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Factors influencing blood pressure levels

By Mohamed Hassan, GP


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Mohamed Hassan
GP


December 30, 2020

An important topic, upon which an initial group of articles are focused, is that of the factors influencing blood pressure levels. The issue opens with a Consensus Document produced by the Working Group on Obesity, Diabetes and the High Risk Patient of the European Society of Hypertension regarding the pathogenesis of obesity-induced hypertension (Kotsis et al., pp. 1499–1508). Although obesity is clearly associated with an increased prevalence of hypertension, it is also known that many obese individuals do not develop hypertension. The expert Consensus Document clearly discusses a number of protective and promoting factors for hypertension in obesity, and highlights gaps in our current knowledge. Within the same area of the influences of obesity on blood pressure, a large population study in China by Wang et al. (pp. 1555–1562) shows that measurements of the visceral fat index (VFI) or of the VFI to percentage body fat ratio (VFI/PBF) may provide a better understanding of adiposity-related risks for hypertension and prehypertension.

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