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The patterns of lifestyle, metabolic status, and obesity among hypertensive Korean patients: a latent class analysis / 한국역학회지
Epidemiology and Health ; : e2020061-2020.
Article in English | WPRIM | ID: wpr-890544
ABSTRACT
OBJECTIVES@#This study aimed to identify latent classes in hypertensive patients based on the clustering of factors including lifestyle risk factors, metabolic risk factors, and obesity in each sex. @*METHODS@#This cross-sectional study included 102,780 male and 103,710 female hypertensive patients who underwent health check-ups at 16 centers in Korea, in 2018. A latent class analysis approach was used to identify subgroups of hypertensive patients. Multinomial logistic regression was performed to examine the association between latent classes and comorbidities of hypertension. @*RESULTS@#A four-class model provided the best fit for each sex. The following latent classes were identified Class I (male 16.9%, female 1.7%; high risk of lifestyle behaviors [HB] with metabolic disorders and obesity [MO]), Class II (male 32.4%, female 47.1%; low risk of lifestyle behaviors [LB] with MO), Class III (male 15.3%, female 1.8%; HB with metabolic disorders and normal weight [MNW]), Class IV (male 35.5%, female 49.4%; LB with MNW). Lifestyle patterns in the latent classes were classified as high-risk or low-risk according to smoking and high-risk drinking among male, and presented complex patterns including physical inactivity alone or in combination with other factors, among female. Stage 2 hypertensive or diabetic individuals were likely to belong to classes including obesity (HB-MO, LB-MO) in both sexes, and additionally belonged to the HB-MNW class in male. @*CONCLUSIONS@#Metabolic disorders were included in all latent classes, with or without lifestyle risk factors and obesity. Hypertensive females need to manage obesity, and hypertensive males need to manage lifestyle risk factors and obesity. Sex-specific lifestyle behaviors are important for controlling hypertension.
Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Epidemiology and Health Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Epidemiology and Health Year: 2020 Type: Article