Association of parity with the prevalence of hypertension in Japan: The Tohoku Medical Megabank Community‐based cohort study

Author:

Wang Hongxin1ORCID,Iwama Noriyuki123,Yuwaki Keiichi4,Nakamichi You4,Hamada Hirotaka1,Tomita Hasumi1,Tagami Kazuma1,Kudo Rie1,Kumagai Natsumi1,Metoki Hirohito35ORCID,Nakaya Naoki3,Hozawa Atsushi3,Kuriyama Shinichi678,Yaegashi Nobuo1238,Saito Masatoshi129

Affiliation:

1. Department of Obstetrics and Gynecology Tohoku University Graduate School of Medicine Sendai Miyagi Japan

2. Women's Health Care Medical Science Tohoku University Graduate School of Medicine Sendai Miyagi Japan

3. Tohoku Medical Megabank Organization Tohoku University Sendai Miyagi Japan

4. Underwriting and Medical Department The Dai‐ichi Life Insurance Company, Limited Koto‐ku Tokyo Japan

5. Division of Public Health, Hygiene and Epidemiology Tohoku Medical Pharmaceutical University Sendai Miyagi Japan

6. Division of Molecular Epidemiology Tohoku University Graduate School of Medicine Sendai Miyagi Japan

7. International Research Institute of Disaster Science Tohoku University Sendai Miyagi Japan

8. Environment and Genome Research Center Tohoku University Graduate School of Medicine Sendai Miyagi Japan

9. Department of Maternal and Fetal Therapeutics Tohoku University Graduate School of Medicine Sendai Miyagi Japan

Abstract

AbstractThis study investigated the association of parity with hypertension prevalence in Japanese women while considering a clinical history of hypertensive disorders of pregnancy (HDP) and menopausal status. This cross‐sectional study included 30,530 Japanese women (6700 premenopausal; 23 830 postmenopausal). The association between parity and the prevalence of hypertension was evaluated using a multiple logistic regression model with possible confounders. In premenopausal women, no statistically significant association between parity and hypertension prevalence was found. When not adjusted for current body mass index (BMI), a linear graded association was observed between parity and the prevalence of hypertension in postmenopausal women. However, the association between parity and hypertension prevalence in postmenopausal women was attenuated after adjustment for current BMI. Both current BMI and a clinical history of HDP were significantly associated with a high risk of hypertension in both premenopausal and postmenopausal women. Our results also suggest that continuous surveillance and preventive measures for hypertension should be provided for women with HDP and high parity.

Publisher

Wiley

Subject

Cardiology and Cardiovascular Medicine,Endocrinology, Diabetes and Metabolism,Internal Medicine

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