Open AccessCOMBINED EFFECTS OF OBESITY AND SMOKING ON DYSLIPIDEMIA IN ADULTS WITH HYPERTENSION BY GENDER
Author(s) -
Bo Kyoung
Publication year - 2021
Publication title -
xi'nan jiaotong daxue xuebao
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.308
H-Index - 21
ISSN - 0258-2724
DOI - 10.35741/issn.0258-2724.56.6.41
Subject(s) - dyslipidemia , medicine , odds ratio , obesity , logistic regression , confidence interval , national health and nutrition examination survey , triglyceride , body mass index , demography , cholesterol , population , environmental health , sociology
The purpose of this study was to investigate the combined effects of obesity and smoking on dyslipidemia in adults with hypertension by gender. This secondary analysis study used the Korea National Health and Nutrition Examination Survey, 2013-2018. Subjects were 3,664 males and 4,129 females aged 30 years and older with hypertension. The data were analyzed using complex sample cross-tabulation and multiple logistic regression analysis. Unweighted sample size, weighted percent, Rao-χ2, odds ratios, and confidence intervals were calculated to test the hypothesis. There was a significant difference between males and females in the combined type of dyslipidemia (χ2 = 38.67, p < .001). The research revealed that 72.1% of males and 69.6% of females with hypertension had one of the following three forms of dyslipidemia: high triglyceride, low HDL cholesterol, and high LDL cholesterol. Of these study subjects, 5.7% of males and 3.5% of females had all three forms of dyslipidemia. Obese current smokers had the highest odds ratio for dyslipidemia across the categories. Compared to normal-weight current non-smokers, the odds ratio of dyslipidemia in obese current smokers was 3.66 (95% CI: 2.56 ~ 5.24, p < 0.001) in males and 3.44 in females (95% CI: 1.30 ~ 9.11, p < 0.05). The scientific novelty of this study is in revealing the combined effects of obesity and smoking on dyslipidemia in adults with hypertension by gender. Furthermore, it indicated that obesity combined with smoking might be considered an important public health problem.