Anthropometric and lifestyle factors associated with white-coat, masked and sustained hypertension in a Chinese population.

Abstract:

OBJECTIVE:We investigated to what extent anthropometric and lifestyle factors contributed to the classification of Chinese individuals into groups with white-coat, masked and sustained hypertension (HT). METHODS:We measured the office and ambulatory blood pressure (BP) in 694 Chinese enrolled in the JingNing population study (45.7% men; mean age, 48.4 years). In multivariate-adjusted analyses, we determined the correlates of both types of BP and the factors contributing to white-coat HT (conventional and daytime BP > or =140/90 and <135/85 mmHg, respectively), masked HT (<140/90 and > or =135/85 mmHg) and sustained HT (> or =140/90 and > or =135/85 mmHg), relative to normotension (<140/90 and <135/85 mmHg). RESULTS:In continuous analyses, the conventional and daytime BPs were positively associated with age, body mass index and urinary sodium, and inversely with urinary potassium. The prevalence of white-coat, masked and sustained HT was 7.8, 10.8, and 35.0%, respectively. In line with the continuous analyses, the risk of sustained hypertension increased with age [odds ratio (OR), 2.11 per 10 years], body mass index (OR, 1.27 per 1 kg/m2) and urinary sodium (OR, 1.18 per 50 mmol/day), but was inversely associated with urinary potassium (OR, 0.34 per 25 mmol/day). Furthermore, the risk of white-coat and masked HT increased with age (OR, 1.79 and 1.40, respectively) and body mass index (OR, 1.14 and 1.12). Women were less likely to have masked hypertension than men (OR, 0.39). CONCLUSIONS:Sex, age, body mass index, and urinary sodium and potassium excretion contribute to the risk of white-coat, masked and sustained HT in Chinese.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Wang GL,Li Y,Staessen JA,Lu L,Wang JG

doi

10.1097/HJH.0b013e3282efeee7

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

2398-405

issue

12

eissn

0263-6352

issn

1473-5598

pii

00004872-200712000-00007

journal_volume

25

pub_type

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