engleski

Association of hypertension with overweight and weight gain - Croatian Adult Health Survey 2003-08

Aim Objective of this study was to investigate association of long-term overweight status as well as of becoming overweight with hypertension. Methods Prevalence of hypertension in 2008 was calculated for 1, 383 respondents which had normal blood pressure in 2003. Results Among men, 30.3% of respondents with normal bmi both in 2003 and 2008 developed hypertension by 2008, the same applies for 44.5% of respondents who were overweight both in 2003 and 2008 and for 26.0% of respondents who had normal bmi in 2003, but were overweight in 2008. Among women, 15.1% of respondents with normal bmi both in 2003 and 2008 developed hypertension by 2008, the same applies for 43.0% of respondents who were overweight both in 2003 and 2008 and for 37.5% of respondents who had normal bmi in 2003, but were overweight in 2008. For men being overweight both in 2003 and 2008 was associated with OR 1.70 for hypertension in 2008 (95% CI: 1.02-2.82) compared to men that maintained normal weight both in 2003 and 2008. Having normal weight in 2003 and being overweight in 2008 was not associated with increased OR for hypertension among men. For women being overweight both in 2003 and 2008 was associated with OR 3.39 for hypertension in 2008 (95% CI: 2.33-4.93), while having normal weight in 2003 and being overweight in 2008 was associated with OR 3.79 for hypertension in 2008 (95% CI: 2.45-5.87) compared to women that maintained normal weight both in 2003 and 2008. Conclusion For women both long-term overweight status and becoming overweight were significantly associated with development of hypertension, while for men this was true only for long-term overweight. Even recently becoming overweight (in last 5 years or even shorter period) can increase risk for hypertension among women. Long-term overweight status increases risk of hypertension among both sexes.

hypertension; overweight; weight gain

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