Analysis of the interrelationships between factors influencing blood pressure in adults
ABSTRACT OBJECTIVE To investigate the interrelationships between sociodemographic, behavioral and clinical factors associated with high blood pressure in a population of Brazilian adults. METHODS Data from a cross-sectional population-based study conducted with adults were used. In the hypothetica...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidade de São Paulo
2020-12-01
|
| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100317&tlng=en |
| _version_ | 1819229523713982464 |
|---|---|
| author | Rafael Silveira Freire Vivianne Margareth Chaves Pereira Reis Alexandre Botelho Brito Maria Fernanda Santos Figueiredo Brito Lucinéia de Pinho Rosângela Ramos Veloso Silva Marise Fagundes Silveira |
| author_facet | Rafael Silveira Freire Vivianne Margareth Chaves Pereira Reis Alexandre Botelho Brito Maria Fernanda Santos Figueiredo Brito Lucinéia de Pinho Rosângela Ramos Veloso Silva Marise Fagundes Silveira |
| author_sort | Rafael Silveira Freire |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE To investigate the interrelationships between sociodemographic, behavioral and clinical factors associated with high blood pressure in a population of Brazilian adults. METHODS Data from a cross-sectional population-based study conducted with adults were used. In the hypothetical model developed socioeconomic status, fruit and vegetable intake, adiposity and blood pressure were treated as latent variables and age, gender, glycemia, physical activity, smoking, alcohol consumption and control of arterial hypertension were considered observed variables. Confirmatory factorial analysis was used to construct the latent variables measurement models and the structural equation modeling was used to adjust the final model. RESULTS The study included 808 individuals, with mean age of 44.2 years (± 17.8), 52.7% being female. It verified that age exerted a positive direct effect on blood pressure (β = 0.39), adiposity (β = 0.44), glycemia (β = 0.26) and smoking (β = 0.30). Age had a negative direct effect on physical activity (β=-0.17) and alcohol consumption (β = -0.10). Males were positively associated with blood pressure (β = 0.13), smoking (β = 0.28; p < 0.001) and alcohol consumption (β = 0.18). Adiposity had a positive direct effect on blood pressure (β = 0.23) and glycemia (β = 0.16) and alcohol consumption produced a positive effect (β = 0.09) on adiposity. Fruit and vegetable intake had a negative direct effect on blood pressure (β = -0.11), while socioeconomic status had a positive direct effect on fruit and vegetable consumption (β = 0.47). We adjusted the structural model according to the variable medical control of arterial hypertension, which had a negative direct effect on blood pressure (β = -0.10). CONCLUSIONS Results suggest that increasing age is associated with increased blood pressure, adiposity, glycemia and smoking, as well as with reduced physical activity and alcohol consumption. Males were associated with increased blood pressure and greater use of alcohol and cigarettes. Higher adiposity indicators were correlated with increased blood pressure and glycemic levels; higher alcohol consumption was associated with increased adiposity. Higher consumption of fruits and vegetables, as well as active control of hypertension were associated with reduced blood pressure. Better socioeconomic status was associated with higher consumption of fruits and vegetables. |
| first_indexed | 2024-12-23T11:14:32Z |
| format | Article |
| id | doaj.art-9dbe83ba0b9e428ebc42673ae76b00aa |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-23T11:14:32Z |
| publishDate | 2020-12-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-9dbe83ba0b9e428ebc42673ae76b00aa2022-12-21T17:49:15ZengUniversidade de São PauloRevista de Saúde Pública1518-87872020-12-015410.11606/s1518-8787.2020054002123Analysis of the interrelationships between factors influencing blood pressure in adultsRafael Silveira Freirehttps://orcid.org/0000-0002-3560-2082Vivianne Margareth Chaves Pereira Reishttps://orcid.org/0000-0001-8797-2678Alexandre Botelho Britohttps://orcid.org/0000-0003-2628-2117Maria Fernanda Santos Figueiredo Britohttps://orcid.org/0000-0001-5395-9491Lucinéia de Pinhohttps://orcid.org/0000-0002-2947-5806Rosângela Ramos Veloso Silvahttps://orcid.org/0000-0003-3329-8133Marise Fagundes Silveirahttps://orcid.org/0000-0002-8821-3160ABSTRACT OBJECTIVE To investigate the interrelationships between sociodemographic, behavioral and clinical factors associated with high blood pressure in a population of Brazilian adults. METHODS Data from a cross-sectional population-based study conducted with adults were used. In the hypothetical model developed socioeconomic status, fruit and vegetable intake, adiposity and blood pressure were treated as latent variables and age, gender, glycemia, physical activity, smoking, alcohol consumption and control of arterial hypertension were considered observed variables. Confirmatory factorial analysis was used to construct the latent variables measurement models and the structural equation modeling was used to adjust the final model. RESULTS The study included 808 individuals, with mean age of 44.2 years (± 17.8), 52.7% being female. It verified that age exerted a positive direct effect on blood pressure (β = 0.39), adiposity (β = 0.44), glycemia (β = 0.26) and smoking (β = 0.30). Age had a negative direct effect on physical activity (β=-0.17) and alcohol consumption (β = -0.10). Males were positively associated with blood pressure (β = 0.13), smoking (β = 0.28; p < 0.001) and alcohol consumption (β = 0.18). Adiposity had a positive direct effect on blood pressure (β = 0.23) and glycemia (β = 0.16) and alcohol consumption produced a positive effect (β = 0.09) on adiposity. Fruit and vegetable intake had a negative direct effect on blood pressure (β = -0.11), while socioeconomic status had a positive direct effect on fruit and vegetable consumption (β = 0.47). We adjusted the structural model according to the variable medical control of arterial hypertension, which had a negative direct effect on blood pressure (β = -0.10). CONCLUSIONS Results suggest that increasing age is associated with increased blood pressure, adiposity, glycemia and smoking, as well as with reduced physical activity and alcohol consumption. Males were associated with increased blood pressure and greater use of alcohol and cigarettes. Higher adiposity indicators were correlated with increased blood pressure and glycemic levels; higher alcohol consumption was associated with increased adiposity. Higher consumption of fruits and vegetables, as well as active control of hypertension were associated with reduced blood pressure. Better socioeconomic status was associated with higher consumption of fruits and vegetables.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100317&tlng=enAdultMiddle AgedHypertension, epidemiologyHealth BehaviorRisk FactorsSocioeconomic FactorsCross-Sectional Studies |
| spellingShingle | Rafael Silveira Freire Vivianne Margareth Chaves Pereira Reis Alexandre Botelho Brito Maria Fernanda Santos Figueiredo Brito Lucinéia de Pinho Rosângela Ramos Veloso Silva Marise Fagundes Silveira Analysis of the interrelationships between factors influencing blood pressure in adults Revista de Saúde Pública Adult Middle Aged Hypertension, epidemiology Health Behavior Risk Factors Socioeconomic Factors Cross-Sectional Studies |
| title | Analysis of the interrelationships between factors influencing blood pressure in adults |
| title_full | Analysis of the interrelationships between factors influencing blood pressure in adults |
| title_fullStr | Analysis of the interrelationships between factors influencing blood pressure in adults |
| title_full_unstemmed | Analysis of the interrelationships between factors influencing blood pressure in adults |
| title_short | Analysis of the interrelationships between factors influencing blood pressure in adults |
| title_sort | analysis of the interrelationships between factors influencing blood pressure in adults |
| topic | Adult Middle Aged Hypertension, epidemiology Health Behavior Risk Factors Socioeconomic Factors Cross-Sectional Studies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100317&tlng=en |
| work_keys_str_mv | AT rafaelsilveirafreire analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT viviannemargarethchavespereirareis analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT alexandrebotelhobrito analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT mariafernandasantosfigueiredobrito analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT lucineiadepinho analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT rosangelaramosvelososilva analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults AT marisefagundessilveira analysisoftheinterrelationshipsbetweenfactorsinfluencingbloodpressureinadults |