Mobile phone calls, genetic susceptibility, and new

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Mobile phone calls, genetic susceptibility, and new

2023-06-04 17:33| 来源: 网络整理| 查看: 265

Abstract Aims

The relationship between mobile phone use for making or receiving calls and hypertension risk remains uncertain. We aimed to examine the associations of mobile phone use for making or receiving calls and the use frequency with new-onset hypertension in the general population, using data from the UK Biobank.

Methods and results

A total of 212 046 participants without prior hypertension in the UK Biobank were included. Participants who have been using a mobile phone at least once per week to make or receive calls were defined as mobile phone users. The primary outcome was new-onset hypertension. During a median follow-up of 12.0 years, 13 984 participants developed new-onset hypertension. Compared with mobile phone non-users, a significantly higher risk of new-onset hypertension was found in mobile phone users [hazards ratio (HR), 1.07; 95% confidence interval (CI): 1.01–1.12]. Among mobile phone users, compared with those with a weekly usage time of mobile phones for making or receiving calls 6 h (HR, 1.25; 95%CI: 1.13–1.39) (P for trend 8 years), weekly usage time of mobile phones for making or receiving calls, and hands-free device/speakerphone use to make or receive calls (never or almost never, less than half the time, about half the time, more than half the time, and always or almost always) with new-onset hypertension in the mobile phone users, were estimated using Cox proportional hazards models [hazards ratio (HR) and 95% confidence interval (CI)]. Model 1 adjusted for age and sex. Model 2 adjusted for age, sex, BMI, race, Townsend deprivation index, family history of hypertension, education, smoking status, systolic blood pressure (SBP), triglycerides, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, C-reactive protein, blood glucose, eGFR, use of cholesterol-lowering medications, and glucose-lowering medications. Model 3 included all the covariates in Model 2 plus mutual adjustments for different behaviours of mobile phones making or receiving calls. The proportional hazards assumptions for the Cox model were tested using the Schoenfeld residuals method and no violation of this assumption was detected. In the sensitivity analyses, we further adjusted for physical activity, household income, healthy sleep scores,22 healthy diet scores,23 self-reported depression, and hypertension-GRS.17 In addition, we investigated the association between weekly usage time of mobile phones to make or receive calls and differences in SBP at follow-up and baseline in a subset of UK Biobank participants (n = 16 229) who were invited to follow-up in 2012–13.

Moreover, we estimated the joint effect of weekly usage time of mobile phones for making or receiving calls and the genetic risk of hypertension (low, intermediate, high) with new-onset hypertension, using weekly usage time of mobile phones

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  Author notes

Ziliang Ye and Yanjun Zhang contribute equally to the manuscript.

Conflict of interest: None declared.

© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected]


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