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SPORTS MEDICINE :
MEDICAL: CONDITIONS: OBESITY :
PHYSICAL EXERCISE AND FITNESS :
MEDICAL: CONDITIONS: HYPERTENSION :
MEDICAL RESEARCH:
High BMI, Poor Fitness Independently Predict Midlife Hypertension
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High BMI, Poor Fitness Independently Predict Midlife Hypertension
Pam Harrison
January 22, 2016
Medscape
http://www.medscape.com/viewarticle/857659
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CHICAGO, IL A high body-mass index (BMI) and poor aerobic capacity in
late adolescence are both independently associated with a higher risk of
developing hypertension in middle age, and their effects are additive,
suggests a study based on a large Swedish male cohort[1].
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Among the findings: the young male participants with normal baseline BMI
but poor fitness still had a sharply and significantly increased risk of
hypertension later in life.
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"This was our most surprising finding, and it suggests that interventions
to prevent hypertension should include not only weight control but aerobic
fitness, even among people with normal BMI," lead author Dr Casey Crump
(Mount Sinai School of Medicine, New York, NY) said to heartwire from
Medscape in an email.
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Crump is lead author on the longitudinal study of 1.5 million men
conscripted for Sweden's military at age 18, which was published January
19, 2016 in JAMA Internal Medicine. He was at Stanford University (Palo
Alto, CA) when the study was conducted. "To our knowledge," he said, "this
is the first study to examine the combined effects of high BMI and low
fitness in late adolescence on the long-term risk of hypertension in
adulthood."
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snip
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Lavie and colleagues contend that "substantial" efforts are needed to
increase levels of physical activity across all ages to improve fitness
levels and prevent obesity. "We agree with Crump et al that efforts to
prevent hypertension need to be started early by preventing weight gain
and improving levels of CRF in children and adolescents," they write.
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"As physicians, it is imperative that we document levels of physical
activity during almost all patient encounters and that we use this
opportunity at nearly ever visit to promote and prescribe physical
activity to all of our patients."
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The complete article may be read at the URL above.
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Interactive Effects of Physical Fitness
and Body Mass Index on the Risk of Hypertension ONLINE FIRST
Casey Crump, MD, PhD1; Jan Sundquist, MD, PhD2; Marilyn A. Winkleby, PhD3;
Kristina Sundquist, MD, PhD2
[+] Author Affiliations
JAMA Intern Med. Published online January 19, 2016.
doi:10.1001/jamainternmed.2015.7444
archinte.jamanetwork.com/article.aspx?articleid=2482349
CONCLUSIONS
To our knowledge, this large national cohort study is the first to examine
interactions between physical fitness and BMI in late adolescence in
association with hypertension risk in adulthood. We found that high BMI
and low aerobic capacity in late adolescence were independently associated
with higher risk of hypertension in adulthood and had a negative
interaction. Low aerobic capacity was a significant risk factor even among
men with normal BMI. If confirmed, these findings suggest that
interventions to prevent hypertension should begin early in life and
include not only weight control but also aerobic fitness, even among those
with a normal BMI.
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The complete fee based article may be read at the URL above.
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
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