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

Ghadeer S. Aljuraiban (), Rachel Gibson, Doris S. M. Chan, Paul Elliott, Queenie Chan and Linda M. Oude Griep
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Ghadeer S. Aljuraiban: Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia
Rachel Gibson: Department of Nutritional Sciences, King’s College London, London SE1 9NH, UK
Doris S. M. Chan: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
Paul Elliott: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
Queenie Chan: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
Linda M. Oude Griep: MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0QQ, UK

IJERPH, 2023, vol. 20, issue 5, 1-14

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.

Keywords: hypertension; blood pressure; cardiovascular risk; healthy lifestyle (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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