Geographical variations in the prevalence of hypertension in France: Cross-sectional analysis of the CONSTANCES cohort

2019 ◽  
Vol 26 (12) ◽  
pp. 1242-1251 ◽  
Author(s):  
Lola Neufcourt ◽  
Séverine Deguen ◽  
Sahar Bayat ◽  
François Paillard ◽  
Marie Zins ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Factors ◽  
Body Mass ◽  
Logistic Models ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
The North ◽  
Geographical Variations ◽  
Unit Increase

Aims While international variations in the prevalence of hypertension are well described, less is known about intra-national disparities and their determinants. We wanted to describe the variations in hypertension prevalence within France and to determine how much lifestyle and socioeconomic factors contributed to explain these regional variations. Methods Participants (62,247 French adults aged 18 to 69 years) were recruited in the 16 centres of the CONSTANCES study between 2012 and 2015. Hypertension was defined as blood pressure higher than 140/90 mmHg and/or taking antihypertensive medications. The contribution of lifestyle and socioeconomic factors to hypertension prevalence variations among centres was examined using sequential hierarchical logistic models. Results Hypertension prevalence was 37.3% (95% confidence interval (CI) = 36.6–38.0) in men and 23.2% (95% CI = 22.7–23.8) in women. Hypertension prevalence rates varied by almost two-fold among centres (1.9 in men, 1.6 in women) with the highest prevalence in the north and the east of France. Body mass index was strongly associated with hypertension in women (odds ratio (OR)1-unit increase = 1.11 (95% CI = 1.11–1.12)) and was the highest contributor to between-centre variations (27% in women), followed by socioeconomic characteristics (e.g. ORhigh versus low education = 0.85 (95% CI = 0.83–0.87), contributing to 14% of variations in women). Together, family history of hypertension, body mass index, education, occupation and residential area socioeconomic level explained about 30% and 40% of between-centre variations in men and women, respectively. Conclusion Hypertension prevalence greatly varies among French regions and this is partly explained by known lifestyle and socioeconomic factors. Nevertheless, these variations and all the hypertension determinants have not been fully deciphered yet.

scholarly journals Twenty-year time trends in hypertension prevalence in Yi people of China: three successive cross-sectional studies, 1996–2015

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022714 ◽  
Author(s):  
Jia Zhang ◽  
Shaoping Wan ◽  
Biao Zhang ◽  
Fen Dong ◽  
Li Pan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Final Analysis ◽  
Overweight And Obesity ◽  
Related Factors ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
The Past ◽  
Female Farmers ◽  
The Difference

ObjectiveTo explore the trend of hypertension prevalence and related factors in Yi people from 1996 to 2015.MethodsThree successive cross-sectional surveys were conducted in Liangshan Yi Autonomous Prefecture in 1996, 2007 and 2015, respectively. A total of 8448 participants aged 20–80 years (5040 Yi farmers, 3408 Yi migrants) were included in final analysis.ResultsOverall, the age-standardised prevalence of hypertension in migrants was significantly higher than in farmers. Furthermore, the age-standardised prevalence rates increased from 10.1% to 15.3% to 19.6% in Yi migrants and from 4.0% to 6.3% to 13.1% in Yi farmers during 1996 to 2007 to 2015. The highest 2015-to-1996 ratio of age-standardised hypertension prevalence was in male farmers (ratio=4.30), whereas despite the highest prevalence of hypertension, the equivalent figure in male migrants was 1.57. The older age, overweight and obesity were persistent risk factors of hypertension in three periods. After adjusted for age and body mass index, the difference of hypertension prevalence between 1996 and 2015 then vanished in male migrants (OR=1.335; 95% CI: 0.884 to 2.015) and female farmers (OR=1.267; 95% CI: 0.590 to 2.719). The disparities of hypertension prevalence between Yi migrants and farmers were not statistically significant in all subgroups when adjusted for age, body mass index and education.ConclusionsOver the past two decades, the hypertension prevalence in Yi people has significantly increased. Yi migrants were more likely to be hypertensive than Yi farmers which was predominantly driven by the discrepancy of body mass index between them.

scholarly journals Effects of Body Mass Index (BMI), demographic and socioeconomic factors on organized physical activity (OPA) participation in children aged 6-15 years: a cross-sectional study comparing primary and secondary school children in Greece

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Vilelmine Carayanni ◽  
Elpis Vlachopadopoulou ◽  
Dimitra Koutsouki ◽  
Gregory C. Bogdanis ◽  
Theodora Psaltopoulou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Socioeconomic Status ◽  
Secondary School ◽  
Socioeconomic Factors ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary And Secondary School

