Associations among vitamin D, tobacco smoke, and hypertension: A cross-sectional study of the NHANES 2001–2016

Wu, Zuxiang; Wu, YingXing; Rao, Jingan; Hu, Huan; Wang, Chenxi; Wu, Ji; Shi, Yumeng; Fu, Yang; Cheng, Xiaoshu; Li, Ping

doi:10.1038/s41440-022-01023-x

Cited by 18 publications

(12 citation statements)

References 44 publications

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“…Those data indicated that medical staff should pay special attention to male retirement person and professional technical personnel aged 40-80 years old and take necessary measures to decrease the probability of hypertension and reduce the harm caused by hypertension. Especially, many evidences demonstrated that smoking could enhance or result in hypertension directly or indirectly to threaten human health [10,11,12], but our data demonstrated that there is no correlation between smoking and hypertension (P>0.05), this may be because the number of participants in the survey was small, the specific reasons need the further research. Subsequently, we analyzed the correlation between risk factors and hypertension found that hyperlipidemia, diabetes mellitus, ischemic stroke was highly correlated to the hypertension in North Henan Province, which is consistent with the results reported in many literature reports, this indicates that the occurrence of hypertension in northern Henan Province is consistent with the big data from "Clinical Practice Guidelines for Hypertension in China", and relevant measures could be taken to reduce the incidence of hypertension.…”

Section: Provincecontrasting

confidence: 59%

The epidemiological investigation of hypertension in northern Henan Province

Xing

Yang²

2023

Preprint

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Background/purpose: To understand the epidemiological status and risk factors of hypertension in northern Henan province, aim to provide a basis for the prevention, diagnosis, and treatment of hypertension in northern Henan Province. Methods: To collect the clinical data in Xinxiang Central Hospital from 2019-2021, those data were classified and analyzed according to the basic information of investigation subjects including gender, ethnicity, age, smoking, marital status, occupation, education, and potential risk factors including hyperlipidemia, diabetes mellitus, ischemic stroke, coronary heart disease, angina pectoris, myocardial infarction, heart failure, peripheral artery disease, chronic renal insufficiency, gastrointestinal ulcers, chronic obstructive pulmonary disease, cerebral hemorrhage. Results: A total of 770 clinical data of investigation subjects were collected, there are 621 males and 149 females, accounting for 80.65% and 19.35%, respectively; age range of investigation subjects was 20-97 years old; there were 248 males with hypertension, accounting for 32.21% in the total population, and there were 92 females with hypertension, accounting for 27.06% in the total population; there were 329 people with a history of smoking, and 346 people were never smoking, accounting for 49.10% and 51.64% in the total investigation population, respectively; in this investigation, the proportion of married people is the highest (638/670, 95.22%); the main occupational population was peasant farmer (353/670, 52.69%), followed by (164/670, 24.48%); the number of people with middle school/vocational school education was the highest(338/670, 50.45%), followed by primary school education (249/670, 37.16%). the results of statistical analysis demonstrated that the incidence of hypertension is related to gender (P<0.01), hyperlipidemia (P<0.05), diabetes mellitus (P<0.001) and ischemic stroke (P<0.001), and had no relation to smoking, family history of coronary heart disease, family history of angina pectoris, history of heart failure, history of coronary intervention, history of peripheral arterial disease, chronic renal insufficiency, history of peptic ulcer disease, history of Chronic obstructive pulmonary disease and history of cerebral hemorrhage (P>0.05). Conclusion: There is a certain regional specificity in the epidemiology of hypertension in the northern Henan Province, and the incidence of hypertension was related to gender, age, occupation, hyperlipidemia, diabetes mellitus and ischemic stroke, those evidences may provide clinical significance for the prevention, diagnosis, and treatment of hypertension in northern Henan province.

