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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1529570

Healthy lifestyle and its change attenuated the risk of hypertension among rural population: evidence from a prospective cohort study

Provisionally accepted
Tingyun Ren Tingyun Ren Yinghao Yuchi Yinghao Yuchi Wei Liao Wei Liao Ning Kang Ning Kang Ruiying Li Ruiying Li Chongjian Wang Chongjian Wang *
  • Zhengzhou University, Zhengzhou, Henan Province, China

The final, formatted version of the article will be published soon.

    Objectives: Lifestyle may potentially influence blood pressure level, but the association of multiple healthy lifestyles with hypertension was limited, especially for rural population. The study aimed to explore the relationship of healthy lifestyles on hypertension, and then whether lifestyle change could influence hypertension in rural adults.Methods: A total of 16454 participants were enrolled from the Henan Rural Cohort study, in China. The healthy lifestyles score (HLS) was concluded by smoking status, alcohol consumption, physical activity, diet status and body mass index. Associations of HLS and lifestyle change with systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed by generalized linear models, and with hypertension were analyzed by logistic regression model and restricted cubic spline plots.The results from the generalized linear models showed SBP and DBP levels decreased with the HLS increasing (Ptrend<0.01). Compared with participants with lower HLS (scored 0-2), the odds ratios (OR) and 95% confidence intervals (CIs) for hypertension in those with HLS = 3, 4, or 5 were 0.853 (0.737, 0.987), 0.881 (0.754, 1.029), and 0.658 (0.519, 0.834), respectively.And compared with participants with unhealthy lifestyle consistently, those changing lifestyle from unhealthy to healthy had lower levels of blood pressure [β (95% CI

    Keywords: Healthy lifestyle, Blood Pressure, Hypertension, lifestyle change, Rural Population

    Received: 17 Nov 2024; Accepted: 23 Jan 2025.

    Copyright: © 2025 Ren, Yuchi, Liao, Kang, Li and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chongjian Wang, Zhengzhou University, Zhengzhou, 450001, Henan Province, China

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