Associations of traditional cardiovascular risk factors with 15-year blood pressure change and trajectories in Chinese adults: a prospective cohort study

被引:0
作者
Zhang, Yiqian [1 ]
Sun, Qiufen [1 ]
Yu, Canqing [1 ,2 ,3 ]
Sun, Dianjianyi [1 ,2 ,3 ]
Pang, Yuanjie [1 ,2 ,3 ]
Pei, Pei [2 ]
Du, Huaidong [4 ,5 ]
Yang, Ling [4 ,5 ]
Chen, Yiping [4 ,5 ]
Yang, Xiaoming [5 ]
Chen, Xiaofang [6 ]
Chen, Junshi [7 ]
Chen, Zhengming [5 ]
Li, Liming [1 ,2 ,3 ]
Lv, Jun [1 ,2 ,3 ,8 ]
机构
[1] Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China
[2] Peking Univ, Ctr Publ Hlth & Epidem Preparedness & Response, Beijing, Peoples R China
[3] Peking Univ, Key Lab Epidemiol Major Dis, Minist Educ, Beijing, Peoples R China
[4] Univ Oxford, Med Res Council, Populat Hlth Res Unit, Oxford, England
[5] Univ Oxford, Nuffield Dept Populat Hlth, Clin Trial Serv Unit, Oxford, England
[6] Chengdu Med Coll, Chengdu, Sichuan, Peoples R China
[7] China Natl Ctr Food Safety Risk Assessment, Beijing, Peoples R China
[8] Peking Univ, State Key Lab Vasc Homeostasis & Remodeling, Beijing, Peoples R China
基金
中国国家自然科学基金; 国家重点研发计划; 英国惠康基金;
关键词
blood pressure change; cumulative blood pressure; cardiovascular disease risk factors; trajectory; TO-VISIT VARIABILITY; 0.5 MILLION PEOPLE; HYPERTENSION; CONSUMPTION; MORTALITY; HEALTH; PATTERNS; DISEASES; STROKE; GENOME;
D O I
10.1097/HJH.0000000000003717
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Objective:How traditional cardiovascular disease (CVD) risk factors are related to long-term blood pressure change (BPC) or trajectories remain unclear. We aimed to examine the independent associations of these factors with 15-year BPC and trajectories in Chinese adults.Methods:We included 15 985 participants who had attended three surveys, including 2004-2008 baseline survey, and 2013-2014 and 2020-2021 resurveys, over 15 years in the China Kadoorie Biobank (CKB). We measured systolic and diastolic blood pressure (SBP and DBP), height, weight, and waist circumference (WC). We asked about the sociodemographic characteristics and lifestyle factors, including smoking, alcohol drinking, intake of fresh vegetables, fruits, and red meat, and physical activity, using a structured questionnaire. We calculated standard deviation (SD), cumulative blood pressure (cumBP), coefficient of variation (CV), and average real variability (ARV) as long-term BPC proxies. We identified blood pressure trajectories using the latent class growth model.Results:Most baseline sociodemographic and lifestyle characteristics were associated with cumBP. After adjusting for other characteristics, the cumSBP (mmHg x year) increased by 116.9 [95% confidence interval (CI): 111.0, 122.7] for every 10 years of age. The differences of cumSBP in heavy drinkers of >= 60 g pure alcohol per day and former drinkers were 86.7 (60.7, 112.6) and 48.9 (23.1, 74.8) compared with less than weekly drinkers. The cumSBP in participants who ate red meat less than weekly was 29.4 (12.0, 46.8) higher than those who ate red meat daily. The corresponding differences of cumSBP were 127.8 (120.7, 134.9) and 70.2 (65.0, 75.3) for BMI per 5 kg/m2 and WC per 10 cm. Most of the findings of other BPC measures by baseline characteristics were similar to the cumBP, but the differences between groups were somewhat weaker. Alcohol drinking was associated with several high-risk trajectories of SBP and DBP. Both BMI and WC were independently associated with all high-risk blood pressure trajectories.Conclusions:Several traditional CVD risk factors were associated with unfavorable long-term BPC or blood pressure trajectories in Chinese adults.
引用
收藏
页码:1340 / 1349
页数:10
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