Abstract Background The aim of the present study was to examine the influence of body mass index category, as well as of demographic and socioeconomic factors on the participation in organized physical activity (OPA) of schoolchildren attending primary and secondary school in Greece. Furthermore, to compare the difference between the two levels. Methods This is a cross-sectional study conducted on a representative elementary and secondary school cohort, derived using stratification and probability proportional to size (PPS) methodology. The final sample included 18,264 subjects, aged 6 to 15 years. Parents of all students and students of secondary schools fulfilled validated questionnaires evaluating socioeconomic status, and participation to OPA. International Obesity Task Force (IOTF) cut offs were used to classify the children. Univariate and multivariate logistic models examined factors associated with OPA. All analyses were stratified by school level. Results Sport participation was not reported in 37.7 and 54.4% of primary and secondary schoolchildren respectively. Having BMI within normal range, being male, having parents participating in an organized activity and a high socio-economic status seem to encourage participation in OPA in both school levels. Conclusions Children with normal BMI are more likely to participate in OPA. Parents as role model as well as higher socioeconomic status of the family emerge as important influencers. Participation in OPA declines as students enter secondary school. Interventions focusing on increasing physical education and activity into school daily program should be tailored to the specific needs of different weight categories and can possibly eliminate the impact of SES inequalities.

scholarly journals Prevalence, Awareness, Treatment, and Control of Hypertension among Chinese First-Generation Migrants and Italians in Prato, Italy: The CHIP Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Pietro A. Modesti ◽  
Maria Calabrese ◽  
Ilaria Marzotti ◽  
Hushao Bing ◽  
Danilo Malandrino ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
First Generation ◽  
Primary Outcome Measure ◽  
Cross Sectional Survey ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Parental History ◽  
Chinese Migrants ◽  
First Generation Migrants

Data on health needs of Chinese living in the South of Europe are lacking. To compare prevalence, awareness, treatment, control, and risk factors for hypertension between Chinese migrants and Italian adults, a sample of 1200 first-generation Chinese migrants and 291 native Italians aged 35–59 years living in Prato (Italy) was recruited in a community-based participatory cross-sectional survey. Primary outcome measure was hypertension, diagnosed for blood pressure values ≥ 140/90 mmHg or current use of antihypertensive medications. Associations with exposures (including age, gender, body mass index, waist, education level, total cholesterol, and triglycerides) were examined using logistic regression. When compared with Italians, Chinese had higher hypertension prevalence (27.2% versus 21.3%,p<0.01), with comparable levels of awareness (57.4% and 48.4%) but lower treatment rates (70.6% and 90.0%, resp.). In both ethnic groups age and parental history of hypertension were predictors of awareness and treatment, body mass index being predictor of hypertension diagnosis. In Chinese participants, where the optimum cut-off point for body mass index was ≥23.9 kg/m2, the sensibility and specificity prediction for hypertension were 61.7% and 59.8%, respectively (area under the ROC curve = 0.629). Implementation of specific, culturally adapted health programs for the Chinese community is now needed.

Association of Adult Socioeconomic Status with Body Mass Index: A Within- and Between-Twin Study

2021 ◽  
pp. 1-7
Author(s):  
Samuel J. C. Crofts ◽  
Janine Lam ◽  
Katrina J. Scurrah ◽  
Gillian S. Dite
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Status ◽  
Body Mass ◽  
Twin Studies ◽  
Confounding Factors ◽  
Primary Analysis ◽  
Cross Sectional ◽  
Socioeconomic Index ◽  
Unit Increase ◽  
Lifestyle Questionnaire

Abstract Adult socioeconomic status (SES) has been consistently associated with body mass index (BMI), but it is unclear whether it is linked to BMI independently of childhood SES or other potentially confounding factors. Twin studies can address this issue by implicitly controlling for childhood SES and unmeasured confounders. This co-twin control study used cross-sectional data from Twins Research Australia’s Health and Lifestyle Questionnaire (N = 1918 twin pairs). We investigated whether adult SES, as measured by both the Index of Relative Socioeconomic Disadvantage (IRSD) and the Australian Socioeconomic Index 2006 (AUSEI06), was associated with BMI after controlling for factors shared by twins within a pair. The primary analysis was a linear mixed-effects model that estimated effects both within and between pairs. Between pairs, a 10-unit increase in AUSEI06 was associated with a 0.29 kg/m2 decrease in BMI (95% CI [−.42, −.17], p < .001), and a 1-decile increase in IRSD was associated with a 0.26 kg/m2 decrease in BMI (95% CI [−.35, −.17], p < .001). No association was observed within pairs. In conclusion, higher adult SES was associated with lower BMI between pairs, but no association was observed within pairs. Thus, the link between adult SES and BMI may be due to confounding factors common to twins within a pair.

