Telemedicine and Telepharmacy Center, School of Medicinal and Health Products Sciences, University of Camerino , Camerino, Italy.
Research Department, Internationale Radio Medical Center (C.I.R.M.) , Rome, Italy.
Clin Exp Hypertens. 2021 Feb 17;43(2):189-195. doi: 10.1080/10641963.2020.1836193. Epub 2020 Oct 21.
High blood pressure is a serious medical condition that significantly increases the risk of cardiovascular disease. Although overweight and high blood pressure are frequent consequences for the health of life at sea, there is a paucity of information on the contribution of body mass index (BMI) to high blood pressure (HBP) in seafarers.
The present study was aimed to examine the relationship between BMI and blood pressure and to analyze further BMI as a risk factor for high blood pressure through a modeling approach.
A retrospective analysis was performed on 603 seafarers' medical examination records. The seafarer's blood pressure and BMI were recorded and interpreted according to the WHO criteria. Pearson product-moment correlation was examined to determine the association between BMI and blood pressure. Multinomial logistic regression models were performed to estimate the strength of association between the BMI and the HBP.
Out of a total of 603 seafarers under study, 44.4% and 55.6% were officers and non-officers, respectively. Mean SBP, DBP, and BMI were significantly higher among non-officers than officers. BMI was positively correlated ( < .01) with both SBP (r = 0.336) and DBP (r = 0.344). About 39% and 16.6% of the study subjects were prehypertension and hypertensive, respectively. The risk of prehypertension and hypertension was higher in individuals who were overweight and obese.
Mean blood pressure levels increase parallel to the rise of BMI. Thus, emphasis should be given on a weight management program in relation to the prevention and control of high blood pressure.
高血压是一种严重的医学疾病，会显著增加心血管疾病的风险。尽管超重和高血压是海上生活健康的常见后果，但关于体重指数（BMI）对海员高血压（HBP）的贡献的信息却很少。
本研究旨在检查 BMI 与血压之间的关系，并通过建模方法分析 BMI 作为高血压的危险因素的进一步作用。
对 603 名海员体检记录进行回顾性分析。根据世界卫生组织（WHO）标准记录和解释海员的血压和 BMI。采用皮尔逊积矩相关检验来确定 BMI 与血压之间的关联。进行多项逻辑回归模型，以估计 BMI 与 HBP 之间的关联强度。
在研究的 603 名海员中，44.4%和 55.6%分别为军官和非军官。非军官的平均 SBP、DBP 和 BMI 明显高于军官。BMI 与 SBP（r = 0.336）和 DBP（r = 0.344）均呈正相关（<0.01）。约 39%和 16.6%的研究对象分别为高血压前期和高血压。超重和肥胖个体患高血压前期和高血压的风险较高。
平均血压水平随 BMI 的升高而升高。因此，应重视与高血压的预防和控制相关的体重管理计划。
