Relationship of resting heart rate and blood pressure with all-cause and cardiovascular disease mortality

He, Kun; Chen, X.; Shi, Zhijun; Shi, Sheng; Tian, Qingfeng; Hu, Xiaoyun; Song, Rebecca J; Bai, K.; Shi, Weili; Wang, J.; Li, H.; Ding, Jun; Geng, S.; Sheng, X.

doi:10.1016/j.puhe.2022.03.020

Cited by 5 publications

(3 citation statements)

References 44 publications

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“…A study conducted on 67,028 Chinese participants aged≥ 60 years reported a relationship between resting heart rate, blood pressure, and physical activity. A linear relationship was observed between resting heart rate, systolic blood pressure, diastolic blood pressure with physical activity status [44]. A meta-analysis of randomized control trials was performed to estimate the effects of exercise on heart rate variability on overweight and obese individuals and reported significant effect sizes between interventions of different studies [45].…”

Section: Discussionmentioning

confidence: 99%

Level and associated factors with physical activity among Indian public school teachers

Jangra,

Kumar,

Nara

2023

HSR

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Background. Physical inactivity is one of the primary factors that lead to obesity and overweight. It is common problem among the population of those who are in service or work. The reason behind obesity and the lack of physical activity are multifactorial. Purpose. The present study aimed to investigate the physical activity profile of the school teacher and to identify the factors that have a significant influence on the lack of physical activity. Methods. A cross-sectional study was conducted via a self-reported questionnaire among primary to post-graduate grade school teachers. The data was collected based on the standardized short form of the International Physical Activity Questionnaire and the demographic questionnaire including questions about sex, age, body composition, resting metabolic rate, and vital capacity of the participants. Results. The study consisted of hundred school teachers including 58 male teachers and 42 female teachers. The average age of the male respondents was 45.02 years with a standard deviation ± 6.44, and for female respondents was 39.39 years with a standard deviation ± 5.85. The average vigorous physical activity of male teachers was 36.31 minutes/per week, and for female teachers was 5.95 minutes/per week. In moderate physical activity, males were averagely engaged for 20.61 minutes/per week, and females were 6.82 minutes/per week. The average minutes of walking for males was 115 minutes/per week, and for females was 130 minutes per week. A significant reduction in resting heart rate was reported between inactive, minimally active, and active participants. The physical activity levels were not associated with the height, weight, body mass index, resting metabolic rate, and vital capacity of the respondents. Conclusions. As per the World Health Organization recommendations for physical activity 81% of respondents were found inactive, 7% were found minimally active and 12% of respondents were found sufficiently active. The most common form of activity was walking.

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Section: Discussionmentioning

confidence: 99%

Level and associated factors with physical activity among Indian public school teachers

Jangra,

Kumar,

Nara

2023

HSR

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“…E-cigarette vapor includes particles that may enter the circulation and promote inflammation. These particles increase the risk of stroke, myocardial infarction (MI), and other cardiovascular events [ 2 - 3 ]. E-cigarettes also contain nicotine which is the main psychoactive component of e-cigarettes and is known to be a vasoconstrictor that can increase blood pressure and heart rate [ 4 - 5 ].…”

Section: Introductionmentioning

confidence: 99%

Characterization and Summarization of the Impact of Electronic Cigarettes on the Cardiovascular System: A Systematic Review and Meta-Analysis