scholarly journals The Study On Range Of Motion Of Hip And Knee In Prayer By Adult Muslim Males. A Preliminary Report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Ariff MS ◽  
Arshad AA ◽  
Johari MH ◽  
Rahimin Affandi MAS ◽  
Fadzli AS ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Range Of Motion ◽  
Body Mass ◽  
Preliminary Report ◽  
Weight Bearing ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unit Increase ◽  
The Difference

Introduction: Praying represents a fundamental activity of daily living in Muslim community. Muslims need to adopt several postures that require deep flexion of the knee and hip to perform this daily obligation. This is a preliminary report of the study on hip and knee range of motion conducted to obtain normative passive and functional range of flexion data during Muslim prayers in both weight-bearing joints of normal Muslim adults. Methods: A cohort of Malay men aged between 20 to 30 years was recruited in this cross-sectional study. Passive range of motion and flexion angles of the joints in various postures during prayer were measured using a standard goniometer. The difference against existing normative range of motion database available and the influence of various factors were analysed. Factors analysed include body mass index and other anthropometric measurements. Results: Sixty participants recruited for the preliminary phase of this study. The mean (SD) of passive hip and knee flexions were higher compared to other existing normative range of motion database. A unit increase in body mass index will have 0.782 units lower of knee range of motion. The hip and knee flexion arc were from 74.1° to 119.0° and from 3.3° to 119.7° respectively. Conclusion: The range of motion involved for prayers was more for the knee but less for the hip as compared to the measured passive range of motion. Body mass index has a significant linear negative relationship with the passive range of motion of the knee, but not the hip.

scholarly journals STRESS, INDEKS MASSA TUBUH (IMT) DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI KABUPATEN MALANG

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Lilik Supriati
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
The Elderly ◽  
The Body ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Hypertension Prevalence ◽  
Physical Disorders ◽  
Cross Sectional Design

Abstract : The elderly was the last human development phase causing change on all aspects of physical ,psychological , social and economic. The most problem of  physical disorders in  elderly was hypertension.  Hypertension was condition that  systole blood pressure higher than 140 mmHg relating to psychological stress .Other modification factor relating to hypertension prevalence  was the body mass index .The purpose of this research knew the relation between  stress and body mass index  to hypertension prevalence. The method  used analytic correlational with cross sectional design. Techniques sampling used  purposive sampling included 81 respondents. Research instruments variable stress used  quisioner modification of HARS. BMI  and blood pressure was obtained through assessing directly. Statistical analysis used the correlation spearman .The result showed that stress elderly mostly in category moderate  stress. Mean of  score BMI is  23,53 that in nomal category  ( 60,49 % ). Based on the bivariat statistic show there is significant relation between stress with hypertension ( r = 0,723 ) and there is  significant correlation between  BMI  with hypertension ( r = 0,486 ) .The Nurse must do implementation  stress  management in elderly to lower the risk of a rise in blood pressure like  techniques of relaxation progressive and nurse must give information to elderly to control weight to prevent increasing  in BMI with the activity like doing  sports and having  good eating habit.Keywords : stress , body mass index , hypertension Abstrak : Lansia merupakan fase tahap tumbuh kembang terakhir manusia menyebabkan perubahan pada semua aspek fisik, psikologis, sosial dan ekonomi. Permasalahan gangguan fisik terbanyak lansia adalah hipertensi.Kejadian  Hipertensi pada lansia dengan kondisi peningkatan tekanan darah sistol > 140 mmHg berkaitan dengan kondisi psikologis stress lansia. Faktor modifikasi lain yang berkaitan dengan kejadian hipertensi adalah indeks masa tubuh. Tujuan penelitian ini mengetahui hubungan stress dan IMT dengan kejadian hipertensi.  Rancangan penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Teknik sampling menggunakan purposive sampling dengan jumlah 81 responden. Instrumen penelitian variabel stress dengan menggunakan kuisioner modifikasi HARS. IMT dan tekanan darah didapatkan dengan melakukan pengukuran langsung kepada lansia. Analisis statistik menggunakan uji korelasi spearman. Hasil penelitian menunjukkan bahwa stress lansia sebagian besar dalam kategori stress sedang (53,53%), rata-rata score IMT sebesar 23,53 dengan kategori normal (60,49%). Berdasarkan uji bivariat menunjukkan ada hubungan signifikan antara stress dengan kejadian hipertensi (r = 0,723) dan ada hubugan signifikan IMT dengan hipertensi (r = 0,486). Untuk itu perlu melakukan manajemen stress lansia untuk menurunkan resiko peningkatan tekanan darah seperti teknik relaksasi progresif serta pengontrolan berat badan lansia untuk mencegah peningkatan IMT dengan aktivitas olah raga dan pola makan yang baik.Kata kunci : stress, indeks masa tubuh, kejadian hipertensi

