Caro Patricia, De La Fuente-Arrillaga Carmen, Bullón-Vela Vanessa, Pérez-Araluce Rafael, Martínez-González Miguel Ángel, Bes-Rastrollo Maira
Department of Health and Wellness, University Catholic of Uruguay, Montevideo 11600, Uruguay.
Public Health Institute, Universidad Andrés Bello, Santiago 7591538, Chile.
Biomedicines. 2025 May 9;13(5):1147. doi: 10.3390/biomedicines13051147.
: This study aims to analyze the association between self-perceived body image and the incidence of hypertension. : A prospective cohort study was conducted, classifying body image perception into three categories: adequate, underestimation, and overestimation, based on Stunkard's Figure Rating Scale and self-reported nutritional status. Cox proportional hazards models were used to determine the association between body image perception and the risk of developing hypertension, adjusting for potential confounders. : During a mean follow-up period of 12.7 years, 2359 incident cases of hypertension were identified. In the main adjusted model, body image underestimation was significantly associated with an increased risk of hypertension among women (HR 1.25; 95% CI 1.01-1.55). This association lost statistical significance when adjusting for baseline BMI in the sensitivity analysis. : Self-perception of body image may influence health behaviors that impact weight control, potentially leading to higher BMI and, consequently, greater cardiometabolic risk. Although further research is needed to clarify its role, body image perception should begin to be considered in clinical practice as a relevant factor in chronic disease prevention.
本研究旨在分析自我认知的身体形象与高血压发病率之间的关联。进行了一项前瞻性队列研究，根据斯图卡德体型评定量表和自我报告的营养状况，将身体形象认知分为三类：正常、低估和高估。使用Cox比例风险模型来确定身体形象认知与患高血压风险之间的关联，并对潜在混杂因素进行调整。在平均12.7年的随访期内，共确定了2359例高血压发病病例。在主要调整模型中，身体形象低估与女性患高血压风险增加显著相关（风险比1.25；95%置信区间1.01 - 1.55）。在敏感性分析中，调整基线体重指数后，这种关联失去了统计学意义。身体形象的自我认知可能会影响影响体重控制的健康行为，可能导致更高的体重指数，进而带来更大的心脏代谢风险。尽管需要进一步研究来阐明其作用，但在临床实践中应开始将身体形象认知视为慢性病预防的一个相关因素。
