Hypertension, Obesity
Conditions
Keywords
Obesity, Hypertension, Cardiovascular risk
Brief summary
Long-term Impact of Overweight/Obesity and Hypertension on Cardiovascular Risk in Middle-aged and Elderly Adults
Detailed description
Overweight and obesity are major risk factors associated with the development of hypertension, poor blood pressure control, and adverse cardiovascular outcomes. However, evidence regarding the long-term impact of overweight/obesity and hypertension on cardiovascular risk in middle-aged and elderly populations remains limited. Therefore, the present study aims to evaluate the long-term effects of overweight/obesity and hypertension on cardiovascular risk in middle-aged and elderly adults.Additionally, a subgroup analysis will be conducted in participants with sarcopenia to assess the influence of blood pressure on prognosis, exploring potential interactions between muscle loss, hypertension, and cardiovascular outcomes.
Interventions
This is an observational study without any intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages of ≥ 45 years * Participants from routine health examinations at Tongzhou Community Health Service Center * Availability for follow-up until 2026 * No major barriers to provide written consent
Exclusion criteria
* NA
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants with major adverse cardiovascular events (MACEs) | 2021-2026 | Percentage of participants with major adverse cardiovascular events (MACEs), including all-cause death, nonfatal myocardial infarction (MI), nonfatal stroke and coronary revascularization. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of participants with MI | 2021-2026 | Percentage of participants with fatal and nonfatal MI. |
| Percentage of participants with stroke | 2021-2026 | Percentage of participants with fatal and nonfatal stroke. |
| Percentage of participants undergoing coronary revascularization | 2021-2026 | Percentage of participants undergoing ischemia- and non-ischemia-driven coronary revascularization. |
| Change in BP control rate | 2021-2026 | Change in BP control rate (office BP: SBP \< 140 mmHg and DBP \< 90 mmHg) from baseline to follow-up. |
| Percentage of participants with all-cause death | 2021-2026 | Percentage of participants with cardiovascular, non-cardiovascular and undetermined death. |
| Change in estimated glomerular filtration rate (eGFR) | 2021-2026 | Change in estimated glomerular filtration rate (eGFR) in ml/min/1.73m2 from baseline to follow-up. |
| Change in low-density lipoprotein-cholesterol (LDL-c) | 2021-2026 | Change in low-density lipoprotein-cholesterol (LDL-c) in mmol/L from baseline to follow-up. |
| Percentage of participants with Metabolic dysfunction-associated steatotic liver disease (MASLD) | 2021-2026 | Percentage of participants with Metabolic dysfunction-associated steatotic liver disease. |
| Change in SBP | 2021-2026 | Change in SBP from baseline to follow-up. |
Countries
China