groups (OR = 1.22, 95% CI = 1.07-1.40). The prevention of overweight and obesity is important in preventing HTN. Additionally, adherence to healthy lifestyle is associated with less risk of HTN in various BMI categories.
authors.affiliation: Department of Health Statistics, School of Public Health, Tianjin Medical University, Tianjin, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Tianjin Tanggu Center for Disease Control and Prevention, Tianjin, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Guo
authors.affiliation: Department of Health Statistics, School of Public Health, Tianjin Medical University, Tianjin, China lele20090216@163.com.
authors.forename: Wenli
authors.initials: W
authors.lastname: Lu
authors.affiliation: Tianjin Medical University General Hospital, Tianjin, China.
authors.forename: YongLe
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Health Statistics, School of Public Health, Tianjin Medical University, Tianjin, China.
authors.forename: JianHua
authors.initials: J
authors.lastname: Wang
authors.affiliation: Tianjin Medical University General Hospital, Tianjin, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Wan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000628:therapy*; D007407:Interviews as Topic; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology; D016017:Odds Ratio; D050177:Overweight; D036301:Qualitative Research; D012307:Risk Factors; D040242:Risk Reduction Behavior; D055815:Young Adult