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Body mass index and the prevalence of hypertension and dyslipidemia.
Obes Res 2000; 8(9):605-19OR

Abstract

OBJECTIVE

To describe and evaluate relationships between body mass index (BMI) and blood pressure, cholesterol, high-density lipoprotein-cholesterol (HDL-C), and hypertension and dyslipidemia.

RESEARCH METHODS AND PROCEDURES

A national survey of adults in the United States that included measurement of height, weight, blood pressure, and lipids (National Health and Nutrition Examination Survey III 1988-1994). Crude age-adjusted, age-specific means and proportions, and multivariate odds ratios that quantify the association between hypertension or dyslipidemia and BMI, controlling for race/ethnicity, education, and smoking habits are presented.

RESULTS

More than one-half of the adult population is overweight (BMI of 25 to 29.9) or obese (BMI of > or =30). The prevalence of high blood pressure and mean levels of systolic and diastolic blood pressure increased as BMI increased at ages younger than 60 years. The prevalence of high blood cholesterol and mean levels of cholesterol were higher at BMI levels over 25 rather than below 25 but did not increase consistently with increasing BMI above 25. Rates of low HDL-C increased and mean levels of HDL-C decreased as levels of BMI increased. The associations of BMI with high blood pressure and abnormal lipids were statistically significant after controlling for age, race or ethnicity, education, and smoking; odds ratios were highest at ages 20 to 39 but most trends were apparent at older ages. Within BMI categories, hypertension was more prevalent and HDL-C levels were higher in black than white or Mexican American men and women.

DISCUSSION

These data quantify the strong associations of BMI with hypertension and abnormal lipids. They are consistent with the national emphasis on prevention and control of overweight and obesity and indicate that blood pressure and cholesterol measurement and control are especially important for overweight and obese people.

Authors+Show Affiliations

CODA Research, Silver Spring, Maryland, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11225709

Citation

Brown, C D., et al. "Body Mass Index and the Prevalence of Hypertension and Dyslipidemia." Obesity Research, vol. 8, no. 9, 2000, pp. 605-19.
Brown CD, Higgins M, Donato KA, et al. Body mass index and the prevalence of hypertension and dyslipidemia. Obes Res. 2000;8(9):605-19.
Brown, C. D., Higgins, M., Donato, K. A., Rohde, F. C., Garrison, R., Obarzanek, E., ... Horan, M. (2000). Body mass index and the prevalence of hypertension and dyslipidemia. Obesity Research, 8(9), pp. 605-19.
Brown CD, et al. Body Mass Index and the Prevalence of Hypertension and Dyslipidemia. Obes Res. 2000;8(9):605-19. PubMed PMID: 11225709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body mass index and the prevalence of hypertension and dyslipidemia. AU - Brown,C D, AU - Higgins,M, AU - Donato,K A, AU - Rohde,F C, AU - Garrison,R, AU - Obarzanek,E, AU - Ernst,N D, AU - Horan,M, PY - 2001/2/28/pubmed PY - 2001/5/5/medline PY - 2001/2/28/entrez SP - 605 EP - 19 JF - Obesity research JO - Obes. Res. VL - 8 IS - 9 N2 - OBJECTIVE: To describe and evaluate relationships between body mass index (BMI) and blood pressure, cholesterol, high-density lipoprotein-cholesterol (HDL-C), and hypertension and dyslipidemia. RESEARCH METHODS AND PROCEDURES: A national survey of adults in the United States that included measurement of height, weight, blood pressure, and lipids (National Health and Nutrition Examination Survey III 1988-1994). Crude age-adjusted, age-specific means and proportions, and multivariate odds ratios that quantify the association between hypertension or dyslipidemia and BMI, controlling for race/ethnicity, education, and smoking habits are presented. RESULTS: More than one-half of the adult population is overweight (BMI of 25 to 29.9) or obese (BMI of > or =30). The prevalence of high blood pressure and mean levels of systolic and diastolic blood pressure increased as BMI increased at ages younger than 60 years. The prevalence of high blood cholesterol and mean levels of cholesterol were higher at BMI levels over 25 rather than below 25 but did not increase consistently with increasing BMI above 25. Rates of low HDL-C increased and mean levels of HDL-C decreased as levels of BMI increased. The associations of BMI with high blood pressure and abnormal lipids were statistically significant after controlling for age, race or ethnicity, education, and smoking; odds ratios were highest at ages 20 to 39 but most trends were apparent at older ages. Within BMI categories, hypertension was more prevalent and HDL-C levels were higher in black than white or Mexican American men and women. DISCUSSION: These data quantify the strong associations of BMI with hypertension and abnormal lipids. They are consistent with the national emphasis on prevention and control of overweight and obesity and indicate that blood pressure and cholesterol measurement and control are especially important for overweight and obese people. SN - 1071-7323 UR - https://www.unboundmedicine.com/medline/citation/11225709/Body_mass_index_and_the_prevalence_of_hypertension_and_dyslipidemia_ L2 - https://doi.org/10.1038/oby.2000.79 DB - PRIME DP - Unbound Medicine ER -