Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees

Ghaneer S. Aljuraiban; Rachel Gibson; Doris S.M. Chan; Paul Elliott; Queenie Chan; Linda M. Oude Griep

doi:10.3390/ijerph20054029

Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees

Ghaneer S. Aljuraiban^*, Rachel Gibson, Doris S.M. Chan, Paul Elliott, Queenie Chan, Linda M. Oude Griep

^*Corresponding author for this work

Nutritional Sciences

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: Evidence suggest that promoting a combination of healthy lifestyle behaviors instead of exclusively focusing on a single behavior may have a greater impact on blood pressure (BP). We aimed to evaluate lifestyle factors and their impact on the risk of hypertension and BP. Methods: We analyzed cross-sectional health-screening data from the Airwave Health Monitoring Study of 40,462 British police force staff. A basic lifestyle-score including waist-circumference, smoking and serum total cholesterol was calculated, with a greater value indicating a better lifestyle. Individual/combined scores of other lifestyle factors (sleep duration, physical activity, alcohol intake, and diet quality) were also developed. Results: A 1-point higher basic lifestyle-score was associated with a lower systolic BP (SBP; −2.05 mmHg, 95%CI: −2.15, −1.95); diastolic BP (DBP; −1.98 mmHg, 95%CI: −2.05, −1.91) and was inversely associated with risk of hypertension. Combined scores of other factors showed attenuated but significant associations with the addition of sleep, physical activity, and diet quality to the basic lifestyle-score; however, alcohol intake did not further attenuate results. Conclusions: Modifiable intermediary factors have a stronger contribution to BP, namely, waist-circumference and cholesterol levels and factors that may directly influence them, such as diet, physical activity and sleep. Observed findings suggest that alcohol is a confounder in the BP–lifestyle score relation

Original language	English
Article number	4029
Journal	International Journal of Environmental Research and Public Health
Volume	20
Issue number	5
DOIs	https://doi.org/10.3390/ijerph20054029
Publication status	Published - 24 Feb 2023

Access to Document

10.3390/ijerph20054029

Cite this

@article{2e9eaa6a11c340ec96d49649addf417e,

title = "Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees",

abstract = "Background: Evidence suggest that promoting a combination of healthy lifestyle behaviors instead of exclusively focusing on a single behavior may have a greater impact on blood pressure (BP). We aimed to evaluate lifestyle factors and their impact on the risk of hypertension and BP. Methods: We analyzed cross-sectional health-screening data from the Airwave Health Monitoring Study of 40,462 British police force staff. A basic lifestyle-score including waist-circumference, smoking and serum total cholesterol was calculated, with a greater value indicating a better lifestyle. Individual/combined scores of other lifestyle factors (sleep duration, physical activity, alcohol intake, and diet quality) were also developed. Results: A 1-point higher basic lifestyle-score was associated with a lower systolic BP (SBP; −2.05 mmHg, 95%CI: −2.15, −1.95); diastolic BP (DBP; −1.98 mmHg, 95%CI: −2.05, −1.91) and was inversely associated with risk of hypertension. Combined scores of other factors showed attenuated but significant associations with the addition of sleep, physical activity, and diet quality to the basic lifestyle-score; however, alcohol intake did not further attenuate results. Conclusions: Modifiable intermediary factors have a stronger contribution to BP, namely, waist-circumference and cholesterol levels and factors that may directly influence them, such as diet, physical activity and sleep. Observed findings suggest that alcohol is a confounder in the BP–lifestyle score relation",

author = "{S. Aljuraiban}, Ghaneer and Rachel Gibson and {S.M. Chan}, Doris and Paul Elliott and Queenie Chan and {M. Oude Griep}, Linda",

note = "Funding Information: DPUK provided data/sample/participant access for this project (DPUK Study number 0362): https://doi.org/10.48532/002000 through MRC grant ref MR/L023784/2” (core funding) (Elliot, P. Airwave [Data set]. Dementias Platform UK. https://doi.org/10.48532/002000 . 2017 ). We thank the dietary coders who contributed to the generation of the dietary data, see Gibson et al. []. LOG acknowledges support from the NIHR Cambridge Biomedical Research Centre (NIHR203312). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} 2023 by the authors.",