Ali¹,

Alqaisi²,

Al-Zakhari³

et al. 2023

Cureus

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Electronic cigarettes may increase the risk of long-term cardiovascular morbidity. To protect the heart, awareness should be raised of the risks and limits of E-cigarette aerosol exposure. Thus, this systematic review and meta-analysis assessed the cardiovascular risk of e-smoking. This systematic review was conducted by using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. We searched PubMed, Embase, Scopus, Web of Science, and Science Direct databases in December 2022 to identify studies investigating e-cigarettes' impact on the heart. The study was supported by meta-analysis and qualitative review. Out of the initial 493 papers, only 15 met the inclusion criteria and were included in the study. The cumulative number of participants in the myocardial infarction (MI) group was 85,420, and in the sympathetic groups in whom the systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), and heart rate (HR) were measured, were 332 cigarette smokers. The control group included the “never use,” “non-smokers,” and “never smoke.” The pooled analysis showed a significant difference between the e-cigarette smokers and the control group regarding the risk of developing MI in former smokers (OR= 0.12; 95% CI: 0.01-1.72, P = 0.12) and never smoked (OR= 0.02; 95% CI: 0.00-0.44, P = 0.01) favoring the control group. The pooled analysis of the included studies showed a significant difference between the e-cigarette smokers with nicotine and the control group regarding the mean difference (MD) of the SBP (MD = 2.89; 95% CI: 1.94-3.84; P < 0.001), the DBP (MD = 3.10; 95% CI: 0.42-5.78; P = 0.02), the MBP (MD = 7.05; 95% CI: 2.70-1.40; P = 0.001), and HF (MD = 3.13; 95% CI: 0.96-5.29; P = 0.005) favoring the control group. We conclude that using e-cigarettes has a detrimental effect on cardiac health. The risk of severe cardiac conditions increases with e-cigarettes. Thus, vaping can do more harm than good. Consequently, the misleading notion that e-cigarettes are less harmful should be challenged.

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“… 6 , 7 Some studies have also reported that a high pulse rate (PR) or heart rate is a risk factor for all‐cause death and CVD death. 8 , 9 , 10 Double product (DP), also known as rate‐pressure product, is defined as the product of systolic blood pressure (SBP) and PR and is used as an indirect index of myocardial workload and myocardial oxygen consumption. 11 DP has a circadian rhythm that is aligned with the 24‐hour pattern in the occurrence of pathophysiological events.…”

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confidence: 99%

Prognostic Value of Nighttime Double Product in Nondialysis Chronic Kidney Disease With Hypertension

Jiang,

Li,

Peng

et al. 2023

JAHA

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Background Both nighttime systolic blood pressure and pulse rate are associated with adverse outcomes in patients with chronic kidney disease (CKD). However, nighttime double product (DP), which is the product of nighttime systolic blood pressure and pulse rate, has not yet been investigated in this context. The present study aimed to explore the prognostic value of nighttime DP for adverse outcomes in patients with CKD and hypertension. Methods and Results This retrospective cohort study included a total of 1434 patients with nondialysis CKD complicated by hypertension. The patients were enrolled in Zhuhai and Guangzhou, China, with a median follow‐up of 23.8 months. Patient enrollment for the high or low nighttime DP group was performed on the basis of the cutoff value determined by time‐dependent receiver operator characteristic curve analysis. The primary end point was a composite of major cardiovascular and cerebrovascular events, and the secondary end point was all‐cause death and composite renal end point. The 24‐hour circadian DP rhythm was established via multiple‐component cosinor analysis. Cox regression was used to explore the association between nighttime DP and adverse outcomes. The DP of nondialysis patients with CKD and hypertension showed a diurnal rhythm, which varied with renal function. After adjustment, high nighttime DP was associated with a higher risk for major cardiovascular and cerebrovascular events (hazard ratio [HR], 5.823 [95% CI, 2.382–14.233]), all‐cause death (HR, 4.978 [95% CI, 2.205–11.240]), and composite renal event (HR, 1.661 [95% CI, 1.128–2.447]), compared with low nighttime DP. These associations were independent of nighttime systolic blood pressure and PR. Conclusions The present cohort study demonstrated that DP had diurnal fluctuations and nighttime DP was an important prognostic factor in nondialysis patients with CKD and hypertension, outperforming traditional risk factors, including systolic blood pressure and pulse rate.

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Relationship of resting heart rate and blood pressure with all-cause and cardiovascular disease mortality

Cited by 5 publications

References 44 publications

Level and associated factors with physical activity among Indian public school teachers

Level and associated factors with physical activity among Indian public school teachers

Characterization and Summarization of the Impact of Electronic Cigarettes on the Cardiovascular System: A Systematic Review and Meta-Analysis

Prognostic Value of Nighttime Double Product in Nondialysis Chronic Kidney Disease With Hypertension

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