Personal history and body mass index as a mediator effect on blood pressure in health personnel at a hospital in Guayaquil - Ecuador
DOI:
https://doi.org/10.12873/432herreraKeywords:
Hypertension; Body mass index; SexAbstract
Introduction: Arterial hypertension is the main risk of cardiovascular disease, many factors involved including age, physical inactivity, sex, smoking, alcohol, stress and obesity.
Objectives: Identify the mediating effect of the body mass index in the relationship between personnel history and blood pressure of health personnel.
Methods: Cross-sectional study, where we had access to the electronic medical record of the occupational medicine department; which consisted of a sample of 748 health workers. The simple mediation model was used to verify whether there was an association between personal history of arterial hypertension (PHAH) and blood pressure, mediated by BMI. Then the linear regression model was applied using the macro-PROCESS v. 4.1 and the SPSS program (version 26.0).
Results: The BMI was x ̅ = 29.37 kg/m2 (overweight). Men presented higher systolic (124.42 mmHg) and diastolic (76.85 mmHg) pressure compared to women (115.44 mmHg and 71.92 mmHg respectively) (p<0.05). The results of the study showed that only women had an indirect effect of BMI on the association of PHAH, both systolic and diastolic blood pressure was significant (p<0.001). (Systolic pressure: β=8.5 and diastolic pressure: β=4.28; equation c) for equation a: β=1.54; p=0.011; equation b: β=0.77 and equation c´: β=7.36 were significant (p<0.001).
Conclusion: A personal medical history of arterial hypertension is associated with the direct increase in blood pressure (either systolic or diastolic pressure). In addition, the BMI is a mediating variable that acts in the association.
References
OPS. Día mundial de la hipertensión. 2022. Disponible en:
https://www.paho.org/es/temas/hipertension.
Bayas, MA. Epidemiología de la Hipertensión arterial. Revista
ecuatoriana de Cardiología. 2021.Vol. 4 Núm. 3.
Roth GA, Johnson C, Abajobir A, et al. Global, Regional, and
National Burden of Cardiovascular Diseases for 10 Causes, 1990
to 2015. J Am Coll Cardiol. 2017;70(1):1-25. doi: 10.1016/j.jacc.
04.052
OPS. Hypertensión 2021. Available from: https://www.who.int/
es/news-room/fact-sheets/detail/hypertension
World Health Organization. Q&As on hypertension. 2015.
Available from: http://www.who.int/features/qa/82/en/
Taing KY, Farkouh ME, Moineddin R, Tu JV, Jha P. Age and sexspecific associations of anthropometric measures of adiposity
with blood pressure and hypertension in India: a cross-sectional
study. BMC Cardiovasc Disord. 2016;16(1):247. doi:10.1186/s12
-016-0424-y
Borba-Neves E. Prevalência de sobrepeso e obesidade em militares do exército brasileiro: associação com a hipertensão arterial. Ciênc Saúde Coletiva 2008; 13(5):1661-1668. doi: 10.1590/
S1413-81232008000500029
Dorresteijn JA, Visseren FL, Spiering W. Mechanisms linking obesity to hypertension. Obes Rev. 2012;13(1):17–26. doi: 10.1111/
j.1467-789X.2011.00914.x.
Reckelhoff JF. Gender differences in hypertension. Curr Opin
Nephrol Hypertens. 2018;27(3):176-181. doi:10.1097/MNH.000
Mancia G, Fagard, Narkiewicz, Redon, Zanchetti, Böhm, et al.
Guía de práctica clínica de la ESH/ESC para el manejo de la hipertensión arterial (2013). Rev Esp Cardiol. 2013; 66:842-7. doi:
1016/j.recesp.2013.08.003
Center for Disease Control and Prevention. https://www.cdc.gov/
healthyweight/assessing/bmi/adult_bmi/index. html.
Preacher KJ, Hayes AF. Asymptotic and resampling strategies for
assessing and comparing indirect effects in multiple mediator
models. Behav Res Methods. 2008;40(3):879-891. doi:10.3758/
brm.40.3.879
Ato, M., & Vallejo, G. Los efectos de terceras variables en la investigación psicológica. Anales de Psicología / Annals of
Psychology. 2011; 27(2), 550–561. https://revistas.um.es/analesps/article/view/123201
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in
hypertension prevalence and progress in treatment and control
from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants [published correction appears in Lancet. Lancet. 2021;398(10304):957-980.
doi:10.1016/S0140-6736(21)01330-1
Jenkins WS, Richardson C, Williams A, Williams-DeVane CR.
