Association of elevated body mass index and hypertension with mortality: the CroHort study [Povezanost povećanog indeksa tjelesne mase i hipertenzije s mortalitetom u Hrvatskoj studiji kardiovaskularnog zdravlja 2003/08 ]

Mihel, Sandra and Musić Milanović, Sanja (2012) Association of elevated body mass index and hypertension with mortality: the CroHort study [Povezanost povećanog indeksa tjelesne mase i hipertenzije s mortalitetom u Hrvatskoj studiji kardiovaskularnog zdravlja 2003/08 ]. Collegium Antropologicum, 36 (S. 1). pp. 183-188. ISSN 0350-6134

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Abstract

Aim of this study was to investigate association of elevated body mass index and hypertension with general mortality in the cohort from Croatian Adult Health Cohort Study (CroHort). Risk of death according to body mass index (BMI) and blood pressure category, in period 2003/08, was calculated for 7,490 respondents, out of which 6,682 were alive and 808 were dead in 2008. Among men aged 65 and more, elevated BMI was associated with lower risk of death, in accordance with obesity paradox recorded in some previous studies which showed that older men with higher BMI have lower risk of death. Among women aged 50-64 years, being hypertensive was associated with increased risk of death compared to normotensive respondents. Despite obesity paradox which should be further explored, activities on primary and secondary prevention of excess weight and hypertension should be encouraged as means to prevent premature mortality in Croatian population.

Abstract in Croatian

Cilj ovog rada bio je istražiti povezanost povećanog indeksa tjelesne mase (ITM) i hipertenzije s općim mortalitetom u kohorti ispitanika Hrvatske kohortne studije kardiovaskularnog zdravlja 2003/08. Rizik od smrti prema kategorijama indeksa tjelesne mase i krvnog tlaka, u razdoblju 2003–08. godine, izračunat je za 7,490 ispitanika, od kojih je u 2008. godini bilo 6,682 živih i 808 mrtvih. Kod muškaraca u dobi od 65 i više godina, povećan ITM bio je povezan s manjim rizikom od smrti u skladu s paradoksom debljine zabilježenim u nekim prethodnim studijama koje su pokazale sa stariji muškarci višim ITM imaju manji rizik od smrti. Kod žena u dobi 50–64 godine, prisutnost hipertenzije bila je povezana s povećanim rizikom od smrti u usporedbi s ispitanicama s normalnim krvnim tlakom. Usprkos paradoksu debljine koji traži daljnja istraživanja, potrebno je poticati aktivnosti u primarnoj i sekundarnoj prevenciji prekomjerne tjelesne težine i hipertenzije kao sredstvima za sprječavanje prerane smrtnosti u hrvatskom stanovništvu.

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