Associations of combined genetic and lifestyle risks with hypertension and home hypertension

No study, to our knowledge, has constructed a polygenic risk score based on clinical blood pressure and investigated the association of genetic and lifestyle risks with home hypertension. We examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. In...

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Veröffentlicht in:Hypertension research 2024-08, Vol.47 (8), p.2064-2074
Hauptverfasser: Takase, Masato, Hirata, Takumi, Nakaya, Naoki, Nakamura, Tomohiro, Kogure, Mana, Hatanaka, Rieko, Nakaya, Kumi, Chiba, Ippei, Kanno, Ikumi, Nochioka, Kotaro, Tsuchiya, Naho, Narita, Akira, Metoki, Hirohito, Satoh, Michihiro, Obara, Taku, Ishikuro, Mami, Ohseto, Hisashi, Uruno, Akira, Kobayashi, Tomoko, Kodama, Eiichi N., Hamanaka, Yohei, Orui, Masatsugu, Ogishima, Soichi, Nagaie, Satoshi, Fuse, Nobuo, Sugawara, Junichi, Kuriyama, Shinichi, Tamiya, Gen, Hozawa, Atsushi, Yamamoto, Masayuki
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container_end_page 2074
container_issue 8
container_start_page 2064
container_title Hypertension research
container_volume 47
creator Takase, Masato
Hirata, Takumi
Nakaya, Naoki
Nakamura, Tomohiro
Kogure, Mana
Hatanaka, Rieko
Nakaya, Kumi
Chiba, Ippei
Kanno, Ikumi
Nochioka, Kotaro
Tsuchiya, Naho
Narita, Akira
Metoki, Hirohito
Satoh, Michihiro
Obara, Taku
Ishikuro, Mami
Ohseto, Hisashi
Uruno, Akira
Kobayashi, Tomoko
Kodama, Eiichi N.
Hamanaka, Yohei
Orui, Masatsugu
Ogishima, Soichi
Nagaie, Satoshi
Fuse, Nobuo
Sugawara, Junichi
Kuriyama, Shinichi
Tamiya, Gen
Hozawa, Atsushi
Yamamoto, Masayuki
description No study, to our knowledge, has constructed a polygenic risk score based on clinical blood pressure and investigated the association of genetic and lifestyle risks with home hypertension. We examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. In a cross-sectional study of 7027 Japanese individuals aged ≥20 years, we developed a lifestyle score based on body mass index, alcohol consumption, physical activity, and sodium-to-potassium ratio, categorized into ideal, intermediate, and poor lifestyles. A polygenic risk score was constructed with the target data ( n  = 1405) using publicly available genome-wide association study summary statistics from BioBank Japan. Using the test data ( n  = 5622), we evaluated polygenic risk score performance and examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. Hypertension and home hypertension were defined as blood pressure measured at a community-support center ≥140/90 mmHg or at home ≥135/85 mmHg, respectively, or self-reported treatment for hypertension. In the test data, 2294 and 2322 participants had hypertension and home hypertension, respectively. Both polygenic risk and lifestyle scores were independently associated with hypertension and home hypertension. Compared with those of participants with low genetic risk and an ideal lifestyle, the odds ratios for hypertension and home hypertension in the low genetic risk and poor lifestyle group were 1.94 (95% confidence interval, 1.34–2.80) and 2.15 (1.60–2.90), respectively. In summary, lifestyle is important to prevent hypertension; nevertheless, participants with high genetic risk should carefully monitor their blood pressure despite a healthy lifestyle.
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In the test data, 2294 and 2322 participants had hypertension and home hypertension, respectively. Both polygenic risk and lifestyle scores were independently associated with hypertension and home hypertension. Compared with those of participants with low genetic risk and an ideal lifestyle, the odds ratios for hypertension and home hypertension in the low genetic risk and poor lifestyle group were 1.94 (95% confidence interval, 1.34–2.80) and 2.15 (1.60–2.90), respectively. 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We examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. In a cross-sectional study of 7027 Japanese individuals aged ≥20 years, we developed a lifestyle score based on body mass index, alcohol consumption, physical activity, and sodium-to-potassium ratio, categorized into ideal, intermediate, and poor lifestyles. A polygenic risk score was constructed with the target data ( n  = 1405) using publicly available genome-wide association study summary statistics from BioBank Japan. Using the test data ( n  = 5622), we evaluated polygenic risk score performance and examined the associations of combined genetic and lifestyle risks with hypertension and home hypertension. Hypertension and home hypertension were defined as blood pressure measured at a community-support center ≥140/90 mmHg or at home ≥135/85 mmHg, respectively, or self-reported treatment for hypertension. In the test data, 2294 and 2322 participants had hypertension and home hypertension, respectively. Both polygenic risk and lifestyle scores were independently associated with hypertension and home hypertension. Compared with those of participants with low genetic risk and an ideal lifestyle, the odds ratios for hypertension and home hypertension in the low genetic risk and poor lifestyle group were 1.94 (95% confidence interval, 1.34–2.80) and 2.15 (1.60–2.90), respectively. In summary, lifestyle is important to prevent hypertension; nevertheless, participants with high genetic risk should carefully monitor their blood pressure despite a healthy lifestyle.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>38914703</pmid><doi>10.1038/s41440-024-01705-8</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Alcohol Drinking - genetics
Blood Pressure - genetics
Body Mass Index
Cross-Sectional Studies
Exercise
Female
Genetic Predisposition to Disease
Genome-Wide Association Study
Geriatrics/Gerontology
Health Promotion and Disease Prevention
Humans
Hypertension - genetics
Internal Medicine
Japan - epidemiology
Life Style
Male
Medicine
Medicine & Public Health
Middle Aged
Multifactorial Inheritance
Obstetrics/Perinatology/Midwifery
Public Health
Risk Factors
title Associations of combined genetic and lifestyle risks with hypertension and home hypertension
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