Background: The prevalence of diverticulosis has increased in our aging population, but the risk factors for diverticulosis are not fully understood. The role of hypertension in the risk of diverticulosis remains uncertain. This study investigated whether hypertension is associated with asymptomatic colorectal diverticulosis. Methods: This study enrolled asymptomatic patients who received a colonoscopy as part of a health check. Hypertension was defined by actual measured blood pressure. Logistic regression models were used to examine the relationship between hypertension and diverticulosis. In addition, we established three logistic regression models for covariate adjustment, and further stratified patients with hypertension into three subgroups based on their type of hypertension. Results: The study group consisted of 2748 participants, including 141 participants with diverticulosis and 2607 participants without diverticulosis. After adjustments for potential covariates, the odds ratio (OR) for having diverticulosis was 1.83 (95% confidence interval, 1.21–2.75, p = 0.004) in the hypertension group compared with the group without hypertension. In subgroup analyses, hypertension without antihypertensive medication use, and hypertension despite the use of antihypertensive medication were also significantly associated with the occurrence of asymptomatic diverticulosis (OR = 1.73, p = 0.028; OR = 2.07, p = 0.013, respectively). Current normal blood pressure under antihypertensive drug therapy was not associated with diverticulosis (OR = 1.74, p = 0.092). Conclusions: Our findings suggest a positive association between hypertension and diverticulosis. Participants with poorly controlled blood pressure were found to have a higher risk of asymptomatic diverticulosis. Our study presents epidemiologic evidence for future prevention strategies against diverticulosis.
To improve CVH, epidemiological evidence suggests that it is more important to emphasize health promotion than disease treatment. As a result, the concept of ideal CVH has been defined by researchers in populations that meet the criteria outlined by the AHA "Life's Simple 7." 3 These optimal metrics included 4 ideal health behaviors and 3 ideal health measures. Previous studies have revealed that ideal levels of the above metrics are related to a decreased incidence of stroke 4 and atrial fibrillation, 5 as well as preserved cardiac structure and function. 6 Moreover, participants with a greater number of ideal INTRODUCTION Approximately 17.9 million people died of cardiovascular disease (CVD) in 2015. 1 A statistical report from the American Heart Association (AHA) indicated that more than 40% of the adult population in the United States is expected to have CVD by 2030. Moreover, the annual total costs incurred by CVD are projected to approach US $1 trillion by 2030. 2 Therefore, much progress has recently been made in decreasing the costs of this disease. The AHA 2020 Impact Goals are to improve cardiovascular health (CVH) by 20% and to reduce total CVD and stroke deaths by 20%. 3
Objective The role of ideal cardiovascular health (CVH) metrics in developing hearing loss remains uncertain. Thus, our objective was to analyse the connection between hearing loss and ideal CVH metrics in a 10‐year retrospective cohort. Study Design Retrospective cohort study. Setting A health management centre in Taiwan. Participants Participants who underwent the first annual health check‐up between 2000 and 2006 and with a follow‐up check‐up more than ten years later. Main outcome measures Hearing thresholds were measured at 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz. Individuals with a best ear pure‐tone audiometry four‐frequency average of >25 dB HL were defined as having hearing loss. The ideal CVH metrics were classified into 7 categories based on the American Heart Association's definition. The associations of hearing loss with the sum of the ideal CVH metrics and each ideal CVH metric were examined by multiple logistic regression analysis. Results The present study consisted of 6974 participants. The 10‐year follow‐up showed that the odds ratio (OR) of hearing loss was .74 for participants with 5–7 ideal CVH metrics (95% CI, .59–.93, p = .01) compared with those with 0–2 ideal CVH metrics. Among the CVH metrics, participants with an ideal smoking status might have reduced odds of developing hearing loss; the OR was .72 (95% CI, .58–.89, p = .003). Conclusions Participants with an increased number of ideal CVH metrics and better performance on the smoking metric had a significantly protective effect regarding hearing loss development.
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