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Hypertension in military veterans is associated with combat exposure and combat injury.
Howard, Jeffrey T; Stewart, Ian J; Kolaja, Claire A; Sosnov, Jonathan A; Rull, Rudolph P; Torres, Isaias; Janak, Jud C; Walker, Lauren E; Trone, Daniel W; Armenta, Richard F.
Afiliación
  • Howard JT; Department of Defense Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam, Houston.
  • Stewart IJ; Department of Kinesiology, Health and Nutrition, University of Texas at San Antonio, San Antonio, Texas.
  • Kolaja CA; David Grant USAF Medical Center, Travis Air Force Base, California.
  • Sosnov JA; Uniformed Services University of Health Sciences, Bethesda, Maryland.
  • Rull RP; Leidos.
  • Torres I; Deployment Health Research Department, Naval Health Research Center, San Diego, California.
  • Janak JC; 375th Medical Group, Scott Air Force Base, Illinois.
  • Walker LE; Deployment Health Research Department, Naval Health Research Center, San Diego, California.
  • Trone DW; Department of Kinesiology, College of Education, Health, and Human Services, California State University, San Marcos, California, USA.
  • Armenta RF; Department of Defense Joint Trauma System, Defense Health Agency, Joint Base San Antonio-Fort Sam, Houston.
J Hypertens ; 38(7): 1293-1301, 2020 07.
Article en En | MEDLINE | ID: mdl-31990903
BACKGROUND: Although the long-term effects of combat injury are not well understood, there is emerging concern that exposure to combat environments and subsequent injury may increase the risk of hypertension through changes in inflammatory responses, psychological stress and mental health, and health behaviors. METHODS: Data from the Millennium Cohort Study and the Department of Defense Trauma Registry were used to identify combat-exposed and combat-injured participants. Incident hypertension diagnoses were ascertained from the Millennium Cohort survey. The associations between combat exposure/injury and hypertension risk was estimated using multivariable complementary log-log survival models. RESULTS: The final analysis sample consisted of 38 734 participants. Of these, 50.8% deployed but were not exposed to combat, 48.6% deployed and were exposed to combat, and 0.6% had combat injury. Overall prevalence of hypertension was 7.6%. Compared with participants who deployed but did not experience combat (mild exposure), elevated odds of hypertension were observed among those who experienced combat but not wounded (moderate exposure; AOR, 1.28; 95% CI, 1.19-1.38) and those wounded in combat (high exposure; AOR, 1.46; 95% CI, 1.07-2.00). Sleep duration of less than 4 h (AOR, 1.21; 95% CI, 1.03-1.43), sleep duration of 4-6 h (AOR, 1.16; 95% CI, 1.05-1.29), posttraumatic stress disorder (AOR, 1.54; 95% CI, 1.26-1.87), and overweight (AOR, 1.77; 95% CI, 1.61-1.95) and obese (AOR, 2.77; 95% CI, 2.45-3.12) status were also associated with higher odds of hypertension. CONCLUSION: Results support the hypotheses that combat exposure increases hypertension risk and that combat injury exacerbates this risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Veteranos / Conflictos Armados / Hipertensión / Personal Militar Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Hypertens Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Veteranos / Conflictos Armados / Hipertensión / Personal Militar Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Hypertens Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos