Association of reproductive history with hypertension and prehypertension in Chinese postmenopausal women: a population-based cross-sectional study

Yang, Qian; Song, Chunhua; Jiang, Jian; Chen, Yi; Liang, Shuying; Ma, Nan; Dong, Kaiyan; Nie, Wei; Wang, Kaijuan

doi:10.1038/hr.2017.86

Cited by 15 publications

(15 citation statements)

References 45 publications

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“…A previous literature review on reproductive risk factors and CVD in postmenopausal females concluded that AAM had no statistically significant association with hypertension [25]. In addition, a recent study among 6,252 Chinese females from Henan Province in central China showed that females with older AAM had a higher risk of hypertension, but the association was not statistically significant [26]. Our study contributed a further evidence that late AAM increased SBP and DBP and the risk of hypertension in Chinese female population.…”

Section: Discussionmentioning

confidence: 99%

Association between Age at Menarche and Hypertension among Females in Southern China: A Cross-Sectional Study

Zhou

Tao

Zhu

et al. 2019

International Journal of Hypertension

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Background Association between age at menarche (AAM) and hypertension remains a controversial topic, and data in China were sparse. Therefore, we aimed to investigate the association between AAM and hypertension in Chinese female population. Methods In this cross-sectional study, 5,102 females aged ≥15 years were enrolled. Self-reported AAM was assessed by the questionnaire. Multiple linear regression analysis was used to evaluate the association between systolic blood pressure (SBP), diastolic blood pressure (DBP), and AAM. Logistic regression analysis was performed to evaluate the association between hypertension and AAM. Generalized additive model (GAM) and smooth curve fitting (penalized spline method) were conducted to explore the exact shape of curve between them. Results The overall mean of AAM was 15.5 years. Each additional year of AAM was associated with a 15% higher risk of hypertension (odds ratio (OR) = 1.15, 95% confidence interval (CI): 1.11–1.19). Among females with hypertension, there was a significant positive association between AAM and SBP (β = 0.88, 95% CI: 0.29–1.46) and DBP (β = 0.80, 95% CI: 0.47–1.13). A significantly higher risk of hypertension was found in younger subjects (15–44 y: OR = 1.37, 95% CI: 1.21–1.55; P for interaction = 0.009) compared with those aged between 62 and 97 y.Conclusions AAM was positively associated with hypertension and blood pressure, especially among females in early adulthood from southern China.

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Section: Discussionmentioning

confidence: 99%

Association between Age at Menarche and Hypertension among Females in Southern China: A Cross-Sectional Study

Zhou

Tao

Zhu

et al. 2019

International Journal of Hypertension

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“…However, it is also controversial given that the risk of CVD is the main basis of determining the strategy for antihypertensive treatment. Several epidemiological studies have investigated the occurrence of adverse events attributable to stage 1 hypertension ( 18 ). Nonetheless, some of the studies limited the age of their study population to above 41 years, a cutoff that was not really representative of the entire population.…”

Section: Discussionmentioning

confidence: 99%

The Association of Stage 1 Hypertension, Defined by the 2017 ACC/AHA Guidelines, With Cardiovascular Events Among Rural Women in Liaoning Province, China

Duan

Jiao

et al. 2021

Front. Cardiovasc. Med.

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Background: The recent American College of Cardiology/American Heart Association (ACC/AHA) guidelines redefined blood pressure levels 130-139/80-89 mmHg as stage 1 hypertension. However, the association of stage 1 hypertension with cardiovascular disease (CVD) and its age-specific differences among the rural women in Liaoning province remains unclear. It needs to be quantified in considering guideline adoption in China.Methods: In total, 19,374 women aged ≥35 years with complete data and no cardiovascular disease at baseline were followed in a rural community-based prospective cohort study of Liaoning province, China. Follow-up for the new cases of CVD was conducted from the end of the baseline survey to the end of the third follow-up survey (January 1, 2008–December 31, 2017). Adjusted Cox proportional hazards models were applied to estimate the Hazard Ratios (HR) and 95% Confidence Intervals (CI) with the normal blood pressure as a reference.Results: During the median follow-up period of 12.5 years, 1,419 subjects suffered all-cause death, 748 developed CVD, 1,224 participants suffered stroke and 241 had Myocardial Infarction (MI). Compared with normal BP, Stage 1 hypertension had a HR (95% CI) of 1.694 (1.202–2.387) in CVD mortality, 1.575 (1.244–1.994) in the incidence of stroke. The results obtained that the risk of CVD mortality and incidence of stroke was significantly associated with stage 1 hypertension in rural women aged ≥45 years after adjusting for other potential factors. However, in participants aged 35–44 years, stage 1 hypertension was not associated with an increased risk of cardiovascular disease.Conclusions: The newly defined stage 1 hypertension is associated with an increased risk of CVD mortality and also incidence of stroke in the rural women aged ≥45 years population of Liaoning province. This study can be a good reference for health policy makers and clinicians workers to make evidence-based decisions toward lowering burden of cardiovascular disease more efficient, timely measures on prevention and control of stage 1 hypertension in China.