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Section: Provincecontrasting

confidence: 59%

The epidemiological investigation of hypertension in northern Henan Province

Xing

Yang²

2023

Preprint

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“…The EHES is a complex sociomedical survey involving questionnaire data collection, blood sampling, and other anthropometric measurements. It follows the general methodology of EHES studies in Europe [ 49 ] but also has specific national parameters and data collection methodology [ 50 ]. It was coordinated by the National Institute of Public Health under Project PDP1/NT2311/13.05.2020, funded by the EEA Financial Mechanism 2014–2021, and implemented with the title “Strengthening the national network of primary health care providers to improve the health status of the population, children and adults (including vulnerable population)”.…”

Section: Methodsmentioning

confidence: 99%

“…Most countries have national screening programs for measuring vitamin D levels in the general population or selected risk groups [ 1 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ].…”

Section: Introductionmentioning

confidence: 99%

Vitamin D Status in the Adult Population of Romania—Results of the European Health Examination Survey

Brîndușe,

Eclemea,

Neculau

et al. 2024

Nutrients

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Background: Vitamin D deficiency is recognized as a general health condition globally and is acknowledged as a public health concern in Europe. In Romania, a national program of examination of the status of vitamin D for high-risk groups has demonstrated a vitamin D deficiency prevalence of 39.83%. No national data on the status of vitamin D in the general adult population are available to date. Methods: We used the framework of the European Health Examination Survey to analyze vitamin D levels in a sample population of adults aged 25–64 years, from 120 family doctors’ patients lists, by using a sequential sampling method. Data were weighted to the Romanian population. Vitamin D deficiency was defined as 25(OH)D < 20 ng/mL. Results: In total, 5380 adults aged 25–64 years were included in this study. The overall prevalence of vitamin D deficiency is 24.8%. Predictors of vitamin D deficiency were found to be obesity, female sex, living in rural areas, lower education level, and lower socioeconomic status. Conclusions: Specific recommendations for vitamin D screening and supplementation should be issued for women by specialist boards. Further studies are needed to identify seasonal variation and to establish a correlation with nutritional surveys.

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“…The risk of hypertension in obese adolescents is four times higher than that in Italian adolescents of normal weight (20) . The National Health and Nutrition Examination Survey demonstrated that exposure to tobacco smoke was associated with hypertension in the USA (21) . Table 1 displays the categories of socio-demographic variables.…”

Section: Covariatesmentioning

confidence: 99%

Association of consumption of sugar-sweetened beverages with elevated blood pressure among college students in Yunnan Province, China

Xu,

Zhao,

Tan

et al. 2024

Public Health Nutr.

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Objective: Although some studies have examined the association between eating behaviour and elevated blood pressure (EBP) in adolescents, current data on the association between sugar-sweetened beverages (SSB) and EBP in adolescents in Yunnan Province, China are lacking. Setting: Cluster sampling was used to survey freshmen at a college in Kunming, Yunnan Province, from November to December. Data on SSB consumption were collected using a food frequency questionnaire measuring height, weight, and blood pressure. A Logistic regression model was used to analyse the association between SSB consumption and EBP, encompassing prehypertension and hypertension with sex-specific analyses. Participants: The analysis included 4,781 college students. Results: Elevated systolic blood pressure (SBP) and diastolic blood pressure (DBP) were detected in 35.10% (1678/4781) and 39.34% (1881/4781) of patients, respectively. After adjusting for confounding variables, tea beverage consumption was associated with elevated SBP (odds ratio (OR) = 1.24, 95% confidence interval (CI): 1.03–1.49, P = 0.024), carbonated beverage (OR = 1.23, 95% CI: 1.04–1.45, P = 0.019) and milk beverage (OR = 0.81, 95% CI: 0.69–0.95, P = 0.010) consumption was associated with elevated DBP in college students. Moreover, fruit beverage (OR = 1.32, 95% CI: 1.00–1.75, P = 0.048) and milk beverage consumption (OR = 0.69, 95% CI: 0.52–0.93, P = 0.014) was associated with elevated DBP in males. Conclusion: Our findings indicated that fruit and milk beverage consumption was associated with elevated DBP in males, and no association was observed with EBP in females.

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Associations among vitamin D, tobacco smoke, and hypertension: A cross-sectional study of the NHANES 2001–2016

Cited by 18 publications

References 44 publications

The epidemiological investigation of hypertension in northern Henan Province

The epidemiological investigation of hypertension in northern Henan Province

Vitamin D Status in the Adult Population of Romania—Results of the European Health Examination Survey

Association of consumption of sugar-sweetened beverages with elevated blood pressure among college students in Yunnan Province, China

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