Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014

Abstract Background In previous studies, sun-protective behaviors increased cardiovascular incidence. Our present article is to further analyze the potential relationship between sun-protective behaviors (staying in the shade, wearing long-sleeved clothing, and applying sunscreen) and hypertension....

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Main Authors: Shuping Yang, Feng Dai, Zhaokai Wang, Ruoshui Li, Xianzhi Xu, Cheng Li, Xiancun Hou, Yang Liu, Chaofan Wang, Dongye Li, Lei Li, Tongda Xu
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16439-4
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author Shuping Yang
Feng Dai
Zhaokai Wang
Ruoshui Li
Xianzhi Xu
Cheng Li
Xiancun Hou
Yang Liu
Chaofan Wang
Dongye Li
Lei Li
Tongda Xu
author_facet Shuping Yang
Feng Dai
Zhaokai Wang
Ruoshui Li
Xianzhi Xu
Cheng Li
Xiancun Hou
Yang Liu
Chaofan Wang
Dongye Li
Lei Li
Tongda Xu
author_sort Shuping Yang
collection DOAJ
description Abstract Background In previous studies, sun-protective behaviors increased cardiovascular incidence. Our present article is to further analyze the potential relationship between sun-protective behaviors (staying in the shade, wearing long-sleeved clothing, and applying sunscreen) and hypertension. Method The present cross-sectional study evaluated 8,613 participants (aged 20–60 years) from the National Health and Nutrition Examination Survey (NHANES) obtained between 2009 and 2014. We performed multiple logistic regression analysis to examine the relationship between sun-protective behaviors and hypertension. Subgroup analysis was then performed. Multiple linear regression analysis was utilized to examine the relationship of sun-protective behaviors and each sun-protective behavior with systolic and diastolic blood pressure, stratified by sex and race. Results A total of 8,613 participants (weighted n = 127,909,475) were applied in our study, including 1,694 hypertensive subjects. Our study demonstrated that sun-protective behaviors of the 2–3 category were associated with increased risk of hypertension, but not with higher systolic and diastolic blood pressure. In subgroup analysis, men, Mexican American, and 25 < BMI ≤ 30 who reported sun-protective behaviors (2–3) were prone to hypertension. Multiple linear regression models showed that non-Hispanic white men with sun-protective behaviors (2–3) were positively associated with systolic and diastolic blood pressure. The association between other-Hispanic men with frequent wearing long-sleeved clothing and diastolic blood pressure was positively correlated. Conclusion Sun-protective behaviors of the 2–3 category could increase the incidence of hypertension, but not increase systolic and diastolic blood pressure. We only found that non-Hispanic white men who reported sun-protective behaviors (2–3) were positively associated with systolic and diastolic blood pressure. These findings suggested that excessive sun-protective behaviors should be avoided.
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spelling doaj.art-e7a62bd5ae454f8a8f6ee4a4646a0abb2023-11-20T11:12:43ZengBMCBMC Public Health1471-24582023-09-012311910.1186/s12889-023-16439-4Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014Shuping Yang0Feng Dai1Zhaokai Wang2Ruoshui Li3Xianzhi Xu4Cheng Li5Xiancun Hou6Yang Liu7Chaofan Wang8Dongye Li9Lei Li10Tongda Xu11Department of General Practice, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Stomatology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Nuclear Medicine, The Affiliated Hospital of Xuzhou Medical UniversityInstitute of Cardiovascular Disease Research, Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of General Practice, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityAbstract Background In previous studies, sun-protective behaviors increased cardiovascular incidence. Our present article is to further analyze the potential relationship between sun-protective behaviors (staying in the shade, wearing long-sleeved clothing, and applying sunscreen) and hypertension. Method The present cross-sectional study evaluated 8,613 participants (aged 20–60 years) from the National Health and Nutrition Examination Survey (NHANES) obtained between 2009 and 2014. We performed multiple logistic regression analysis to examine the relationship between sun-protective behaviors and hypertension. Subgroup analysis was then performed. Multiple linear regression analysis was utilized to examine the relationship of sun-protective behaviors and each sun-protective behavior with systolic and diastolic blood pressure, stratified by sex and race. Results A total of 8,613 participants (weighted n = 127,909,475) were applied in our study, including 1,694 hypertensive subjects. Our study demonstrated that sun-protective behaviors of the 2–3 category were associated with increased risk of hypertension, but not with higher systolic and diastolic blood pressure. In subgroup analysis, men, Mexican American, and 25 < BMI ≤ 30 who reported sun-protective behaviors (2–3) were prone to hypertension. Multiple linear regression models showed that non-Hispanic white men with sun-protective behaviors (2–3) were positively associated with systolic and diastolic blood pressure. The association between other-Hispanic men with frequent wearing long-sleeved clothing and diastolic blood pressure was positively correlated. Conclusion Sun-protective behaviors of the 2–3 category could increase the incidence of hypertension, but not increase systolic and diastolic blood pressure. We only found that non-Hispanic white men who reported sun-protective behaviors (2–3) were positively associated with systolic and diastolic blood pressure. These findings suggested that excessive sun-protective behaviors should be avoided.https://doi.org/10.1186/s12889-023-16439-4HypertensionNHANESSun-protective behaviors
spellingShingle Shuping Yang
Feng Dai
Zhaokai Wang
Ruoshui Li
Xianzhi Xu
Cheng Li
Xiancun Hou
Yang Liu
Chaofan Wang
Dongye Li
Lei Li
Tongda Xu
Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
BMC Public Health
Hypertension
NHANES
Sun-protective behaviors
title Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
title_full Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
title_fullStr Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
title_full_unstemmed Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
title_short Association between sun-protective behaviors and hypertension: a cross-sectional study from National Health and Nutrition Examination Survey 2009 to 2014
title_sort association between sun protective behaviors and hypertension a cross sectional study from national health and nutrition examination survey 2009 to 2014
topic Hypertension
NHANES
Sun-protective behaviors
url https://doi.org/10.1186/s12889-023-16439-4
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