Association of a Healthy Lifestyle With Ambulatory 24-Hour Blood Pressure Among Chinese Youths: A Cross-Sectional Study.

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  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 8803676 Publication Model: Print Cited Medium: Internet ISSN: 1941-7225 (Electronic) Linking ISSN: 08957061 NLM ISO Abbreviation: Am J Hypertens Subsets: MEDLINE
    • Publication Information:
      Publication: 2013- : Oxford : Oxford University Press
      Original Publication: [New York, NY] : Elsevier, [c1988-
    • Subject Terms:
      Blood Pressure Monitoring, Ambulatory* ; Blood Pressure*/physiology ; Hypertension*/physiopathology ; Hypertension*/epidemiology ; Hypertension*/diagnosis ; Healthy Lifestyle* ; Circadian Rhythm*; Humans ; Female ; Male ; Adolescent ; Cross-Sectional Studies ; China/epidemiology ; Young Adult ; Exercise ; Prevalence ; Risk Factors ; Alcohol Drinking/epidemiology ; Smoking/epidemiology ; Sleep ; Risk Reduction Behavior ; Time Factors ; East Asian People
    • Abstract:
      Background: This study aims to explore the association between a healthy lifestyle and abnormal ambulatory blood pressure (ABP) in Chinese youths.
      Methods: A school-based sample of 1,296 college students was investigated. A lifestyle score was calculated by synthesizing 5 lifestyle factors, including smoking, alcohol consumption, diet, physical activity, and sleeping. The total score ranged from 0 to 5, with a higher score indicating a healthier lifestyle. This score was then divided into 3 categories representing low adherence to a healthy lifestyle (0-2), medium adherence (3), and high adherence (4-5). Abnormal 24-hour blood pressure (BP) was defined as systolic BP (SBP) ≥ 130 mm Hg and/or diastolic BP (DBP) ≥ 80 mm Hg. Abnormal daytime BP was determined as daytime SBP ≥ 135 mm Hg and/or DBP ≥ 85 mm Hg, while abnormal nighttime BP was characterized as nighttime SBP ≥ 120 mm Hg and/or DBP ≥ 70 mm Hg. We assessed the associations using the binomial regression model.
      Results: Mean age was 18.81 years, and 74.5% were women. The prevalence of abnormal 24-hour BP, daytime BP, and nighttime BP are 4.2%, 3.7%, and 9.0%, respectively. We found that participants with a high level of adherence to a healthy lifestyle had a significantly lower prevalence of abnormal 24-hour BP [prevalence ratios (PR) = 0.15, 95% CI: 0.05, 0.48] and abnormal daytime BP (PR = 0.16, 95%CI: 0.05, 0.52), when compared to those with a low level of adherence and after adjusting for the potential covariates.
      Conclusions: A healthier lifestyle is associated with a better ambulatory BP profile among youths.
      (© The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. All rights reserved. For commercial re-use, please contact [email protected] for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact [email protected].)
    • Contributed Indexing:
      Keywords: Chinese youths; ambulatory blood pressure; ambulatory blood pressure monitoring; blood pressure; healthy lifestyle; hypertension
    • Publication Date:
      Date Created: 20240603 Date Completed: 20240814 Latest Revision: 20240814
    • Publication Date:
      20240814
    • Accession Number:
      10.1093/ajh/hpae074
    • Accession Number:
      38828480