year = "2023",

month = feb,

day = "24",

doi = "10.3390/ijerph20054029",

language = "English",

volume = "20",

journal = "International Journal of Environmental Research and Public Health",

issn = "1660-4601",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "5",

}

TY - JOUR

T1 - Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees

AU - S. Aljuraiban, Ghaneer

AU - Gibson, Rachel

AU - S.M. Chan, Doris

AU - Elliott, Paul

AU - Chan, Queenie

AU - M. Oude Griep, Linda

N1 - Funding Information: DPUK provided data/sample/participant access for this project (DPUK Study number 0362): https://doi.org/10.48532/002000 through MRC grant ref MR/L023784/2” (core funding) (Elliot, P. Airwave [Data set]. Dementias Platform UK. https://doi.org/10.48532/002000 . 2017 ). We thank the dietary coders who contributed to the generation of the dietary data, see Gibson et al. []. LOG acknowledges support from the NIHR Cambridge Biomedical Research Centre (NIHR203312). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2023 by the authors.

PY - 2023/2/24

Y1 - 2023/2/24

N2 - Background: Evidence suggest that promoting a combination of healthy lifestyle behaviors instead of exclusively focusing on a single behavior may have a greater impact on blood pressure (BP). We aimed to evaluate lifestyle factors and their impact on the risk of hypertension and BP. Methods: We analyzed cross-sectional health-screening data from the Airwave Health Monitoring Study of 40,462 British police force staff. A basic lifestyle-score including waist-circumference, smoking and serum total cholesterol was calculated, with a greater value indicating a better lifestyle. Individual/combined scores of other lifestyle factors (sleep duration, physical activity, alcohol intake, and diet quality) were also developed. Results: A 1-point higher basic lifestyle-score was associated with a lower systolic BP (SBP; −2.05 mmHg, 95%CI: −2.15, −1.95); diastolic BP (DBP; −1.98 mmHg, 95%CI: −2.05, −1.91) and was inversely associated with risk of hypertension. Combined scores of other factors showed attenuated but significant associations with the addition of sleep, physical activity, and diet quality to the basic lifestyle-score; however, alcohol intake did not further attenuate results. Conclusions: Modifiable intermediary factors have a stronger contribution to BP, namely, waist-circumference and cholesterol levels and factors that may directly influence them, such as diet, physical activity and sleep. Observed findings suggest that alcohol is a confounder in the BP–lifestyle score relation

AB - Background: Evidence suggest that promoting a combination of healthy lifestyle behaviors instead of exclusively focusing on a single behavior may have a greater impact on blood pressure (BP). We aimed to evaluate lifestyle factors and their impact on the risk of hypertension and BP. Methods: We analyzed cross-sectional health-screening data from the Airwave Health Monitoring Study of 40,462 British police force staff. A basic lifestyle-score including waist-circumference, smoking and serum total cholesterol was calculated, with a greater value indicating a better lifestyle. Individual/combined scores of other lifestyle factors (sleep duration, physical activity, alcohol intake, and diet quality) were also developed. Results: A 1-point higher basic lifestyle-score was associated with a lower systolic BP (SBP; −2.05 mmHg, 95%CI: −2.15, −1.95); diastolic BP (DBP; −1.98 mmHg, 95%CI: −2.05, −1.91) and was inversely associated with risk of hypertension. Combined scores of other factors showed attenuated but significant associations with the addition of sleep, physical activity, and diet quality to the basic lifestyle-score; however, alcohol intake did not further attenuate results. Conclusions: Modifiable intermediary factors have a stronger contribution to BP, namely, waist-circumference and cholesterol levels and factors that may directly influence them, such as diet, physical activity and sleep. Observed findings suggest that alcohol is a confounder in the BP–lifestyle score relation

UR - http://www.scopus.com/inward/record.url?scp=85149951745&partnerID=8YFLogxK

U2 - 10.3390/ijerph20054029

DO - 10.3390/ijerph20054029

M3 - Article

SN - 1660-4601

VL - 20

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 5

M1 - 4029

ER -

Lifestyle Score and Risk of Hypertension in the Airwave Health Monitoring Study of British Police Force Employees

Abstract

Access to Document

Other files and links

Fingerprint

Cite this