Key result
BMI and smoking were positively correlated with systolic and pulse pressure, while lack of sleep was positively correlated with diastolic blood pressure, and BMI with mean blood pressure.
Why the study?
Do lifestyle-related factors correlate with different blood pressure components in outpatients with hypertension?
Cross-Sectional (n=136)
Do lifestyle-related factors correlate with different blood pressure components in outpatients with hypertension?
Different lifestyle factors correlate with specific blood pressure components, suggesting targeted lifestyle modifications like weight control for SBP/MBP/PP, smoking cessation for SBP/PP, and sleep management for DBP.
Answers are grounded in this paper and cite their sources.
May inform component-specific lifestyle counseling in hypertension; hypothesis-generating and requires prospective validation.
BACKGROUND An effective approach to lifestyle-related factors could be a main treatment for hypertensives. The components of blood pressure (BP) have been reported to have different clinical implications; however, the relationship between various lifestyle-related factors and BP components has not been thoroughly studied in hospital-based general medicine. METHODS This relationship was cross-sectionally investigated in a population of outpatients with hypertension but free of other diseases (136 subjects, aged 30 to 75, mean 54.2 years). A self-administered questionnaire, which included items related to demographics, smoking, alcohol use, affinity for salt, habitual exercise, and sleep status, was used. RESULTS After controlling for lifestyle-related factors, multiple regression analysis revealed that body mass index (BMI) and smoking were significantly and positively correlated with systolic BP (SBP) and pulse pressure (PP). For diastolic BP (DBP), age had a significantly negative, and lack of sleep had a significantly positive, correlation. BMI was also significantly and positively correlated with mean BP (MBP). CONCLUSIONS Our results suggest that lifestyle-related factors are associated with differing BP components. Weight control should receive more attention in SBP, MBP and PP control, anti-smoking in SBP and PP control, and sleep management in DBP control.
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Kotani et al. (2006) conducted a cross-sectional in Hypertension (n=136). Lifestyle-related factors was evaluated on Blood pressure components (SBP, DBP, MBP, PP). BMI and smoking were positively correlated with systolic and pulse pressure, while lack of sleep was positively correlated with diastolic blood pressure, and BMI with mean blood pressure.
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