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“…Postmenopause is the time after menopause and lasts for more than one third of women"s life. Karita et al, (2008) and Hong and Kim (2017) reported the higher prevalence of dyslipidemia in the postmenopausal women than the premenopausal women. Women"s health problem during postmenopause changes her life style in various ways like physical, emotional, social and financial quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Various studies have reported the beneficial role of soybean consumption in the management of dyslipidemia (Yang et al, 2017), atherosclerosis (Cano et al, 2010) and hypertension (Kou et al, 2017) by using either the soy extracted isoflavones or isolated soy protein.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Black Soybean (Glycine max (L.) Merrill) Flour Intervention on Blood Pressure, Fasting Blood Glucose Level and Lipid Profile of Hypertensive Postmenopausal Women

Dobhal¹,

Raghuvanshi²

2020

Int.J.Curr.Microbiol.App.Sci

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Postmenopausal women have increased risk of developing hypertension, cardiovascular diseases, neurodegenerative disorders, obesity, diabetes mellitus and osteoporosis due to loss of ovarian function and subsequent estrogen deficiency. The aim of present investigation was to assess the effect of black soybean flour intervention on blood pressure, fasting blood glucose, haemoglobin and lipid profile of the postmenopausal women. A study having experimental design with pre and post observations including 46 postmenopausal women of 45-55 years was conducted. The selected women were randomly divided into 2 groups. Experimental group A and B received 50g of raw and germinated black soybean flour per day, respectively, for consecutive 90 days. Information on general characteristics, anthropometric measurements and nutrient intake was collected. Blood pressure was measured and blood was analyzed for haemoglobin, fasting blood glucose and lipid profile parameters twice in the study, once at the beginning and second at the 90 th day of intervention to analyze the effect of black soybean flour intervention on the parameters. The findings of study revealed that subjects of both the experimental groups were found comparable for their consumption of all the nutrients except dietary fibre (p<0.05). The dietary intervention of both raw and germinated black soybean flour to two groups led to non-significant increase in their haemoglobin levels but significant improvement (p<0.05) in their blood pressure and lipid profile parameters (decrease in TC, LDL-C and TG and increase in HDL-C) was recorded. A marked improvement was observed in the fasting blood glucose levels of prediabteic and diabetic subjects of the study. Present investigation proved the beneficial effect of black soybean flour supplementation on fasting blood glucose levels, blood pressure and lipid profile parameters in postmenopausal women. Hence, it is concluded that black soybean have potential use in the management of dyslipidemia and hypertension in menopausal women. There is a need to popularize and commercialize black soybean and its products by improving its processing and designating the product as functional food/nutraceutical.

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Association of reproductive history with hypertension and prehypertension in Chinese postmenopausal women: a population-based cross-sectional study

Cited by 15 publications

References 45 publications

Association between Age at Menarche and Hypertension among Females in Southern China: A Cross-Sectional Study

Association between Age at Menarche and Hypertension among Females in Southern China: A Cross-Sectional Study

The Association of Stage 1 Hypertension, Defined by the 2017 ACC/AHA Guidelines, With Cardiovascular Events Among Rural Women in Liaoning Province, China

Effect of Black Soybean (Glycine max (L.) Merrill) Flour Intervention on Blood Pressure, Fasting Blood Glucose Level and Lipid Profile of Hypertensive Postmenopausal Women

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