Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE), State University of Londrina, Londrina, Brazil.
Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria.
J Clin Hypertens (Greenwich). 2018 May;20(5):959-966. doi: 10.1111/jch.13292. Epub 2018 Apr 25.
We examine the joint association of weight status and leisure-time physical activity on high blood pressure in a nationally representative sample of adults and older adults in Brazil. This was a national cross-sectional survey conducted in Brazil in 2013 (Brazilian Health Survey). The sample consisted of 59 402 participants (56% women, aged 18 to 100 years). Outcome was objectively assessed blood pressure. Body mass index (BMI) was objectively measured, while self-reported information on leisure-time physical activity, TV viewing, chronological age, race, educational status, tobacco smoking, sodium consumption, and hypertension medication was obtained using questionnaires. Logistic regression analysis with adjusted odds ratio was conducted to test the joint association of BMI and leisure-time physical activity categories on high blood pressure. Overall, compared to normal weight (NW) and physically active group, the NW/inactive (OR = 1.28; 1.04 to 1.58), overweight/active (OR = 1.38; 1.08 to 1.78), overweight/inactive (OR = 1.89; 1.53 to 2.33), obese/active (OR = 2.19; 1.59 to 3.01) and obese/inactive (OR = 2.54; 2.05 to 3.15) groups were 28% to 254% more likely to have high blood pressure. The attenuation and high blood pressure was greater for women and adults than for men and older adults. Thus, leisure-time physical inactivity and being overweight and obesity were associated with high blood pressure in Brazilian population. Engaging in sufficient level of physical activity during leisure could attenuate, but not eliminate, the negative influence of obesity on high blood pressure in Brazilian adults and older adults.
我们在巴西全国范围内对成年人和老年人进行了一项横断面调查，以研究体重状况和休闲时间体力活动与高血压的联合关联。该研究的样本包括 59402 名参与者（56%为女性，年龄在 18 至 100 岁之间）。使用问卷获取了血压、身体质量指数（BMI）、休闲时间体力活动、看电视、年龄、种族、教育程度、吸烟、钠摄入量和高血压药物使用情况等方面的信息。使用调整后的优势比进行逻辑回归分析，以检验 BMI 和休闲时间体力活动类别对高血压的联合关联。总的来说，与正常体重和活跃组相比，超重/不活跃组（OR=1.28；1.04 至 1.58）、超重/活跃组（OR=1.38；1.08 至 1.78）、超重/不活跃组（OR=1.89；1.53 至 2.33）、肥胖/活跃组（OR=2.19；1.59 至 3.01）和肥胖/不活跃组（OR=2.54；2.05 至 3.15）发生高血压的可能性分别增加了 28%至 254%。女性和成年人的高血压发生风险比男性和老年人更高。因此，休闲时间体力活动不足、超重和肥胖与巴西人群高血压有关。在巴西成年人和老年人中，进行足够水平的休闲时间体力活动可以减轻，但不能消除肥胖对高血压的负面影响。
