Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China
ObjectiveThis study aimed to examine the association between lifestyle behaviors and body mass index (BMI) along with their potential interactions with the severity of blood pressure (BP) classifications among older adults with hypertension.MethodsAmong 17,441 participants, lifestyle behaviors were...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1610715/full |
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| author | Jian Wu Yue Chen Yudong Miao Quanman Li Clifford Silver Tarimo Clifford Silver Tarimo Nengguang Dai Qiuping Zhao Yadong Niu |
| author_facet | Jian Wu Yue Chen Yudong Miao Quanman Li Clifford Silver Tarimo Clifford Silver Tarimo Nengguang Dai Qiuping Zhao Yadong Niu |
| author_sort | Jian Wu |
| collection | DOAJ |
| description | ObjectiveThis study aimed to examine the association between lifestyle behaviors and body mass index (BMI) along with their potential interactions with the severity of blood pressure (BP) classifications among older adults with hypertension.MethodsAmong 17,441 participants, lifestyle behaviors were assessed, including smoking, drinking, dietary patterns, physical activity, and sleeping. Multinomial logistic regression was used to examine the association between lifestyle behaviors and BMI with BP classifications, and multiplicative interactions were included to estimate potential interactions. To explore variations, analyses were also stratified by BMI.ResultsHigh-risk dietary pattern and obesity were negatively associated with lower BP classifications, with odds ratios (ORs) and 95% confidence intervals (CIs) for normal BP, high-normal BP, and grade 1 hypertension in high-risk dietary pattern were 0.74 (0.57–0.95), 0.69 (0.54–0.90), 0.75 (0.59–0.95), and the ORs (95% CIs) in obesity were 0.61 (0.53–0.69), 0.77 (0.67–0.89), 0.82 (0.73–0.93). Compared with never drinking, former drinkers had higher odds of having normal BP (OR: 1.45, 95% CI: 1.15–1.82), high-normal BP (OR: 1.31, 95% CI: 1.02–1.67), and grade 1 hypertension (OR: 1.26, 95% CI: 1.01–1.58). The multiplicative interaction between drinking status and BMI was found on BP classifications (Pforinteraction <0.05), and the effects of former drinking and low PA level on BP control were significant in overweight and underweight groups, respectively (P < 0.05).ConclusionsPoor diet and obesity are associate with severe BP, particularly among non-drinking older adults, suggesting targeted interventions in rural primary care. |
| format | Article |
| id | doaj-art-81534120f83e4c90bd8edd54928c7ff8 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-81534120f83e4c90bd8edd54928c7ff82025-08-20T03:28:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16107151610715Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in ChinaJian Wu0Yue Chen1Yudong Miao2Quanman Li3Clifford Silver Tarimo4Clifford Silver Tarimo5Nengguang Dai6Qiuping Zhao7Yadong Niu8Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Science and Laboratory Technology, Dar es Salaam Institute of Technology, Dar es Salaam, TanzaniaGrassroots Health and Health Department, Health Commission of Henan Province, Zhengzhou, ChinaHenan Key Laboratory for Health Management of Chronic Diseases, Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaObjectiveThis study aimed to examine the association between lifestyle behaviors and body mass index (BMI) along with their potential interactions with the severity of blood pressure (BP) classifications among older adults with hypertension.MethodsAmong 17,441 participants, lifestyle behaviors were assessed, including smoking, drinking, dietary patterns, physical activity, and sleeping. Multinomial logistic regression was used to examine the association between lifestyle behaviors and BMI with BP classifications, and multiplicative interactions were included to estimate potential interactions. To explore variations, analyses were also stratified by BMI.ResultsHigh-risk dietary pattern and obesity were negatively associated with lower BP classifications, with odds ratios (ORs) and 95% confidence intervals (CIs) for normal BP, high-normal BP, and grade 1 hypertension in high-risk dietary pattern were 0.74 (0.57–0.95), 0.69 (0.54–0.90), 0.75 (0.59–0.95), and the ORs (95% CIs) in obesity were 0.61 (0.53–0.69), 0.77 (0.67–0.89), 0.82 (0.73–0.93). Compared with never drinking, former drinkers had higher odds of having normal BP (OR: 1.45, 95% CI: 1.15–1.82), high-normal BP (OR: 1.31, 95% CI: 1.02–1.67), and grade 1 hypertension (OR: 1.26, 95% CI: 1.01–1.58). The multiplicative interaction between drinking status and BMI was found on BP classifications (Pforinteraction <0.05), and the effects of former drinking and low PA level on BP control were significant in overweight and underweight groups, respectively (P < 0.05).ConclusionsPoor diet and obesity are associate with severe BP, particularly among non-drinking older adults, suggesting targeted interventions in rural primary care.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1610715/fulllifestyle behaviorsbody mass indexblood pressure classificationsolder adultshypertension |
| spellingShingle | Jian Wu Yue Chen Yudong Miao Quanman Li Clifford Silver Tarimo Clifford Silver Tarimo Nengguang Dai Qiuping Zhao Yadong Niu Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China Frontiers in Public Health lifestyle behaviors body mass index blood pressure classifications older adults hypertension |
| title | Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China |
| title_full | Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China |
| title_fullStr | Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China |
| title_full_unstemmed | Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China |
| title_short | Association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in China |
| title_sort | association between lifestyle behaviors and body mass index with blood pressure classifications among older adults with hypertension in china |
| topic | lifestyle behaviors body mass index blood pressure classifications older adults hypertension |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1610715/full |
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