Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study

Fukunaga, Ami; Inoue, Yosuke; Chandraratne, Nadeeka; Yamaguchi, Miwa; Kuwahara, Keisuke; Indrawansa, Susantha; Gunawardena, Nalika; Mizoue, Tetsuya; Samarasinghe, Diyanath

doi:10.1371/journal.pone.0226773

Cited by 16 publications

(12 citation statements)

References 19 publications

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“…The risk of hypertension and level of blood pressure increased with the unhealthful lifestyle. A Sri Lankan study found an inverse relationship between a healthy lifestyle index (low BMI, inadequate physical activity, non-smoking, low alcohol intake, and adequate intake of fruits and vegetables) and hypertension (38). In addition, a study in the middle-aged and older Australian population has indicated that the higher the number of risk lifestyle factors, the greater the OR for hypertension (39).…”

Section: Discussionmentioning

confidence: 99%

Lifestyle Score and Genetic Factors With Hypertension and Blood Pressure Among Adults in Rural China

Niu

Zhang

Wang

et al. 2021

Front. Public Health

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Background: Although high genetic risk and unhealthful lifestyles are associated with a high risk of hypertension, but the combined relationship between lifestyle score and genetic factors on blood pressure remains limited, especially in resource-constrained areas.Aim: To explore the separate and joint effects between genetic and lifestyle factors on blood pressure and hypertension in rural areas.Methods: In 4,592 adults from rural China with a 3-year of follow-up, a genetic risk score (GRS) was established using 13 single nucleotide polymorphisms (SNPs) and the lifestyle score was calculated including factors diet, body mass index (BMI), smoking status, drinking status, and physical activity. The associations of genetic and lifestyle factors with blood pressure and hypertension were determined with generalized linear and logistic regression models, respectively.Results: The high-risk GRS was found to be associated with evaluated blood pressure and hypertension and the healthful lifestyle with diastolic blood pressure (DBP) level. Individuals with unhealthful lifestyles in the high GRS risk group had an odds ratio (OR) (95% CI) of 1.904 (1.006, 3.603) for hypertension than those with a healthful lifestyle in the low GRS risk group. Besides, the relative risk (RR), attributable risk (AR), and population attributable risk (PAR) for unhealthful lifestyle are 1.39, 5.87, 0.04%, respectively, and the prevented fraction for the population (PFP) for healthful lifestyle is 9.47%.Conclusion: These results propose a joint effect between genetic and lifestyle factors on blood pressure and hypertension. The findings provide support for adherence to a healthful lifestyle in hypertension precision prevention.Clinical Trial Registration: The Henan Rural Cohort Study has been registered at the Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). http://www.chictr.org.cn/showproj.aspx?proj=11375.

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Section: Discussionmentioning

confidence: 99%

Lifestyle Score and Genetic Factors With Hypertension and Blood Pressure Among Adults in Rural China

Niu

Zhang

Wang

et al. 2021

Front. Public Health

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“…DM was defined as fasting plasma glucose of ≥7.0 mmol/L and/or self-reported history of hypoglycemic drug use [ 20 ]. The healthy lifestyle index was defined as the composition of five modifiable lifestyle factors, including BMI, physical activity, smoking status, drinking status, and fruit and vegetable consumption [ 21 ]. Regular exercise was defined as ≥150 minutes/week of moderate-intensity physical activity or ≥75 minutes of vigorous-intensity physical activity [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Positive Association between Triglyceride-Rich Lipoprotein Cholesterol and Diabetes Mellitus in Hypertensive Patients

Zhou

Zhu

et al. 2021

International Journal of Endocrinology

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Background. The association between triglyceride-rich lipoprotein cholesterol (TRL-C) and diabetes mellitus (DM) remains unclear because of limited research and data. The aim of this study was to explore the independent association between TRL-C and DM in hypertensive patients and to examine whether a healthy lifestyle would have an impact on this relationship. Methods. In this study, data from 13,721 hypertensive patients who were not treated with lipid-lowering drugs were analyzed. TRL-C was calculated from total cholesterol (TC) minus [LDL cholesterol + HDL cholesterol]. DM was defined as fasting plasma glucose of ≥7.0 mmol/L and/or self-reported history of hypoglycemic drug use. Results. After adjusting for potential confounding factors, the TRL-C was significantly positively associated with elevated DM (odds ratio (OR): 1.73 and 95% confidence interval (CI): 1.54–1.94). In subgroup analysis, a healthy lifestyle (HL) failed to modify the positive association between TRL-C and DM (HL: OR 1.93, 95%CI 1.58–2.36; non-HL: OR 1.72, 95%CI 1.50–1.98; P for interaction = 0.38). Conclusion. The results showed a positive association between TRL-C and DM in hypertensive patients. A healthy lifestyle failed to diminish the relationship between TRL-C and DM. The novel findings indicate that TRL-C might be a reliable marker of DM and may provide a new strategy for the prevention and treatment of DM.

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“…Lifestyle factors (Quality of life). We were interested in measuring the impact of different lifestyle factors as a composite score that comprised multiple factors [19,20]. For these questions, face and content validity were calculated among the research group and three rounds of evaluation were performed per question by consensus.…”

Section: Escan-covid19mx Surveymentioning

confidence: 99%

Perceived Diet Quality, Eating Behaviour, and Lifestyle Changes in a Mexican Population with Internet Access during Confinement for the COVID-19 Pandemic: ESCAN-COVID19Mx Survey

et al. 2021

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Perceived changes in diet quality, emotional eating, physical activity, and lifestyle were evaluated in a group of Mexican adults before and during COVID-19 confinement. In this study, 8289 adults answered an online questionnaire between April and May 2020. Data about sociodemographic characteristics, self-reported weight and height, diet quality, emotional eating, physical activity, and lifestyle changes were collected. Before and after confinement, differences by sociodemographic characteristics were assessed with Wilcoxon, Anova, and linear regression analyses. Most participants were women (80%) between 18 and 38 years old (70%), with a low degree of marginalisation (82.8%) and a high educational level (84.2%); 53.1% had a normal weight and 31.4% were overweight. Half (46.8%) of the participants perceived a change in the quality of their diet. The Diet Quality Index (DQI) was higher during confinement (it improved by 3 points) in all groups, regardless of education level, marginalisation level, or place of residence (p < 0.001). Lifestyle changes were present among some of the participants, 6.1% stopped smoking, 12.1% stopped consuming alcohol, 53.3% sleep later, 9% became more sedentary, and increased their screen (43%) as well as sitting and lying down time (81.6%). Mexicans with Internet access staying at home during COVID-19 confinement perceived positive changes in the quality of their diet, smoking, and alcohol consumption, but negative changes in the level of physical activity and sleep quality. These results emphasise the relevance of encouraging healthy lifestyle behaviours during and after times of crisis to prevent the risk of complications due to infectious and chronic diseases.

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Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study

Cited by 16 publications

References 19 publications

Lifestyle Score and Genetic Factors With Hypertension and Blood Pressure Among Adults in Rural China

Lifestyle Score and Genetic Factors With Hypertension and Blood Pressure Among Adults in Rural China

Positive Association between Triglyceride-Rich Lipoprotein Cholesterol and Diabetes Mellitus in Hypertensive Patients

Perceived Diet Quality, Eating Behaviour, and Lifestyle Changes in a Mexican Population with Internet Access during Confinement for the COVID-19 Pandemic: ESCAN-COVID19Mx Survey

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