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Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khanh Hoa, Vietnam.


ABSTRACT: 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. 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. 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. 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.

SUBMITTER: Do AD 

PROVIDER: S-EPMC10116664 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Different associations of occupational and leisure-time physical activity with the prevalence of hypertension among middle-aged community dwellers in rural Khánh Hòa, Vietnam.

Do An Dang AD   Pham Thuy Thi Phuong TTP   Nguyen Chau Que CQ   Van Hoang Dong D   Fukunaga Ami A   Yamamoto Shohei S   Shrestha Rachana Manandhar RM   Phan Danh Cong DC   Hachiya Masahiko M   Van Huynh Dong D   Le Huy Xuan HX   Do Hung Thai HT   Mizoue Tetsuya T   Inoue Yosuke Y  

BMC public health 20230419 1


<h4>Background</h4>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.<h4>Methods</h4>We used data collected in the baseline survey of a prospective cohort study, among 3000 people aged 40-60 years old residing in r  ...[more]

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