The relationship between body mass index and cardiovascular disease risks in hypertensive patients


  • Sriporn Rodkaew Graduate Student, Master of Nursing Science Program in Adult and Gerontological Nursing, School of Nursing, Walailak University
  • Orratai Nontapet School of Nursing, Walailak University
  • Rewwadee Petsirasan School of Nursing, Walailak University


cardiovascular risks, hypertension, body mass index (BMI)


The descriptive study aimed to determine the prevalence of cardiovascular risk and the relationship between cardiovascular risk factors and body mass index among hypertensive patients.  The secondary data of 492 patients who were as sample in the research project entitled “Factors predicting risk of cardiovascular disease in hypertensive patients” in the year 2018. The Framingham Global Risk Score was used to assess the cardiovascular risks. Descriptive statistic, logistic regression, to determine odds ratio (OR) with 95% confidence intervals (95%CI) were used to analyze the data.

The results found that prevalence rate of high cardiovascular risk in overweight or obese group was 38.5% and 48.5% in normal weight group. The hypertensive patients with high body mass index were twice risk of cardiovascular disease (95% CI 1.19-3.39, p=0.008). The cardiovascular risk factors: age, HDL, and diabetes were significant associated with body mass index level, respectively.

Recommended from the finding, the risk factors of cardiovascular disease with hypertensive patients should be screened, especially in those with overweight or obese body mass index, and encourage health promotion to prevent cardiovascular disease. 


Mensah GA, Roth GA, Fuster V. The global burden of cardiovascular diseases and risk factors 2020 and beyond. J. Am. Coll. Cardiol. 2019; 74(20): 2529-32.

World Health Organization. World Health Day 2013 Silent killer, global public health crisis a hypertension: putting the pressure on the silent killer. [Internet]. [cited 2019 Febuary 5]. Available from https://www. _brief_hypertension

Pantong U, Saengow U. Prevalence of risk factors for cardiovascular disease among hypertensive patients in primary care unit in Nakhon Si Thammarat. Journal of Nursing and Education. 2019; 12(3): 73-88 (in Thai).

Faulkner JL, Chantemèle EJ, Belin D. Sex differences in mechanisms of hypertension associated with obesity. Hypertension. 2018; 71: 15-21.

Park D, Lee J.-H, Han S, Underweight: another risk factor for cardiovascular disease? A cross-sectional 2013 Behavioral risk factor surveillance system (BRFSS) study of 491,773 individuals in the USA. Medicine. 2017; 96(48): 1-7.

Prospective Studies Collaboration. Body-mass index and cause-specific mortality in 900000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009; 373: 1083–96.

Poirier P, GilesnT.D, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Circulation. 2006;113: 898-918.

Thammawongsa P, Laohasiriwong W. Situation and factors associated with risks of cardiovascular disease among hypertension patients in Udonthani Province. Journal of Boromarajonani College of Nursing, Bangkok. 2561; 34(3): 119-32. (in Thai).

Aekplakorn W. The national health examination survey in Thailand IV (2012-2015). Nonthaburi: Graphic system; 2552. (in Thai).

Pitayatienanan P, Butchon R, Yothasamut J, Aekplakorn W, Teerawattananon Y, Suksomboon N, et al. Economic costs of obesity in Thailand: a retrospective cost-of-illness study. BMC Health Serv Res. 2014; 14(146): 1-7.

Chapman MJ, Sposito AC. Hypertension and dyslipidaemia in obesity and insulin resistance: pathophysiology, impact on atherosclerotic disease and pharmaco therapy. Pharmacol Ther. 2008 Mar;117(3): 354-73. doi: 10.1016/j.pharmthera.2007. 10.004. Epub 2007 Dec 14. PMID: 18215 759.

Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009; 53(21): 1925-32.

Schuttera AD, Lavie CJ, Richard MV. The impact of obesity on risk factors and prevalence and prognosis of coronary heart disease-the obesity paradox. Prog Cardiovasc Dis. 2014; 56: 401-408.

Khamchata L., Dumrongpakapakorn P., Theeranut A. Metabolic Syndrome: Dangerous signs required management. Srinagarind Med J. 2018; 33(4): 386-95. (in Thai).

Neuman B. The Neuman Systems Model. 3rd ed. Norwalk, CT: Appleton & Lange; 1995.

Marinou K, Tousoulis D, Antonopoulos AS, Stefanadi E, Stefanadis C. Obesity and cardiovascular disease: from pathophysiology to risk stratification. Int J Cardiol. 2010 Jan 7;138(1):3-8. doi: 10.1016/j.ijcard.2009.03.135. Epub 2009 Apr 26. PMID: 19398137.

Koson N, Suwanno J. Predictors of risk level for developing cardiovascular disease in patient with hypertension. Thai Journal Cardiothoracic Nursing. 2019; 30(2): 66-81.(in Thai).

D'Agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart study. Circulation. 2008; 117(6): 743-53.

Wong ND, Dede J, Chow VH, Wong KS, Franklin SS. Global cardiovascular risk associated with hypertension and extent of treatment and control according to risk group. Am. J. Hypertens. 2012; 25: 561-67.

Chanchang C., Sithisarankul P., Sangsuwan S. Comparison of prevalence and associated factors of hypertension between ship officers and in-land officers of the Royal Thai Navy. Royal Thai Navy Medical Journal. 2018; 45(1): 154-69. (in Thai).

Brown D, Higgins M, Donato KA, Rohde FC, Garrison R, Obarzanek E, et al. Body mass index and the prevalence of hypertension and dyslipidemia.Obes. Res. 2000; 8: 605-19.




How to Cite

Rodkaew S, Nontapet O, Petsirasan R. The relationship between body mass index and cardiovascular disease risks in hypertensive patients. Thai J Cardio-Thorac Nurs. [Internet]. 2022 Mar. 12 [cited 2024 Jul. 23];32(2):120-3. Available from:



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