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Change in the association of body mass index and systolic blood pressure in Germany – national cross-sectional surveys 1998 and 2008–2011

Overview of attention for article published in BMC Public Health, July 2015
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Title
Change in the association of body mass index and systolic blood pressure in Germany – national cross-sectional surveys 1998 and 2008–2011
Published in
BMC Public Health, July 2015
DOI 10.1186/s12889-015-2023-8
Pubmed ID
Authors

Carolin Adler, Angelika Schaffrath Rosario, Claudia Diederichs, Hannelore K. Neuhauser

Abstract

A recent weakening and even decoupling of the association of body mass index (BMI) and systolic blood pressure (SBP) in population data was reported, i. a. for Western Europe. The association of BMI and SBP in recent cross-sectional population data from Germany was investigated in participants aged 18-79 years with BMI 17.5-40 kg/m(2) from national health examination surveys 1998 (n = 6,931) and 2008-2011 (n = 6,861) in Germany. The association was analyzed both in the overall samples and in participants without antihypertensive medication. From 1998 to 2008-11, age- and sex-standardized mean SBP decreased from 129.0 (CI 128.2-129.7) to 124.1 (123.5-124.6) mmHg in all participants and from 126.0 (125.4-126.7) to 122.3 (121.7-122.8) mmHg among persons not on antihypertensive medication. The proportion of persons treated with antihypertensives augmented from 19.2 % (17.7-20.8) to 25.3 % (24.0-26.6). Mean BMI remained constant at around 27 kg/m(2) with a slight increase in obesity prevalence. BMI was positively associated with SBP both in 1998 and 2008-11, yet the association tended to level out with increasing BMI suggesting a non-linear association. The strength of the BMI-SBP-association decreased over time in all and untreated men. In women, the association weakened in the overall sample, but remained similarly strong in untreated women. The unadjusted linear regression models were used to estimate the increase in SBP within 5-unit BMI increases. E. g. for men in 1998, SBP was higher by 7.0 mmHg for a BMI increase from 20 to 25 kg/m(2) and by 3.6 mmHg for BMI 30 to 35 kg/m(2). The corresponding values for 2008-11 were 3.8 mmHg and 1.7 mmHg. The cross-sectional association of BMI and SBP decreased between 1998 and 2008-11 in Germany, however it did not disappear and it is in part explained by improvements in the diagnosis and treatment of high blood pressure.

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Mendeley readers

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The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 13 35%
Student > Master 6 16%
Student > Ph. D. Student 4 11%
Other 2 5%
Professor > Associate Professor 1 3%
Other 0 0%
Unknown 11 30%
Readers by discipline Count As %
Medicine and Dentistry 8 22%
Nursing and Health Professions 6 16%
Biochemistry, Genetics and Molecular Biology 3 8%
Psychology 3 8%
Agricultural and Biological Sciences 2 5%
Other 3 8%
Unknown 12 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 July 2015.
All research outputs
#18,420,033
of 22,818,766 outputs
Outputs from BMC Public Health
#12,852
of 14,865 outputs
Outputs of similar age
#189,156
of 263,272 outputs
Outputs of similar age from BMC Public Health
#245
of 275 outputs
Altmetric has tracked 22,818,766 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,865 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
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We're also able to compare this research output to 275 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.