Table 4.
The impact of spousal risk factors on hypertension incidence among index women (wives, n = 1649): Tehran Lipid and Glucose study (TLGS) (1999‐2018)
| Spousal risk factors |
Model 1 HR (95% CI) |
Model 2 HR (95% CI) |
Model 3 HR (95% CI) |
Model 4 HR (95% CI) |
Model 5 HR (95% CI) |
|---|---|---|---|---|---|
| BMI group (kg/m2) | |||||
| Normal weight (<25 kg/m2) | Reference | Reference | Reference | Reference | |
| Overweight (25‐29.9 kg/m2) | 1.13 (0.88‐0.94) | 1.16 (0.97‐1.39) | 1.08 (0.90‐1.30) | 1.09 (0.91‐1.31) | 1.08 (0.90‐1.30) |
| Obese (≥30 kg/m2) | 0.94 (0.73‐1.21) | 0.90 (0.69‐1.15) | 0.86 (0.66‐1.10) | 0.81 (0.63‐1.05) | 0.81 (0.62‐1.04) |
| Waist circumference ≥90 cm | 1.13 (0.96‐1.33) | 1.06 (0.901.26) | 0.96 (0.81‐1.13) | 0.93 (0.78‐1.10) | 0.90 (0.72‐1.13) |
| Hypertension | 1.66 (1.38‐2.00)* | 1.46 (1.21‐1.76)* | 0.96 (0.79‐1.17) | 0.98 (0.81‐1.19) | 0.98 (0.80‐1.20) |
| Dyslipidemia | 0.93 (0.71‐1.22) | 0.93 (0.71‐1.21) | 0.91 (0.69‐1.19) | 0.89 (0.68‐1.17) | 0.87 (0.66‐1.15) |
| Type 2 diabetes | 2.11 (1.69‐2.63)* | 1.81 (1.45‐2.27)* | 1.33 (1.06‐1.67)* | 1.23 (0.98‐1.55)** | 1.25 (0.99‐1.58)*** |
Model 1: Unadjusted; including only spousal risk factor. Model 2: Included model 1 + SES. Model 3: Included model 2 + index individual's age + index individual's own value of the respective spousal risk factor. Model 4: Adjusted for model 3 + all risk factors in index individual including BMI, PAL, smoking, and type 2 diabetes. Model 5: Adjusted for model 4 + all spousal risk factors including BMI, PAL, smoking, and type 2 diabetes.
Abbreviations: BMI, body mass index; CI, confidence interval; HR, hazard ratio; PAL, physical activity level; SES, socioeconomic status.
P < .05; **P = .066; ***P = .053.