Psychosocial Predictors of Hypertension in Men and Women

Levenstein, Susan; Smith, Margot; Kaplan, George A.

doi:10.1001/archinte.161.10.1341

Cited by 174 publications

(142 citation statements)

References 25 publications

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“…Such an observation is in keeping with the well-recognized more 'stressful' lifestyle, increased cardiovascular risk and shorter lifespan of men than women. 36,37 In conclusion, obesity is associated with reduced sleeping hours and long working hours in men among Hong Kong Chinese working population. Further studies are needed to investigate the underlying mechanisms of this relationship and its potential implication on prevention and management of obesity.…”

Section: Discussionmentioning

confidence: 86%

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

et al. 2006

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Objective: To study the inter-relationships between sleeping hours, working hours and obesity in subjects from a working population.Research design: A cross-sectional observation study under the 'Better Health for Better Hong Kong' Campaign, which is a territory-wide health awareness and promotion program. Subjects: 4793 subjects (2353 (49.1%) men and 2440 (50.9%) women). Their mean age (7s.d.) was 42.478.9 years (range 17-83 years, median 43.0 years). Subjects were randomly selected using computer-generated codes in accordance to the distribution of occupational groups in Hong Kong. Results: The mean daily sleeping time was 7.0671.03 h (women vs men: 7.1471.08 h vs 6.9870.96 h, Po0.001). Increasing body mass index (BMI) was associated with reducing number of sleeping hours and increasing number of working hours reaching significance in the whole group as well as among male subjects. Those with short sleeping hour (6 h or less) and long working hours (49 h) had the highest BMI and waist in both men and women. Based on multiple regression analysis with age, smoking, alcohol drinking, systolic and diastolic blood pressure, mean daily sleeping hours and working hours as independent variables, BMI was independently associated with age, systolic and diastolic blood pressure in women, whereas waist was associated with age, smoking and blood pressure. In men, blood pressure, sleeping hours and working hours were independently associated with BMI, whereas waist was independently associated with age, smoking, blood pressure, sleeping hours and working hours in men. Conclusion: Obesity is associated with reduced sleeping hours and long working hours in men among Hong Kong Chinese working population. Further studies are needed to investigate the underlying mechanisms of this relationship and its potential implication on prevention and management of obesity.

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Section: Discussionmentioning

confidence: 86%

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

et al. 2006

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“…Higher BMI, cigarette smoking, parental history of hypertension, lower level of education, higher alcohol use, and higher serum uric acid level are well‐established risk factors for hypertension 24, 25, 26, 27, 28, 29. Most of these risk factors are more common among blacks compared with whites.…”

Section: Discussionmentioning

confidence: 99%

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

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BackgroundBlacks have higher blood pressure levels compared with whites beginning in childhood. Few data are available on racial differences in the incidence of hypertension from young adulthood through middle age.Methods and ResultsWe calculated the cumulative incidence of hypertension from age 18 to 55 years among participants in the CARDIA (Coronary Artery Risk Development in Young Adults) study. Incident hypertension was defined by the first visit with mean systolic blood pressure ≥130 mm Hg, mean diastolic blood pressure ≥80 mm Hg, or self‐reported use of antihypertensive medication. Among 3890 participants without hypertension at baseline (aged 18–30 years), cumulative incidence of hypertension by age 55 years was 75.5%, 75.7%, 54.5%, and 40.0% in black men, black women, white men, and white women, respectively. Among participants with systolic blood pressure/diastolic blood pressure <110 and 70, 110 to 119/70 to 74, and 120 to 129/75 to 79 mm Hg at baseline, blacks were more likely than whites to develop hypertension: multivariable‐adjusted hazard ratios 1.97 (95% confidence interval, 1.65, 2.35), 1.80 (95% confidence interval, 1.52, 2.14), and 1.59 (95% confidence interval, 1.31, 1.93), respectively. Parental history of hypertension and higher body mass index, serum uric acid, and systolic blood pressure/diastolic blood pressure categories were associated with a higher risk for hypertension among blacks and whites. A higher Dietary Approaches to Stop Hypertension diet adherence score was associated with a lower risk for hypertension in blacks and whites.ConclusionsRegardless of blood pressure level in young adulthood, blacks have a substantially higher risk for hypertension compared with whites through 55 years of age.

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“…Because both hypertension [28,29] and elevated depressive symptoms [45,46] are independent risk factors for CHD, an exercise intervention that reduces blood pressure and depression may be especially beneficial among hypertensive patients, a group at elevated risk for the development of CHD.…”

Section: Discussionmentioning

confidence: 99%

“…Several previous studies have shown that depression and hypertension may often exist comorbidly [28,29] and that depression may be a risk factor for the development of coronary heart disease (CHD) [30,31]. Given the increased risk of CHD among individuals with depression, interventions that reduce depressive symptoms among patients with hypertension may be especially important given the increased risk of CHD in this population.…”

Section: Introductionmentioning

confidence: 99%

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

Smith

Blumenthal

Babyak

et al. 2007

Journal of Psychosomatic Research

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Objective-To investigate changes in depressive symptoms in hypertensive individuals participating in an exercise and weight loss intervention.Methods-133 sedentary men and women with high blood pressure (130-180 mmHg SBP and/or 85-110 mmHg DBP) who participated in a 6 month intervention consisting of three groups: aerobic exercise, aerobic exercise and weight loss, and a waiting list control.Results-Participants in both treatment groups demonstrated significant improvements in aerobic capacity and lower BP compared with participants in the control group. Participants in the active treatment groups who had mild to moderate depressive symptoms at baseline also exhibited greater reductions in depressive symptoms compared to participants in the control group. Conclusion: Results from the present study suggest that an exercise, alone or combined with weight management, may reduce self-reported depressive symptoms among patients with hypertension.

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Psychosocial Predictors of Hypertension in Men and Women

Cited by 174 publications

References 25 publications

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Effects of exercise and weight loss on depressive symptoms among men and women with hypertension

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