Creating a Metabolic Syndrome Research Resource using the
National Health and Nutrition Examination Survey. Database
(Oxford). 2020;2020: baaa103. doi:10.1093/database/baaa10
Virani S.S., Alonso A., Aparicio H.J., et al. Heart disease and
stroke statistics—2021 update: a report from the American Heart
Association. Circulation. 2021;143: e254-e743. doi: 10.1161/
CIR.0000000000000950
Zubeldia Lauzurica Lourdes, Quiles Izquierdo Joan, Mañes Vinuesa
Jordi, Redón Más Josep. Prevalencia de hipertensión arterial y de
sus factores asociados en población de 16 a 90 años de edad en la
Comunitat Valenciana. Rev. Esp. Salud Publica. 2016; 90: e40006.
Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&
pid=S1135-57272016000100406&lng=es.
Hales, Craig M. Prevalence of obesity and severe obesity among
adults:. US Department of Health and Human Services, Centers
for Disease Control and Prevention, National Center for Health
Statistics, 2020. NCHS Data Brief. 2020; 360:1-8.
Zore T, Palafox M, Reue K. Sex differences in obesity, lipid metabolism, and inflammation-A role for the sex chromosomes?. Mol
Metab. 2018;15:35-44. doi:10.1016/j.molmet.2018.04.003
Wharton S, Lau DCW, Vallis M, et al. Obesity in adults: a clinical
practice guideline. CMAJ. 2020;192(31):E875-E891. doi:10.1503/
cmaj.191707
Shi Y, Yu C, Hu L, et al. Visceral adiposity index and sex differences in relation to peripheral artery disease in normal-weight
adults with hypertension. Biol Sex Differ. 2022;13(1):22.
doi:10.1186/s13293-022-00432-4
Peña DYV, Paneque OÁ, Nin YM, Andrés A, Sánchez CP, Cáceres
SC. Factores de riesgo asociados con malnutrición por exceso en
adolescentes. Rev Finlay. 2012;2(4):244-51.
Rosero P, Radon K, Garrido A, Velasco F. Hipertensión arterial y
factores de riesgo en los médicos del hospital Carlos Andrade
Marín Quito. Rev Médica-Científica CAMbios HECAM. 31 de julio
de 2017;16(2):45-50. doi: 10.36015/cambios.v16.n2.2017.288
Koh HB, Heo GY, Kim KW, et al. Trends in the association between
body mass index and blood pressure among 19-year-old men in
Korea from 2003 to 2017. Sci Rep. 2022;12(1):6767. doi:10.1038/
s41598-022-10570-9
Taing KY, Farkouh ME, Moineddin R, Tu JV, Jha P. Age and sexspecific associations of anthropometric measures of adiposity
with blood pressure and hypertension in India: a cross-sectional
study. BMC Cardiovasc Disord. 2016;16(1):247. doi:10.1186/
s12872-016-0424-y
Chakraborty R, Bose K. Comparison of body adiposity indices in
predicting blood pressure and hypertension among slum-dwelling
men in Kolkata, India. Malays J Nutr. 2012;18(3):319-328.
Brown CD, Higgins M, Donato KA et al. Body mass index and the
prevalence of hypertension and dyslipidemia. Obes Res 2000;
:605-619
Yuan Y, Sun W, Kong X. Relationship between metabolically
healthy obesity and the development of hypertension: a nationwide population-based study. Diabetol Metab Syndr. 2022;14(1).
Doi: 10.1186/s13098-022-00917-7
Liu L, Gao B, Wang J, et al. Joint association of body mass index
and central obesity with cardiovascular events and all-cause mortality in prediabetic population: A prospective cohort study. Obes
Res Clin Pract. 2019;13(5):453-461. doi: 10.1016/j.orcp.2019.
004
Bogantes Pereria Eric, Chavarría Víquez Jorge, Arguedas Bolaños
Doris. Prevalencia de Obesidad en pacientes hipertensos en el
Servicio de Cardiología del Hospital México de Costa Rica. Rev.
costarric. cardiol. 2009; 11(1):13-18.http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-41422009000100003&
lng=en.
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