KEJADIAN PENYAKIT HIPERTENSI DAN INDEKS MASSA TUBUH PADA PEREMPUAN YANG TINGGAL DI PEDESAAN DAN PERKOTAAN

2019 ◽  
pp. 127-136
Author(s):  
Venti Agustina
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Rural Women ◽  
Urban Areas ◽  
Stage I ◽  
Normal Body Mass Index ◽  
Cross Sectional ◽  
Normal Body ◽  
Stadium I

Hipertensiadalah penyebab kematian utama di Indonesia. Kematian akibat hipertensi lebih banyak terjadi di perkotaan dibandingkan di desa. Tingginya kejadian hipertensi dipengaruhi oleh faktor yang dapat dikontrol (obesitas,berat badan lebih, konsumsi garam berlebih,aktivitas fisik rendah, perokok, dan konsumsi alkohol) dan faktor yang tidak dapat dikontrol (genetik, usia, dan jenis kelamin). Penelitian bertujuan memberikan gambarandistribusi tekanan darah dan indeks massa tubuh (IMT) pendudukperempuan di kota maupun di desa.Desain penelitian adalah deskriptif kuatitatif dengan pendekatan cross sectional. Data primer didapatkan melalui pengukuran tekanan darah, tinggi badan dan berat badan. Penelitian dilakukan di Desa Kutowinangun Kidul, Kecamatan Tingkir,Salatiga yang mewakili penduduk perempuan di perkotaan dan Desa Batur, Kecamatan Getasan, Kabupaten Semarangyang mewakili penduduk perempuan pedesaan. Adapun jumlah sampel masing-masing 66 respondendan 72responden. Hasil penelitian menunjukkan bahwa kejadian penyakit hipertensi, resiko obese dan obese lebih didominasi oleh respondendi perkotaan dibandingkan di pedesaan dengan rentang usia di atas 46 tahun. Respondendi desa dengan indeks massa tubuh normal cenderung mengalami pre-hipertensi (8,3%) dan hipertensi stadium I (6,9%) sementararesponden dengan resiko obese dan obese cenderung mengalami hipertensi stadium I (1,4%).Respondendi kota dengan indeks massa tubuh normal cenderung mengalami pre hipertensi (6,06%), hipertensi stadium I (4,5%) dan II (7,5%). Responden dengan resiko obese cenderung mengalami hipertensi stadium I (4,5%), dan responden dengan obese I dan II cenderung mengalami pre-hipertensi (4,5%).   Hypertension is the leading cause of death in Indonesia. Deaths due to hypertension are more common in urban areas than in villages. The high incidence of hypertension is influenced by factors that can be controlled (obesity, overweight, excessive salt consumption, low physical activity, smokers, and alcohol consumption) and factors that cannot be controlled (genetic, age, and sex). The study aimed to provide an overview of blood pressure distribution and body mass index (BMI) of female residents in cities and villages. The study design was descriptive quantitative with a cross sectional approach. Primary data was obtained through measurements of blood pressure, height and weight. The study was conducted in Kutowinangun Kidul Village, Tingkir Subdistrict, Salatiga representing women in urban areas and Batur Village, Getasan Subdistrict, Semarang Regency, representing rural women. The number of samples was 66 respondents and 72 respondents respectively. The results showed that the incidence of hypertension, the risk of obese and obese was more dominated by respondents in urban areas than in rural areas with ages above 46 years. Respondents in villages with normal body mass index tended to experience pre-hypertension (8.3%) and stage I hypertension (6.9%) while respondents with obese and obese risk tended to experience stage I hypertension (1.4%). Respondents in cities with normal body mass index tended to experience pre-hypertension (6.06%), stage I hypertension (4.5%) and II (7.5%). Respondents with obese risk tended to experience stage I hypertension (4.5%), and respondents with obese I and II tended to experience pre-hypertension (4.5%).

Sign in / Sign up

Export Citation Format

Share Document