Body mass index is the main risk factor for arterial hypertension in young subjects without major comorbidity

• Published in: European journal of clinical investigation Vol. 33; no. 3; pp. 223 - 230
• Main Authors: Lukas, Arno, Kumbein, Friedrich, Temml, Christian, Mayer, Bernd, Oberbauer, Rainer
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01.03.2003; Blackwell; Blackwell Publishing Ltd
• Subjects: Adult; Arterial hypertension. Arterial hypotension; Biological and medical sciences; Blood and lymphatic vessels; BMI; Body Mass Index; Cardiology. Vascular system; Clinical manifestations. Epidemiology. Investigative techniques. Etiology; explorative analytics; Female; healthy subjects; Humans; hypertension; Hypertension - etiology; Male; Medical sciences; Risk Factors; Human; Hypertension; Obesity; risk factors; healthy subjects; Nutrition disorder; Cardiovascular disease; Statistical study; explorative analytics; Body mass index; Risk factor; Adult; Nutritional status; BMI
• ISSN: 0014-2972; 1365-2362
• DOI: 10.1046/j.1365-2362.2003.01139.x

Background Analytical statistics revealed a variety of risk factors for hypertension, but the complex interplay between different factors remains to be determined by more powerful statistical techniques. Methods Analytical as well as new, explorative statistical methods such as natural segmentation (k‐means) and predictive modelling algorithms (C4·5) were used to classify the interactions of the individual risk factors for arterial hypertension in a large cohort of subjects. Fifty‐five attributes (subject base, sociodemographic, medical history, laboratory data) were obtained from each of the 3547 participants of a community‐based health survey. The study subjects, mean age of 41 years, were free of major comorbidity. Results Twenty‐five percent of the subjects had at least stage 1 hypertension. No clear linear dependency of risk factors with the diagnosis hypertension could be derived by the analytical statistics. In particular, the mutual amplification of different risk factors towards hypertension could not be revealed by these techniques. Explorative analytics however, uncovered body mass index (BMI) as the main single risk factor associated with hypertension. High predictive accuracy was achieved when combinations of certain risk factors including male gender and age were used. Conclusions In summary, the survey of risk factors for hypertension using explorative analytics yielded high increases for the correct prediction of arterial hypertension. In this cohort, BMI was the single strongest parameter associated with arterial hypertension.