Key result
Neck circumference greater than 37 cm was significantly associated with a higher likelihood of high blood pressure among male physical education teachers (OR 3.14).
Cross-Sectional (n=123)
No
Odds Ratio: 3.14 (95% CI 1.09–9)
Absolute Event Rate: 41.7% vs 18.5%
p-value: p=0.033
In male physical education teachers in Benin, high blood pressure is highly prevalent and strongly associated with increased neck circumference, highlighting the need for continued physical activity to prevent upper body obesity and hypertension.
May support neck circumference for BP risk stratification in active men; hypothesis-generating and requires prospective validation before practice change.
Objective: This cross-sectional study carried out in Republic of Benin, aimed at assessing the relation between high blood pressure (HBP) and its correlates in an exhaustive sample of 123 Assistant physical education teachers (APE teachers), enrolled in a two-year in-service training. Methods: These teachers have been interviewed and clinically tested. The lifestyle, blood pressure, three indexes of adiposity, blood lipids, white blood cells and neutrophils counts and plasma C-reactive protein were the main study variables. Results: HBP was present in 34.1% of the teachers. The three main factors associated to HBP, that had the higher rates were neck circumference (78.3%), the biological index of atherogenicity (72.2%), and waist circumference (44.2%). Neck circumference was the most relevant modifiable variable to explaining HBP in this group (OR = 3.14; 95% IC: 1.09 - 9.00; p = 0.033). Conclusions: The teachers studied must keep on exercising as early as their primary training comes to an end. Doing so, they could avoid overweight and reduce the risk of hypertension.
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Gouthon et al. (2012) conducted a cross-sectional in High blood pressure (n=123). Neck circumference > 37 cm vs. Neck circumference < 37 cm was evaluated on High blood pressure (SBP ≥ 140 mm Hg and/or DBP ≥ 90 mm Hg) (OR 3.14, 95% CI 1.09 - 9.00, p=0.033). Neck circumference greater than 37 cm was significantly associated with a higher likelihood of high blood pressure among male physical education teachers (OR 3.14).
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