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Original Research

Open Access

HYPERTENSION IS MORE AFFECTED BY FITNESS AND WAIST CIRCUMFERENCE THAN EXERCISE FREQUENCY AND BMI IN MIDDLE AGE

  • Seong Eon Kim1
  • Yong Chul Choi2
  • Ji Young Lee2

1Department of Physical Education, Sejong university, Seoul, Republic of Korea

2Department of Physical Education, Gangneung-Wonju National University, Gangneung-si, Republic of Korea

DOI: 10.22374/jomh.v15i4.178 Vol.15,Issue 4,November 2019 pp.58-66

Published: 01 November 2019

*Corresponding Author(s): Yong Chul Choi E-mail: skicyc@gwnu.ac.kr
*Corresponding Author(s): Ji Young Lee E-mail: jylee@gwnu.ac.kr

Abstract

Background and objective

Hypertension (HTN) is a representative cardiovascular disease worldwide. This study aimed to inves-tigate the prevalence of HTN in middle age using cardiorespiratory fitness (CRF), exercise habits, and obesity.

Material and methods

A total of 4835 middle-aged individuals (2783 men and 2052 women; age range: 40–59 years) were analyzed. The diagnostic criterion for HTN was blood pressure ≥140/90 mmHg or current use of HTN medication. CRF was measured as VO2max by gas analysis. The exercise frequency was indicated as participant days per week. Obesity was assessed using waist circumference and body mass index (BMI). The odds ratio (OR) was determined by logistic regression analysis. The groups were divided by quar-tile and median and classified by sex. The significance level was set at a p-value <0.05.

Results

The HTN OR in the highest CRF group decreased to 0.399 in men and 0.413 in women. The OR for exercise frequency decreased in the 5–7 days group by 0.428 in men and 0.488 in women than in the no-exercise group. The HTN OR in the normal BMI group decreased to 0.611 in men and 0.679 in women than in the obese group. The OR for waist circumference was 0.528 in men (≤89.9 cm) and 0.428 in women (≤84.9 cm). The OR of the high fitness-normal waist group was 0.244 in men and 0.191 in women. The OR of the low fitness-normal weight group was 0.872 in men and 0.766 in women (p<0.05), whereas that of the high fitness-overweight group was 0.561 in men and 0.582 in women (p<0.05).

Conclusion

The higher the exercise frequency and CRF and the lower the BMI and waist circumference, the lower the prevalence of HTN. The prevalence of HTN decreased significantly with higher CRF and lower waist circumference than with higher exercise frequency and lower BMI.

Keywords

hypertension; cardiorespiratory fitness; body mass index; waist circumference; odds ratio

Cite and Share

Seong Eon Kim,Yong Chul Choi,Ji Young Lee. HYPERTENSION IS MORE AFFECTED BY FITNESS AND WAIST CIRCUMFERENCE THAN EXERCISE FREQUENCY AND BMI IN MIDDLE AGE. Journal of Men's Health. 2019. 15(4);58-66.

References

1. Zucchetto A, Dal Maso L, Tavani A, et al. History of treated hypertension and diabetes mellitus and risk of renal cell cancer. Ann Oncol 2006;18: 596–600. https://doi.org/10.1093/annonc/mdl438

2. Sowers JR, Epstein M, Frohlich ED. Diabetes, hypertension, and cardiovascular disease: An update. Hypertension 2001;37:1053–9. https://doi. org/10.1161/01.HYP.37.4.1053

3. Hozawa A, Kuriyama S, Kakizaki M, et al. Attributable risk fraction of prehypertension on cardiovascular disease mortality in the Japanese population: the Ohsaki Study. Am J Hypertens 2009;22:267–72. https://doi.org/10.1038/ajh. 2008.335

4. Svetkey LP, Harsha DW, Vollmer WM, et al. Premier: A clinical trial of comprehensive life-style modification for blood pressure control: Rationale, design and baseline characteristics. Ann Epidemiol 2003;13:462–71. https://doi.org/ 10.1016/ S1047-2797(03)00006-1

5. Hayashi T, Tsumura K, Suematsu C, et al. Walking to work and the risk for hypertension in men: The Osaka Health Survey. Ann Intern Med 1999;131:21–6. https://doi.org/10.7326/0003-4819-131-1-199907060-00005

6. Zhao Y, Zhang M, Luo X, et al. Association of

6- year waist circumference gain and incident hypertension. Heart 2017;103:1347–52. https://doi.org/10.1136/heartjnl-2016-310760

7. McAuley PA, Sui X, Church TS, et al. The joint effects of cardiorespiratory fitness and adiposity on mortality risk in men with hypertension. Am J Hypertens 2009;22:1062–9. https://doi.org/ 10.1038/ajh.2009.122

8. Mancia G. Hypertension: Strengths and limita-tions of the JNC 8 hypertension guidelines. Nat Rev Cardiol 2014;11:189. https://doi.org/10.1038/nrcardio.2014.12

9. Arroyo-Johnson C, Mincey KD. Obesity epidemi-ology worldwide. Gastroenterol Clin 2016;45: 571–9. https://doi.org/10.1016/j.gtc. 2016.07.012

 10. Lee Y, Park H, Chun B, et al. Reliability of mea-surements of waist circumference at 3 different site. Korean J Obes 2002;11:123–30.

