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Chronic disease
P2-191 Urban migration modulates the effect of body mass index on blood pressure
  1. J Miranda1,2,
  2. A Bernabe-Ortiz1,3,
  3. R Gilman1,4,
  4. L Smeeth5,6
  1. 1CRONICAS, Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
  2. 2Department of Medicine, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
  3. 3Public Health and Administration School, Universidad Peruana Cayetano Heredia, Lima, Peru
  4. 4Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
  5. 5Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
  6. 6Área de Investigación y Desarrollo, A.B. PRISMA, Lima, Peru

Abstract

Objective This study aims to describe the relationship between body mass index (BMI) and blood pressure in three distinct Peruvian populations.

Methods Three population groups were recruited: Rural (born and remained in Ayacucho), Migrant (born in Ayacucho and migrated to Lima), and Urban (born in Lima). Systolic blood pressure (SBP) and diastolic blood pressure were measured using oscillometric devices (Omron M5-i, Japan) and standardised techniques. BMI was calculated from standardised measurements. ANOVA was used to test differences between groups. Multi-variable linear regression was used to describe the relationship between BMI and blood pressure, adjusting for potential confounders.

Results SBP was similar in the rural (120.9±18.7) and migrant groups (119.9±16.4), but higher in the urban group (128.2±22.9). BMI was significantly lower in the rural group (23.2±2.7), but similar in the migrant (27.0±4.3) and urban groups (28.3±5.4). There was a positive relationship between BMI and SBP (slope 0.81; 95% CI 0.59 to 1.03) after adjustment for age, sex, height and haemoglobin. A positive relationship was observed in urban residents (0.61; 0.04–1.18), but the gradient of the relationship was steeper in the migrant group (0.75, 0.48–1.02). Similar results were found for diastolic blood pressure.

Conclusions The relationship between BMI and blood pressure differed between our three study populations, with blood pressure rising at lower values of BMI in migrants. Migrant population in transitional countries may be at greater risk of developing hypertension, and the effect of BMI as a predictor is not uniform in migrant and urban-born residents.

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