The effect of body mass index on blood pressure in adults with hypertension
Keywords:Body mass index, Hypertension, Normal weight, Overweight, Obesity
Background: We investigated the association of body mass index (BMI) measurements in adult hypertensive patients with normal weight and overweight including obesity.
Methods: This was a randomized study performed in Udaipur, India, on 200 hypertensive patients aged (32-90) years. Patients were divided according to their body weight (normal weight vs overweight and obesity) into two groups. Weight, height and BMI were measured to estimate the various categories of bodyweight.
Results: We found significant relations between body weight and blood pressure. Patients with normal weight had a normal blood pressure. However, a significant increase in blood pressure was observed in patients with overweight and obesity.
Conclusions: BMI is related with weight status in hypertensive overweight / obese patients.
Lawes C, Vander Hoorn S, Rodgers A. International Society of Hypertension. Global burden of blood-pressure-related disease, 200I. Lancet. 2008;311(9623):1513-151.
World Health Organization (WHO). 1999 World Health Organization-International Society of Hypertension Guidelines for the Management of Hypertension. Guidelines Subcommittee. J Hypertens. 1999;17:151-183.
Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006; 367:1747-57.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PIi He J. Global Burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.
Gupta R. Meta-analysis of prevalence of hypertension in India. Indian Heart J. 1997;49:450.
Arguedas JA, Perez MI, Wright JM. Treatment blood pressure targets for hypertension. Cochrane Database Syst Rev 3. 2009;CD004349.
Gupta R. Trends in Hypertension Epidemology in India. Journal of Human Hypertension. 2004;18:73-78.
Calhoun DA, Jones D, Textor S. Resistant hypertension: Diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation. 2008;117:e510-e52.6
Brown MA, Buddle ML, Martin A. Is resistant hypertension really resistant? An J Hypertens. 2001;14:1263-69.
Pelkman CL, Fishell VK, Maddox DII, Pearson TA, Mauger DT, Kris-Etherton PM. Effects of moderate-fat (from monounsaturated fat) and low-fat weight-loss diets on the serum lipid profile in over weight and obese men and women. Am J Clin Nutr. 2004;79:204-72.
Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. Int Journal Med Sci. 2005;2:70-78.
P, Rao M, Sigamani A, Faruqui A, Jose M, Gupta R, et al. Prevalence, risk factors and awareness of hypertension in India: a systematic review. J Hum Hypertens. 2013;27:281-87.
Bansal SK, Saxena V, Kandpal SD, Gray WK, Walker RW, Goel D. The prevalence of hypertension and hypertension risk factors in a rural Indian community: a prospective door-to-door study. J Cardiovasc Dis Res. 2012;3:117-23.
Biswas M, Manna CK. Prevalence of hypertension and sociodemographic factors within the scheduled caste community of the District Nadia, West Bengal, India. High Blood Press Cardiovasc Prev. 2011;18:179-85.
Hypertension Study Group Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India: a multicentre study. Bull World Health Organ. 2001;79:490-500.
Kaur M. Blood pressure trends and hypertension among rural and urban Jat women of Haryana, India. Coll Antropol. 2012;36:139-144.
Gupta R, Sharma KK, Gupta A, Agrawal A, Mohan I, Gupta VP, et al. Persistent high prevalence of cardiovascular risk factors in the urban middle class in India: Jaipur Heart Watch-5. J Assoc Physicians India. 2012;60:11-16.
Williams PT. Increases in weight and body size increase the odds for hypertension during 7 years of follow-up. Obesity. 2008;16:2541-48.
Horvath K, Jeitler K, Siering U, Skitch AK, Skipka G, Gratzer TW et at. Long-term efflects of weight-reducing interventions in hypertensive patients, systematic review and meta-analysis. Arch Intern Med. 2008;168:571-80.
He FJ, Li J, MacGregor GA. Effect of longer term modest salt reduction on blood pressure: Cochranesystematic review and meta-analysis of randomised trials. BMJ. 2013;346:fl325.
Appel LJ, Moore TJ, Obarzanek E. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Eng JMed. 1997;336:1111-1124.
Reddy SK, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005:366:1744-49.
Pramiladevi R, Gooranavar SM, BiradarSatish B, Mahesh BC, Kora SA, Narayan M. Study of lipid profile in hypertensive patients in rural Karnataka. JPBMS. 2011;7:1-6.