 11. Park H, Park C, Oh S, et al. Prevalence of obesity and metabolic syndrome in Korean adults. Obes Rev 2008;9:104–7. https://doi.org/10.1111/j.1467-789X. 2007.00421.x

 12. ACSM. American college sports medicine, ACSM’s guidelines for exercise testing and prescription 10th. Philadelphia, PA: Lippincott Williams & Wilkins; 2017.

 13. ACSM. American college sports medicine, ACSM’s guidelines for exercise testing and pre-scription 9th. Philadelphia, PA: Lippincott: Williams & Wilkins; 2013.

 14. Kearney PM, Whelton M, Reynolds K, et al. Global burden of hypertension: Analysis of world-wide data. Lancet 2005;365:217–23. https://doi. org/10.1016/S0140-6736(05)17741-1

 15. Mittal BV, Singh AK. Hypertension in the devel-oping world: Challenges and opportunities. Am J Kidney Dis 2010;55:590–8. https://doi.org/ 10.1053/j.ajkd.2009.06.044

 16. Rankinen T, Church TS, Rice T, et al. Cardiorespiratory fitness, BMI, and risk of hyper-tension: The HYPGENE study. Med Sci Sports Exerc 2007;39:1687. https://doi.org/10.1249/mss. 0b013e31812e527f

 17. Williams PT. Vigorous exercise, fitness and inci-dent hypertension, high cholesterol, and diabetes. Med Sci Sports Exerc 2008;40:998. https://doi. org/10.1249/MSS.0b013e31816722a9

 18. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: The evidence. CMAJ 2006;174:801–9. https://doi.org/10.1503/cmaj. 051351

 19. Pescatello LS, Franklin BA, Fagard R, et al. Exercise and hypertension. Med Sci Sports Exerc 2004;36:533–53. https://doi.org/10.1249/01.MSS. 0000115224.88514.3A

 20. Hua LP, Brown CA, Hains SJ, et al. Effects of low-intensity exercise conditioning on blood pres-sure, heart rate, and autonomic modulation of heart rate in men and women with hypertension. Biol Res Nurs 2009;11:129–43. https://doi.org/ 10.1177/1099800408324853

 21. Swain DP, Franklin BA. Comparison of cardiopro-tective benefits of vigorous versus moderate intensity aerobic exercise. Am J Cardiol 2006;97:141–7. https://doi.org/10.1016/j.amjcard. 2005.07.130

 22. Grundy SM. Metabolic syndrome update. Trends Cardiovasc Med 2016;26:364–73. https://doi.org/ 10.1016/j.tcm.2015.10.004

 23. Sandeep S, Gokulakrishnan K, Velmurugan K, et al. Visceral & subcutaneous abdominal fat in relation to insulin resistance & metabolic syndrome in non-diabetic south Indians. Indian J Med Res 2010;131:629–35.

 24. Smith U. Abdominal obesity: A marker of ectopic fat accumulation. J Clin Investig 2015;125:1790–2. https://doi.org/10.1172/JCI81507

 25. Moon HU, Ha KH, Han SJ, et al. The association of adiponectin and visceral fat with insulin resis-tance and β-cell dysfunction. J Korean Med Sci 2019;34:e7. https://doi.org/10.3346/jkms.2019.34.e7

 26. Barry VW, Baruth M, Beets MW, et al. Fitness vs. fatness on all-cause mortality: A meta-analysis. Prog Cardiovasc Dis 2014;56:382–90. https://doi. org/10.1016/j.pcad.2013.09.002

 27. Lee D-c, Sui X, Church TS, et al. Changes in fit-ness and fatness on the development of cardiovas-cular disease risk factors: Hypertension, metabolic syndrome, and hypercholesterolemia. J Am Coll Cardiol 2012;59:665–72. https://doi.org/10.1016/j. jacc.2011.11.013

 28. Ciolac EG. High-intensity interval training and hypertension: Maximizing the benefits of exer-cise? Am J Cardiovasc Dis 2012;2:102.

 29. Jee SH, Samet JM, Ohrr H, et al. Smoking and cancer risk in Korean men and women. Cancer Causes & Control 2004;15:341–8. https://doi. org/10.1023/B:CACO.0000027481.48153.97

 30. Kim W, Kim S. Women's alcohol use and alcohol-ism in Korea. Subst Use Misuse 2008;43:1078–87. https://doi.org/10.1080/10826080801914212

 31. Savva S, Tornaritis M, Savva M, et al. Waist cir-cumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes 2000;24:1453. https://doi.org/10.1038/sj.ijo. 0801401

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