Saudi Diabetes Research Group, King Fahd Medical Research Center, King Abdulaziz University, Jeddah 3270, Saudi Arabia.
Food, Nutrition and Lifestyle Research Unit, King Fahd for Medical Research Centre, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
Int J Environ Res Public Health. 2021 Oct 29;18(21):11371. doi: 10.3390/ijerph182111371.
The association between lifestyle practices, obesity and increased BP are under-investigated. We aimed to investigate this association to identify the factors associated with hypertension and prehypertension in Saudis. Non-diabetic adults were recruited from public healthcare centers using a cross-sectional design. Recruits were interviewed using a predesigned questionnaire. Weight, height, waist circumference (WC), hip circumference (HC), neck circumference (NC) and BP were measured. The variables were analyzed by comparing the prehypertensive and hypertensive groups with the normotensive group. A total of 1334 adults were included. The study found that 47.2% of men and 24.7% of women were prehypertensive, and 15.1% of men and 14.4% of women were hypertensive. High BMI, WC, NC, and WC: HC ratios were associated with an increased risk of prehypertension and hypertension in men and women. Low physical activity was associated with an increased risk of elevated BP in men, while sleep duration of ≤6 h and sitting for ≥4 h were associated with increased risk in women. Women from central Asia, southeast Asia, and those of mixed origin had a higher prevalence of hypertension compared to those from Arabian tribes. In conclusion, prehypertension and hypertension increase with age and obesity. Gender differences were apparent in the association between several lifestyle practices and prehypertension or hypertension among various ethnic/racial groups.
生活方式实践、肥胖与血压升高之间的关联尚未得到充分研究。我们旨在调查这种关联，以确定与沙特人高血压和高血压前期相关的因素。采用横断面设计，从公共医疗中心招募非糖尿病成年人。使用预先设计的问卷对招募者进行访谈。测量体重、身高、腰围（WC）、臀围（HC）、颈围（NC）和血压。通过比较高血压前期组和高血压组与正常血压组来分析变量。共纳入 1334 名成年人。研究发现，47.2%的男性和 24.7%的女性为高血压前期，15.1%的男性和 14.4%的女性为高血压。高 BMI、WC、NC 和 WC:HC 比值与男性和女性高血压前期和高血压的风险增加相关。低体力活动与男性血压升高的风险增加相关，而睡眠时间≤6 小时和坐≥4 小时与女性风险增加相关。与来自阿拉伯部落的人相比，来自中亚、东南亚和混血的女性高血压患病率更高。总之，高血压前期和高血压随年龄和肥胖而增加。在不同种族/族群中，几种生活方式实践与高血压前期或高血压之间的关联存在性别差异。
