Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study
ObjectivesThis study aims to investigate the association between cardiovascular fitness, body composition (particularly abdominal obesity), and hypertension in middle-aged adults, considering the influence of factors such as age, gender, smoking status and alcohol status.MethodsA cross-sectional stu...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-08-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1582936/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849405585863213056 |
|---|---|
| author | Junga Lee Jisuk Chae Mihee Kim Soo Young Jung Seung Don Yoo Si-Hyuck Kang Kyesan Lee Jung-Hyun Kim |
| author_facet | Junga Lee Jisuk Chae Mihee Kim Soo Young Jung Seung Don Yoo Si-Hyuck Kang Kyesan Lee Jung-Hyun Kim |
| author_sort | Junga Lee |
| collection | DOAJ |
| description | ObjectivesThis study aims to investigate the association between cardiovascular fitness, body composition (particularly abdominal obesity), and hypertension in middle-aged adults, considering the influence of factors such as age, gender, smoking status and alcohol status.MethodsA cross-sectional study was conducted among 60 healthy adults (mean aged 54.23 ± 7.34) recruited. Participants underwent assessments of anthropometry, body composition, blood pressure, and physical fitness. The primary outcome was the prevalence of hypertension. Secondary outcomes included body composition measures (body fat mass, body lean mass and waist circumference), and physical fitness assessments [grip strength, sit-ups, sit-and-reach test, and Young Men's Christian Association step (YMCA) test]. Participants with hypertension had significantly higher body fat mass and waist circumference compared to those without hypertension.ResultsThe risk of hypertension was significantly increased by 16.8% with a 1 kg increase in body fat and by 14.0% with a 1 cm increase in waist circumference. The risk of hypertension was significantly increased in the group with hypertension accompanied by abdominal obesity as cardiovascular fitness, measured by the YMCA step test, decreased (Adjusted OR: 0.339, 95% CI: 0.170–0.679).ConclusionThese findings highlight the significant association between abdominal obesity, reduced cardiovascular fitness, and hypertension in middle-aged Korean adults. Abdominal obesity and low cardiovascular fitness were identified as independent risk factors for hypertension in this population. These results suggest that weight management to reduce abdominal obesity and regular physical activity to promote cardiovascular fitness are key to the prevention and management of hypertension. |
| format | Article |
| id | doaj-art-29234b5ed484480f8a0c0025d7312113 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-29234b5ed484480f8a0c0025d73121132025-08-20T03:36:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-08-011210.3389/fcvm.2025.15829361582936Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional studyJunga Lee0Jisuk Chae1Mihee Kim2Soo Young Jung3Seung Don Yoo4Si-Hyuck Kang5Kyesan Lee6Jung-Hyun Kim7Graduate School of Sport Science, Kyung Hee University, Yongin-si, Republic of KoreaGraduate School of Sport Science, Kyung Hee University, Yongin-si, Republic of KoreaGraduate School of Sport Science, Kyung Hee University, Yongin-si, Republic of KoreaGraduate School of Sport Science, Kyung Hee University, Yongin-si, Republic of KoreaDepartment of Rehabilitation Medicine, Kyung Hee University College of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Republic of KoreaDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-Si, Republic of KoreaDepartment of Electric, School of Electronics and Information, Kyung Hee University, Yongin-si, Republic of KoreaDepartment of Sports Medicine, Kyung Hee University, Yongin-si, Republic of KoreaObjectivesThis study aims to investigate the association between cardiovascular fitness, body composition (particularly abdominal obesity), and hypertension in middle-aged adults, considering the influence of factors such as age, gender, smoking status and alcohol status.MethodsA cross-sectional study was conducted among 60 healthy adults (mean aged 54.23 ± 7.34) recruited. Participants underwent assessments of anthropometry, body composition, blood pressure, and physical fitness. The primary outcome was the prevalence of hypertension. Secondary outcomes included body composition measures (body fat mass, body lean mass and waist circumference), and physical fitness assessments [grip strength, sit-ups, sit-and-reach test, and Young Men's Christian Association step (YMCA) test]. Participants with hypertension had significantly higher body fat mass and waist circumference compared to those without hypertension.ResultsThe risk of hypertension was significantly increased by 16.8% with a 1 kg increase in body fat and by 14.0% with a 1 cm increase in waist circumference. The risk of hypertension was significantly increased in the group with hypertension accompanied by abdominal obesity as cardiovascular fitness, measured by the YMCA step test, decreased (Adjusted OR: 0.339, 95% CI: 0.170–0.679).ConclusionThese findings highlight the significant association between abdominal obesity, reduced cardiovascular fitness, and hypertension in middle-aged Korean adults. Abdominal obesity and low cardiovascular fitness were identified as independent risk factors for hypertension in this population. These results suggest that weight management to reduce abdominal obesity and regular physical activity to promote cardiovascular fitness are key to the prevention and management of hypertension.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1582936/fullhypertensionabdominal obesitybody compositioncardiovascular fitnessmiddle-aged adultsweight loss |
| spellingShingle | Junga Lee Jisuk Chae Mihee Kim Soo Young Jung Seung Don Yoo Si-Hyuck Kang Kyesan Lee Jung-Hyun Kim Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study Frontiers in Cardiovascular Medicine hypertension abdominal obesity body composition cardiovascular fitness middle-aged adults weight loss |
| title | Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study |
| title_full | Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study |
| title_fullStr | Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study |
| title_full_unstemmed | Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study |
| title_short | Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study |
| title_sort | association of body composition and cardiovascular fitness with hypertension in a middle aged adults a cross sectional study |
| topic | hypertension abdominal obesity body composition cardiovascular fitness middle-aged adults weight loss |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1582936/full |
| work_keys_str_mv | AT jungalee associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT jisukchae associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT miheekim associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT sooyoungjung associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT seungdonyoo associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT sihyuckkang associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT kyesanlee associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy AT junghyunkim associationofbodycompositionandcardiovascularfitnesswithhypertensioninamiddleagedadultsacrosssectionalstudy |