Neck Circumference and Hypertension in Middle-Aged and Older Adults: Baseline Phase Findings of the Ardakan Cohort Study on Aging, Iran.

IF 1.7 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
International Journal of Hypertension Pub Date : 2025-07-22 eCollection Date: 2025-01-01 DOI:10.1155/ijhy/6731847
Mohammad Saatchi, Shadi Naderyan Fe'li, Asma Pourhoseingholi, Mehran Saberian, Mohammad Bidkhori
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Abstract

Background: Neck circumference (NC) is a measure to identify upper-body adiposity and has been hypothesized to be linked with hypertension (HTN). This study endeavors to examine the association between NC and HTN among middle-aged and elderly Iranian adults. Methods: In this cross-sectional study, adults over 50 years of age were recruited through a stratified random sampling approach. Anthropometric measurements, blood biochemical indicators, blood pressure (BP) readings, and evaluations of physical activity (PA) levels were conducted. Results: In the univariable regression analyses, age, NC, body mass index, waist and hip circumference, waist-to-hip ratio, total cholesterol, presence of diabetes, PA levels, LDL-C, and HDL-C were found to be associated with HTN in both genders (p < 0.2). Notably, triglyceride levels showed a significant association solely among females. Subsequent multivariable regression analyses revealed an association between NC and HTN in both male and female participants (adjusted OR = 1.04 (95% CI: 1.008, 1.08) and 1.06 (95% CI: 1.01, 1.10), respectively). Conclusion: Individuals with higher NC demonstrated an increased likelihood of developing HTN. The strength of this association appeared to be slightly more pronounced in women. Consequently, individuals with larger NC measurements should undergo regular monitoring of BP levels to mitigate potential HTN risks.

Abstract Image

中老年人的颈围和高血压:伊朗阿达坎衰老队列研究的基线期发现
背景:颈围(NC)是识别上半身肥胖的一项指标,并被假设与高血压(HTN)有关。本研究旨在探讨伊朗中老年成人NC与HTN之间的关系。方法:在横断面研究中,采用分层随机抽样方法招募50岁以上的成年人。进行了人体测量、血液生化指标、血压(BP)读数和身体活动(PA)水平评估。结果:在单变量回归分析中,年龄、NC、体重指数、腰臀围、腰臀比、总胆固醇、是否患有糖尿病、PA水平、LDL-C和HDL-C与男女的HTN相关(p < 0.2)。值得注意的是,甘油三酯水平仅在女性中显示出显著的关联。随后的多变量回归分析显示,男性和女性参与者的NC和HTN之间存在关联(调整后的OR分别为1.04 (95% CI: 1.008, 1.08)和1.06 (95% CI: 1.01, 1.10)。结论:NC较高的个体发生HTN的可能性增加。这种关联的强度在女性身上似乎更为明显。因此,NC测量值较大的个体应定期监测血压水平,以减轻潜在的HTN风险。
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来源期刊
International Journal of Hypertension
International Journal of Hypertension Medicine-Internal Medicine
CiteScore
4.00
自引率
5.30%
发文量
45
期刊介绍: International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.
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