Physical Activity and Ethnic Differences in Hypertension Prevalence in the United States

Bassett, David R.; Fitzhugh, Eugene C.; Crespo, Carlos; King, George A.; McLaughlin, James E.

doi:10.1006/pmed.2001.0969

Cited by 82 publications

(71 citation statements)

References 27 publications

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“…Prospective studies using clinically measured BP have demonstrated that physical activity reduces the risk of hypertension [29,30]. Our findings are consistent with a recent cross-sectional study in young adults (25-45 years) from Israel [31], which reported a positive association between physical activity levels and hypertension in men and a non-significant inverse association in women.…”

Section: Discussionsupporting

confidence: 92%

Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults

et al. 2005

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Aims/hypothesis: We analysed a sample of Australian adults to determine the strength of associations of TV viewing and participation in physical activity with the metabolic syndrome. Methods: This population-based cross-sectional study included 6,241 adults aged ≥35 years who were free from diagnosed diabetes mellitus and selfreported ischaemic disease and were not taking lipid-lowering or antihypertensive drugs. The metabolic syndrome was defined according to the 1999 World Health Organization criteria. Participants self-reported TV viewing time and physical activity time for the previous week. Results: The adjusted odds ratio of having the metabolic syndrome was 2.07 (95% CI 1.49-2.88) in women and 1.48 (95% CI 0.95-2.31) in men who watched TV for >14 h per week compared with those who watched ≤7.0 h per week. Compared with those who were less active (<2.5 h per week), the odds ratio for the metabolic syndrome was 0.72 (95% CI 0.58-0.90) in men and 0.53 (95% CI 0.38-0.74) in women who were active (≥2.5 h per week). Longer TV viewing (>14 h per week) was associated with an increased risk of insulin resistance, obesity and dyslipidaemia in both men and women. A total physical activity time of ≥2.5 h per week was associated with a reduced prevalence of both insulin resistance and dyslipidaemia in both sexes and reduced prevalence of both obesity and hypertension in women. Conclusions/ interpretation: Increased TV viewing time was associated with an increased prevalence of the metabolic syndrome, while physical activity was associated with a reduced prevalence. Population strategies addressing the metabolic syndrome should focus on reducing sedentary behaviours such as TV viewing, as well as increasing physical activity.

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Section: Discussionsupporting

confidence: 92%

Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults

et al. 2005

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“…Prevalence of hypertension was significantly more in people who lead a sedentary life style in the study of 13,15,2,30,[33][34][35] . Similar results have been shown in different ethnic groups 36,37 .…”

Section: Occupationsupporting

confidence: 90%

Prevalence and Covariates of Undiagnosed Hypertension in the Adult Population of Puducherry, South India

Bharati

Nandi

Yamuna

et al. 2012

Nepal J Epidemiology

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“…This categorization allows for comparison between the extremes of activity levels, and most surveys have reported higher rates of elevated BP and/or CV mortality in sedentary vs active individuals. [29][30][31][32][33][34] A few surveys found no difference in CV risk between levels of activity. [35][36][37] Some quantita- Dummy variables for site were not significant and were omitted from the final models.…”

Section: Discussionmentioning

confidence: 99%

Relationship between blood pressure and physical activity assessed with stable isotopes

et al. 2004

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Intrapopulation and interpopulation variation in blood pressure (BP) often reflects the joint effect of a complex set of risk factors, including lifestyle factors such as physical activity, diet, smoking and alcohol use. In this study, we set out to quantify the impact of habitual levels of physical activity on BP within and between three populations at contrasting levels of population risk of hypertension. Individuals were randomly sampled from communities in Nigeria (n ¼ 57), Jamaica (from Kingston, n ¼ 35) and the United States (from the Chicago area, n ¼ 32). Activity energy expenditure (AEE) (estimated from resting energy expenditure measured by indirect calorimetry and total expenditure measured with doubly labelled water) was used as an objective estimate of physical activity. In each of the three samples, there was a consistent negative correlation between BP and AEE. This negative association persisted after adjustment for age, sex and body fat (body mass index or percent fat mass). In multivariate models, adiposity was no longer a significant predictor of BP after accounting for low AEE. In conclusion these data suggest that habitual levels of physical activity may have a generalizable relationship with BP in populations with widely different social and environmental characteristics.

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Physical Activity and Ethnic Differences in Hypertension Prevalence in the United States

Cited by 82 publications

References 27 publications

Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults

Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults

Prevalence and Covariates of Undiagnosed Hypertension in the Adult Population of Puducherry, South India

Relationship between blood pressure and physical activity assessed with stable isotopes

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