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Table 2 Effects of age and body mass index (BMI) on period trends for hypertension prevalence and mean blood pressure by sex, Samoa, 1991–2013

From: Continued increases in blood pressure over two decades in Samoa (1991–2013); around one-third of the increase explained by rising obesity levels

Variable in the model

Effect of period on hypertension trends over 23 years (1991–2013)

Men

Women

RR (95%CI)

HT % 2013^

RR (95%CI)

HT % 2013^

1. Period

2.02 (1.64–2.49)

33.1

1.95 (1.59–2.38)

27.3

2. Period and Age

1.90 (1.55–2.34)

31.1

1.82 (1.49–2.22)

25.5

Proportional attenuation (1–2) a

6.06%

6.06%

6.70%

6.70%

3. Period, Age and BMI

1.54 (1.25–1.90)

25.2

1.47 (1.21–1.80)

20.7

Proportional attenuation (2–3) a

18.9%

18.9%

18.9%

18.9%

Variable in the model

Increase and mean SBP (mmHg) over 23 years (1991–2013)

 

SBP (95%CI)

SBP 2013^

SBP (95%CI)

SBP 2013^

1. Period

9.77 (8.23–11.32)

131.5

6.87 (5.27–8.47)

125.3

2. Period and Age

9.20 (7.69–10.71)

130.9

5.96 (4.51–7.41)

124.4

Proportional attenuation (1–2) a

5.84%

5.84%

13.2%

13.2%

3. Period, Age and BMI

7.17 (5.72–8.63)

128.9

4.04 (2.60–5.49)

122.5

Proportional attenuation (2–3) a

22.1%

22.1%

32.2%

32.2%

Variable in the model

Increase and mean DBP (mmHg) over 23 years (1991–2013)

 

DBP (95%CI)

DBP 2013^

DBP (95%CI)

DBP 2013^

1. Period

6.58 (5.37–7.79)

80.6

8.26 (7.19–9.33)

81.1

2. Period and Age

5.97 (4.81–7.13)

80.0

7.85 (6.82–8.87)

80.7

Proportional attenuation (1–2) a

9.18%

9.18%

5.0%

5.0%

3. Period, Age and BMI

3.77 (2.70–4.84)

77.8

5.32 (4.35–6.29)

78.2

Proportional attenuation (2–3) a

36.9%

36.9%

32.2%

32.2%

  1. 1–3: Regression models; RR [relative risk]; HT [hypertension]; SBP [systolic blood pressure]; DBP [diastolic blood pressure]; aProportional decline from previous model; ^ [predicted HT prevalence and mean SBP/DBP in 2013 derived from multiplication of the baseline for HT prevalence in 1991 by the relative risk, and addition of the baseline SBP/DBP in 1991 to the period increase]