Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017

Abstract The strength of association between the body mass index (BMI) and blood pressure (BP) varies with population and time. Therefore, identifying the trends in BMI-BP association in adolescents can help predict the upcoming metabolic and cardiovascular disease burden. For this reason, from phys...

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Main Authors: Hee Byung Koh, Ga Young Heo, Kyung Won Kim, Joohyung Ha, Jung Tak Park, Seung Hyeok Han, Tae-Hyun Yoo, Shin-Wook Kang, Hyung Woo Kim
Format: Article
Language:English
Published: Nature Portfolio 2022-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-10570-9
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author Hee Byung Koh
Ga Young Heo
Kyung Won Kim
Joohyung Ha
Jung Tak Park
Seung Hyeok Han
Tae-Hyun Yoo
Shin-Wook Kang
Hyung Woo Kim
author_facet Hee Byung Koh
Ga Young Heo
Kyung Won Kim
Joohyung Ha
Jung Tak Park
Seung Hyeok Han
Tae-Hyun Yoo
Shin-Wook Kang
Hyung Woo Kim
author_sort Hee Byung Koh
collection DOAJ
description Abstract The strength of association between the body mass index (BMI) and blood pressure (BP) varies with population and time. Therefore, identifying the trends in BMI-BP association in adolescents can help predict the upcoming metabolic and cardiovascular disease burden. For this reason, from physical examination data collected from 2003 to 2017, a total of 5,133,246 Korean men aged 19 years were assessed for the annual trends and changes in the BMI-BP association. During the 15-year period, the mean BMI increased from 22.5 to 23.5 kg/m2, and the prevalence of obesity increased from 16.7 to 21.4%. Meanwhile, the mean systolic BP (SBP) decreased from 122.8 to 122.3 mmHg in the first year and gradually increased to 125.9 mmHg afterward. The diastolic BP (DBP) decreased from 71.5 to 70.0 mmHg in the first 4 years and then rose to 74.8 mmHg in the following years. The association analysis between BMI and SBP resulted in an annual increase in the correlation coefficient (SBP: 0.257–0.495, DBP: 0.164–0.413). The regression coefficient similarly increased between 2003 and 2015 but slightly decreased between 2015 and 2017 (SBP: 0.896–1.569, DBP: 0.405–0.861). The BMI-BP association increased over time (coefficient of the interaction term > 0, P < 0.001). Moreover, as the BMI increased, the annual increase in BP and BP per unit BMI also increased. In conclusion, this study emphasized a continuous shift towards obesity in BMI distribution and intensifying BMI-BP association over time in young men. Further research on factors affecting this BMI-BP association is needed to fully validate the potential applications of this hypothesis.
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spelling doaj.art-cb696d8c2b984b74b225defb9c0b961a2022-12-22T02:07:19ZengNature PortfolioScientific Reports2045-23222022-04-011211910.1038/s41598-022-10570-9Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017Hee Byung Koh0Ga Young Heo1Kyung Won Kim2Joohyung Ha3Jung Tak Park4Seung Hyeok Han5Tae-Hyun Yoo6Shin-Wook Kang7Hyung Woo Kim8Department of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityDepartment of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei UniversityAbstract The strength of association between the body mass index (BMI) and blood pressure (BP) varies with population and time. Therefore, identifying the trends in BMI-BP association in adolescents can help predict the upcoming metabolic and cardiovascular disease burden. For this reason, from physical examination data collected from 2003 to 2017, a total of 5,133,246 Korean men aged 19 years were assessed for the annual trends and changes in the BMI-BP association. During the 15-year period, the mean BMI increased from 22.5 to 23.5 kg/m2, and the prevalence of obesity increased from 16.7 to 21.4%. Meanwhile, the mean systolic BP (SBP) decreased from 122.8 to 122.3 mmHg in the first year and gradually increased to 125.9 mmHg afterward. The diastolic BP (DBP) decreased from 71.5 to 70.0 mmHg in the first 4 years and then rose to 74.8 mmHg in the following years. The association analysis between BMI and SBP resulted in an annual increase in the correlation coefficient (SBP: 0.257–0.495, DBP: 0.164–0.413). The regression coefficient similarly increased between 2003 and 2015 but slightly decreased between 2015 and 2017 (SBP: 0.896–1.569, DBP: 0.405–0.861). The BMI-BP association increased over time (coefficient of the interaction term > 0, P < 0.001). Moreover, as the BMI increased, the annual increase in BP and BP per unit BMI also increased. In conclusion, this study emphasized a continuous shift towards obesity in BMI distribution and intensifying BMI-BP association over time in young men. Further research on factors affecting this BMI-BP association is needed to fully validate the potential applications of this hypothesis.https://doi.org/10.1038/s41598-022-10570-9
spellingShingle Hee Byung Koh
Ga Young Heo
Kyung Won Kim
Joohyung Ha
Jung Tak Park
Seung Hyeok Han
Tae-Hyun Yoo
Shin-Wook Kang
Hyung Woo Kim
Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
Scientific Reports
title Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
title_full Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
title_fullStr Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
title_full_unstemmed Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
title_short Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017
title_sort trends in the association between body mass index and blood pressure among 19 year old men in korea from 2003 to 2017
url https://doi.org/10.1038/s41598-022-10570-9
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