Influence of height on blood pressure and hypertension among Bangladeshi adults

Q4 Medicine International Journal of Cardiology: Hypertension Pub Date : 2020-06-01 DOI:10.1016/j.ijchy.2020.100028

Md. Tauhidul Islam , Md. Shahjahan Siraj , Md. Zakiul Hassan , Mohammad Nayem , Dipankar Chandra Nag , Md. Aminul Islam , Rafiqul Islam , Tapas Mazumder , Sohel Reza Choudhury , Ali Tanweer Siddiquee

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引用次数: 4

Abstract

Background

Recent studies have reported that height is inversely associated with blood pressure and hypertension. However, there is lack of comprehensive findings from Bangladesh in this regard.

Objective

The purpose of this study was to explore the association between height and blood pressure in a Bangladeshi population.

Setting

Rural and urban sites from seven divisions of Bangladesh.

Participants

Participants were 7932 males and females (aged ≥35 years) evaluated in the 2011 Bangladesh Demographic Health Survey. Participants (n = 7647) who had complete height, weight, systolic and diastolic blood pressure (SBP and DBP) measurements and non-missing medication history, were included in the analysis.

Methods

Hypertension was defined as an SBP over 140 mmHg or/and a DBP over 90 mmHg, or current use of antihypertensive medication. Difference between SBP and DBP was calculated to get pulse pressure (PP). Multivariate linear and logistic regression models were used.

Results

PP decreased linearly with increasing height among males (−0.11, P < 0.05) and females (−0.19, P < 0.05) after adjusting for age, BMI, living region, type of occupation, wealth index, and highest level of education. SBP decreased linearly with increasing height among only females (−0.14, P < 0.05), after adjusting for age, BMI, living region, type of occupation, wealth index, and highest level of education. No association was found between quartiles of height and prevalence of hypertension.

Conclusions

Height was found to be inversely associated with pulse pressure in both sexes. Studies with longitudinal design are needed to investigate the association between shortness with blood pressure and hypertension.

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身高对孟加拉国成年人血压和高血压的影响

最近的研究表明，身高与血压和高血压呈负相关。然而，孟加拉国在这方面缺乏全面的调查结果。目的本研究的目的是探讨孟加拉国人群的身高和血压之间的关系。背景:孟加拉国七个省的农村和城市遗址。参与者为2011年孟加拉国人口健康调查评估的7932名男性和女性(年龄≥35岁)。参与者(n = 7647)具有完整的身高、体重、收缩压和舒张压(收缩压和舒张压)测量和无遗漏用药史，纳入分析。方法高血压定义为收缩压超过140 mmHg或/和舒张压超过90 mmHg，或目前使用抗高血压药物。计算收缩压与舒张压之差，得到脉压(PP)。采用多元线性和逻辑回归模型。结果男性spp随身高增加呈线性下降(- 0.11,P <0.05)和女性(- 0.19,P <0.05)，在调整了年龄、BMI、居住地区、职业类型、财富指数和最高教育程度后。仅女性的收缩压随身高的增加呈线性下降(- 0.14,P <0.05)，在调整了年龄、BMI、居住地区、职业类型、财富指数和最高教育程度后。身高四分位数与高血压患病率之间没有关联。结论在两性中，身高与脉压呈负相关。需要纵向设计的研究来调查矮个子与血压和高血压之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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