Obesity

Life stage-specific heterogeneity in the effects of adiposity transition on hypertension incidence and resolution

Int J Obes (Lond)Published Dynamic cohort study

Authors' conclusion

This study demonstrated life stage-specific heterogeneity in the effects of excess adiposity on hypertension, with individuals in childhood and early life conferring stronger influences. These results underscore the importance of considering age-specific approaches to weight management for hypertension prevention and control.

Study context

Population
Chinese participants aged 3 to 80 years, China Health and Nutrition Survey
Participants
24,104 participants
Exposure
Excess adiposity at baseline and adiposity status transition vs normal adiposity, by life stage
Outcome
Hypertension incidence and resolution
Methodological detailsgeneralized linear mixed-effects model
  • Generalized linear mixed-effects model

Main finding

As reported in the abstract

Hypertension incidence by life stage
High baseline body mass index (BMI), early adulthood (strongest), OR
2.29 (2.14-2.45) (95% CI)
High baseline waist circumference (WC), childhood (strongest), OR
3.14 (1.75-5.20) (95% CI)
Normal to high BMI, 3-17 y (strongest; increased risk across all age groups), OR
2.08 (1.42-2.96) (95% CI)
Normal to high WC, 3-17 y (strongest), OR
3.41 (2.26-4.97) (95% CI)
High to normal BMI, 3-17 y (strongest), OR
4.73 (0.50-57.5) (95% CI)
High to normal WC, 18-40 y (strongest), OR
2.52 (1.48-4.44) (95% CI)

Observational data: associations, not effects.

Original publication

Life stage-specific heterogeneity in the effects of adiposity transition on hypertension incidence and resolution. Int J Obes (Lond). Published 1 April 2026. doi:10.1038/s41366-026-02064-9

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