Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam
Abstract Background In contrast to high-income countries where physical activity (PA), particularly leisure-time PA, has been shown to be protective against hypertension, few studies have been conducted in low- and middle-income countries. We examined the cross-sectional association between PA and h...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-15631-w |
| _version_ | 1797840769243938816 |
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| author | An Dang Do Thuy Thi Phuong Pham Chau Que Nguyen Dong Van Hoang Ami Fukunaga Shohei Yamamoto Rachana Manandhar Shrestha Danh Cong Phan Masahiko Hachiya Dong Van Huynh Huy Xuan Le Hung Thai Do Tetsuya Mizoue Yosuke Inoue |
| author_facet | An Dang Do Thuy Thi Phuong Pham Chau Que Nguyen Dong Van Hoang Ami Fukunaga Shohei Yamamoto Rachana Manandhar Shrestha Danh Cong Phan Masahiko Hachiya Dong Van Huynh Huy Xuan Le Hung Thai Do Tetsuya Mizoue Yosuke Inoue |
| author_sort | An Dang Do |
| collection | DOAJ |
| description | Abstract Background In contrast to high-income countries where physical activity (PA), particularly leisure-time PA, has been shown to be protective against hypertension, few studies have been conducted in low- and middle-income countries. We examined the cross-sectional association between PA and hypertension prevalence among rural residents in Vietnam. Methods We used data collected in the baseline survey of a prospective cohort study, among 3000 people aged 40–60 years old residing in rural Khánh Hòa, Vietnam. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, or the use of antihypertensive medication. We assessed occupational PA and leisure-time PA using the Global Physical Activity Questionnaire. A robust Poisson regression model was used to investigate the associations, with adjustment for covariates. Results The prevalence of hypertension was 39.6%. After adjusting for socio-demographic and lifestyle-related variables, leisure-time PA was positively associated with hypertension prevalence (prevalence ratio [PR]: 1.03 per 10 MET-hour/week, 95% confidence interval [CI] 1.01–1.06). Occupational PA was inversely associated with hypertension prevalence (PR: 0.98 per 50 MET-hour/week, 95% CI = 0.96–0.996). After adjusting for BMI and other health-related variables, the association related to occupational PA became statistically non-significant, while the association related to leisure-time PA remained statistically significant. Conclusion In contrast to previous studies in high-income countries, we found that leisure-time PA was positively associated with hypertension prevalence and occupational PA was associated with a lower hypertension prevalence. This suggests that the association between PA and hypertension might differ depending on the context. |
| first_indexed | 2024-04-09T16:20:05Z |
| format | Article |
| id | doaj.art-19cb9e32c00a47c6b8821b238e31307f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T16:20:05Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-19cb9e32c00a47c6b8821b238e31307f2023-04-23T11:30:49ZengBMCBMC Public Health1471-24582023-04-012311910.1186/s12889-023-15631-wDifferent associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, VietnamAn Dang Do0Thuy Thi Phuong Pham1Chau Que Nguyen2Dong Van Hoang3Ami Fukunaga4Shohei Yamamoto5Rachana Manandhar Shrestha6Danh Cong Phan7Masahiko Hachiya8Dong Van Huynh9Huy Xuan Le10Hung Thai Do11Tetsuya Mizoue12Yosuke Inoue13Department of Community and Global Health, Graduate School of Medicine, The University of TokyoDepartment of Non-communicable Disease Control and Nutrition, Pasteur Institute in Nha TrangDepartment of Non-communicable Disease Control and Nutrition, Pasteur Institute in Nha TrangDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineDepartment of Community and Global Health, Graduate School of Medicine, The University of TokyoDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineDepartment of Non-communicable Disease Control and Nutrition, Pasteur Institute in Nha TrangBureau of International Health Cooperation, National Center for Global Health and MedicineKhánh Hòa Center for Disease ControlPasteur Institute in Nha TrangPasteur Institute in Nha TrangDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineAbstract Background In contrast to high-income countries where physical activity (PA), particularly leisure-time PA, has been shown to be protective against hypertension, few studies have been conducted in low- and middle-income countries. We examined the cross-sectional association between PA and hypertension prevalence among rural residents in Vietnam. Methods We used data collected in the baseline survey of a prospective cohort study, among 3000 people aged 40–60 years old residing in rural Khánh Hòa, Vietnam. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, or the use of antihypertensive medication. We assessed occupational PA and leisure-time PA using the Global Physical Activity Questionnaire. A robust Poisson regression model was used to investigate the associations, with adjustment for covariates. Results The prevalence of hypertension was 39.6%. After adjusting for socio-demographic and lifestyle-related variables, leisure-time PA was positively associated with hypertension prevalence (prevalence ratio [PR]: 1.03 per 10 MET-hour/week, 95% confidence interval [CI] 1.01–1.06). Occupational PA was inversely associated with hypertension prevalence (PR: 0.98 per 50 MET-hour/week, 95% CI = 0.96–0.996). After adjusting for BMI and other health-related variables, the association related to occupational PA became statistically non-significant, while the association related to leisure-time PA remained statistically significant. Conclusion In contrast to previous studies in high-income countries, we found that leisure-time PA was positively associated with hypertension prevalence and occupational PA was associated with a lower hypertension prevalence. This suggests that the association between PA and hypertension might differ depending on the context.https://doi.org/10.1186/s12889-023-15631-wOccupational physical activityLeisure-time physical activityHypertensionCommunity dwellersPrevalence |
| spellingShingle | An Dang Do Thuy Thi Phuong Pham Chau Que Nguyen Dong Van Hoang Ami Fukunaga Shohei Yamamoto Rachana Manandhar Shrestha Danh Cong Phan Masahiko Hachiya Dong Van Huynh Huy Xuan Le Hung Thai Do Tetsuya Mizoue Yosuke Inoue Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam BMC Public Health Occupational physical activity Leisure-time physical activity Hypertension Community dwellers Prevalence |
| title | Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam |
| title_full | Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam |
| title_fullStr | Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam |
| title_full_unstemmed | Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam |
| title_short | Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam |
| title_sort | different associations of occupational and leisure time physical activity with the prevalence of hypertension among middle aged community dwellers in rural khanh hoa vietnam |
| topic | Occupational physical activity Leisure-time physical activity Hypertension Community dwellers Prevalence |
| url | https://doi.org/10.1186/s12889-023-15631-w |
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