ArticleJournal of clinical hypertension (Greenwich, Conn.)2018
Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population-based study.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 33 citations in OpenAlex.
- Abdominal obesity in India: sex stratified multilevel estimates across 707 districts from a nationally representative cross-sectional survey.Scientific reports · 2026Article
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- Association Between Abdominal Obesity, Body Mass Index, and Hypertension in India: Evidence From a Large Nationally Representative Data.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Lifestyle Factors, Sociodemographic Characteristics and Incident Hypertension: A Prospective Analysis of the Korean National Health Insurance Service Sample Cohort.Journal of personalized medicine · 2024Article
- Genetically predicted plasma cortisol and common chronic diseases: A Mendelian randomization study.Clinical endocrinology · 2024Article
- The burden and care cascade in young and middle-aged patients with diabetes hypertension comorbidity with abdominal obesity in India: A nationally representative cross-sectional survey.PLOS global public health · 2024Article
- Mediators of the Effect of Obesity on Stroke and Heart Disease Risk: Decomposing Direct and Indirect Effects.Journal of epidemiology · 2023Article
- Muscle Quality Index in Morbidly Obesity Patients Related to Metabolic Syndrome Markers and Cardiorespiratory Fitness.Nutrients · 2023Article
- Longitudinal associations between physical activity and five risk factors of metabolic syndrome in middle-aged adults in Germany.Diabetology & metabolic syndrome · 2023Article
- Big Data Research in the Field of Endocrine Diseases Using the Korean National Health Information Database.Endocrinology and metabolism (Seoul, Korea) · 2023Review
- The associations between changes in hepatic steatosis and heart failure and mortality: a nationwide cohort study.Cardiovascular diabetology · 2022Article
- Exploring Perceived Barriers to Physical Activity in Korean Older Patients with Hypertension: Photovoice Inquiry.International journal of environmental research and public health · 2022Article
- Interaction effect between overweight/obesity and alcohol consumption on hypertension risk in China: a longitudinal study.BMJ open · 2022Article
- The associations of hepatic steatosis and fibrosis using fatty liver index and BARD score with cardiovascular outcomes and mortality in patients with new-onset type 2 diabetes: a nationwide cohort study.Cardiovascular diabetology · 2022Article
- Dietary Patterns in Association With Hypertension: A Community-Based Study in Eastern China.Frontiers in nutrition · 2022Article
- Physical Activity, Obesity, and Hypertension among Adults in a Rapidly Urbanised City.International journal of hypertension · 2021Article
- Body shape and pants size as surrogate measures of obesity among males in epidemiologic studies.Preventive medicine reports · 2020Article
- Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- Corrigendum.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Association between abdominal obesity and increased risk for the development of hypertension regardless of physical activity: A nationwide population-based study.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
Corrections and comments
- Commented on by
- Erratum issuedCorrigendum.2018
Authors and funding
12 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The presence of abdominal obesity and lack of physical activity are both risk factors for the development of hypertension. The aim of this study was to analyze the risk of developing hypertension according to baseline waist circumference (WC). In total, 16 312 476 non-hypertensive participants who were covered by the National Health Insurance Service (NHIS) from 2009 to 2012 in Korea were included in the study. The participants were divided into six groups according to the level of baseline WC with a 5-cm interval starting from 80 cm in men and 75 cm in women. The risk for the future development of hypertension was assessed in 2015 using the claims data on the diagnosis of hypertension and prescription of anti-hypertensive medications. Approximately 7.8% of the participants developed hypertension over a median follow-up of 5.48 years. The proportion of participants who developed hypertension significantly increased from 4.2% in the WC level 1% to 17.5% in the WC level 6. After adjusting for confounding factors, level 6 of the baseline WC had a higher hazard ratio (HR) for the development of hypertension among the 6 levels of baseline with level 3 as the reference (1736; 95% confidence interval [95% CI]: 1.72-1.753). The participants with abdominal obesity had a significantly higher HR than those without abdominal obesity regardless of whether they engage in high- or moderate-intensity physical intensity (1.741; 95% CI: 1.718-1.764). WC had a linear association with the development of hypertension based on this large nationwide population-based cohort study, which was not influenced by physical activity.
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