Highlights
- •A national sample was employed.
- •We evaluated secular trends in the association between obesity and hypertension.
- •The magnitude of this association has been increasing over time.
Abstract
Objective
To examine the secular trends in the association between obesity and hypertension
among American adults between 1999 and 2014.
Methods
Data from the 1999–2014 National Health and Nutrition Examination Survey (eight survey
cycles) were used. Obesity was determined from measured body mass index, with hypertension
assessed from measured blood pressure and self-reported medication use. Meta-regression
was used to examine the linear, quadratic, and cubic trends of the relationship between
the observed odds ratio effect sizes (obesity and hypertension) and the NHANES cycles
(year) using a random-effects model.
Results
Across the years of 1999 to 2014, there was a significant, positive linear trend (p = .006) in the association between overweight/obesity and hypertension.
Conclusion
Our findings suggest that the association between overweight/obesity and hypertension
is becoming stronger over time. Continued surveillance of temporal changes associated
with obesity and hypertension is necessary to monitor how such changes may underlie
changes in the risk for chronic disease.
Significance of the Study
This novel study evaluates whether the magnitude of association between obesity and
hypertension has changed over the last 15-years.
Keywords
Abbreviations:
BMI (Body Mass Index), BP (Blood Pressure), NHANES (National Health and Nutrition Examination Survey)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 01, 2019
Accepted:
February 20,
2019
Received in revised form:
January 23,
2019
Received:
November 5,
2018
Identification
Copyright
© 2019 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
