Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey

Background The aim is to identify the factors influencing blood pressure variability in postmenopausal women based on the China Health and Nutrition Survey (CHNS). Material and Methods The data on postmenopausal women between 1993 and 2015 were extracted from the CHNS. Group-based trajectory modelin...

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Main Authors: Zhonge Tao, Quanxin Qu, Jing Li, Xiaolin Li
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2023.2181356
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author Zhonge Tao
Quanxin Qu
Jing Li
Xiaolin Li
author_facet Zhonge Tao
Quanxin Qu
Jing Li
Xiaolin Li
author_sort Zhonge Tao
collection DOAJ
description Background The aim is to identify the factors influencing blood pressure variability in postmenopausal women based on the China Health and Nutrition Survey (CHNS). Material and Methods The data on postmenopausal women between 1993 and 2015 were extracted from the CHNS. Group-based trajectory modeling was used to analyze the development track of blood pressure changes, based on which the subjects were separately divided into two groups for systolic blood pressure (SBP) and diastolic blood pressure (DBP). Univariate and multivariate analyzes were performed to analyze the factors influencing SBP and DBP. Results A total of 346 women were eligible for the study. Group-based trajectory modeling showed two different trajectories of blood pressure, including the low-level, slowly developed type and the high-level, rapidly developed, stable type of SBP, as well as the low-level, slowly developed type and the high-level, slowly developed type of DBP. In multivariate analysis, age (odds ratio [OR]: 1.118, 95% confidence interval [CI]: 1.082–1.156), body mass index (BMI) (OR: 2.239, 95%CI: 1.010–4.964), antihypertensive agents (OR: 7.293, 95%CI: 2.191–24.275), hip circumference (OR: 1.069, 95%CI: 1.014–1.128) and marital status (OR: 3.103, 95%CI: 1.028–9.361) were found to be the significant factors influencing SBP; age (OR: 1.067, 95%CI: 1.039–1.096), alcohol consumption (OR: 2.741, 95%CI: 1.169–6.429), antihypertensive agents (OR: 4.577, 95%CI: 1.553–13.492), hip circumference (OR: 1.093, 95%CI: 1.049–1.138), and marital status (OR: 3.615, 95%CI: 1.228–10.644) were the predominant factors influencing DBP. Conclusions In postmenopausal women, age, BMI, antihypertensive agents, hip circumference, and marital status are associated with SBP changes, while age, alcohol consumption, antihypertensive agents, hip circumference, and marital status with DBP variability. MeSH Keywords postmenopausal women, blood pressure, development track, influencing factors, CHNS
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spelling doaj.art-6cc948014af44bc1aaa9be5170ec3f582023-09-19T16:04:08ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062023-12-0145110.1080/10641963.2023.21813562181356Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition SurveyZhonge Tao0Quanxin Qu1Jing Li2Xiaolin Li3Tianjin First Center HospitalTianjin First Center HospitalTianjin First Center HospitalTianjin First Center HospitalBackground The aim is to identify the factors influencing blood pressure variability in postmenopausal women based on the China Health and Nutrition Survey (CHNS). Material and Methods The data on postmenopausal women between 1993 and 2015 were extracted from the CHNS. Group-based trajectory modeling was used to analyze the development track of blood pressure changes, based on which the subjects were separately divided into two groups for systolic blood pressure (SBP) and diastolic blood pressure (DBP). Univariate and multivariate analyzes were performed to analyze the factors influencing SBP and DBP. Results A total of 346 women were eligible for the study. Group-based trajectory modeling showed two different trajectories of blood pressure, including the low-level, slowly developed type and the high-level, rapidly developed, stable type of SBP, as well as the low-level, slowly developed type and the high-level, slowly developed type of DBP. In multivariate analysis, age (odds ratio [OR]: 1.118, 95% confidence interval [CI]: 1.082–1.156), body mass index (BMI) (OR: 2.239, 95%CI: 1.010–4.964), antihypertensive agents (OR: 7.293, 95%CI: 2.191–24.275), hip circumference (OR: 1.069, 95%CI: 1.014–1.128) and marital status (OR: 3.103, 95%CI: 1.028–9.361) were found to be the significant factors influencing SBP; age (OR: 1.067, 95%CI: 1.039–1.096), alcohol consumption (OR: 2.741, 95%CI: 1.169–6.429), antihypertensive agents (OR: 4.577, 95%CI: 1.553–13.492), hip circumference (OR: 1.093, 95%CI: 1.049–1.138), and marital status (OR: 3.615, 95%CI: 1.228–10.644) were the predominant factors influencing DBP. Conclusions In postmenopausal women, age, BMI, antihypertensive agents, hip circumference, and marital status are associated with SBP changes, while age, alcohol consumption, antihypertensive agents, hip circumference, and marital status with DBP variability. MeSH Keywords postmenopausal women, blood pressure, development track, influencing factors, CHNShttp://dx.doi.org/10.1080/10641963.2023.2181356postmenopausal womenblood pressuredevelopment trackinfluencing factorschns
spellingShingle Zhonge Tao
Quanxin Qu
Jing Li
Xiaolin Li
Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
Clinical and Experimental Hypertension
postmenopausal women
blood pressure
development track
influencing factors
chns
title Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
title_full Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
title_fullStr Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
title_full_unstemmed Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
title_short Factors influencing blood pressure variability in postmenopausal women: evidence from the China Health and Nutrition Survey
title_sort factors influencing blood pressure variability in postmenopausal women evidence from the china health and nutrition survey
topic postmenopausal women
blood pressure
development track
influencing factors
chns
url http://dx.doi.org/10.1080/10641963.2023.2181356
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AT quanxinqu factorsinfluencingbloodpressurevariabilityinpostmenopausalwomenevidencefromthechinahealthandnutritionsurvey
AT jingli factorsinfluencingbloodpressurevariabilityinpostmenopausalwomenevidencefromthechinahealthandnutritionsurvey
AT xiaolinli factorsinfluencingbloodpressurevariabilityinpostmenopausalwomenevidencefromthechinahealthandnutritionsurvey