{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T17:21:57Z","timestamp":1779211317303,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study investigates how lifestyle factors and westernization contribute to obesity and examines the influence of body mass index (BMI) changes and lifestyle factors on \u201clipitension,\u201d a significant risk factor for heart disease and metabolic syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective study focused on women aged 20\u201364 without pre-existing hypertension and dyslipidemia who underwent regular medical checkups between April 2016 and March 2022. Anthropometric measurements and blood pressure, along with low-density lipoprotein, high-density lipoprotein, and triglycerides levels, were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over an average 46.5-month follow-up, 11.5% of initially healthy young and middle-aged women developed lipitension. Categorizing participants based on BMI changes revealed stable (63.8%), decreased (12.5%), and increased (23.8%) groups within this 11.5%. Increased BMI is linked with a heightened hazard risk for lipitension. Women with increased BMI who refrained from snacking (aHR [95% confidence interval (CI)] = 2.750 [1.433\u20135.279]), avoided late-night eating (aHR [95% CI] = 1.346 [1.032\u20131.754]), and engaged in alcohol consumption (aHR [95% CI] = 2.037 [1.138\u20133.646]) showed an elevated risk. Conversely, within the decreased BMI group, behaviors like skipping breakfast (aHR [95% CI] = 0.190 [0.047\u20130.764]), eating quickly (aHR [95% CI] = 0.457 [0.215\u20130.972]), and not eating late (aHR [95% CI] = 0.665 [0.467\u20130.948]) were associated to a reduced lipitension. Subgroup analysis for women with BMI &lt;23 revealed specific behaviors influencing lipitension risk in both BMI-increased and BMI-stable groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Customized interventions, including for women with BMI &lt;23, enhance heart health, mitigating global lifestyle diseases and obesity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0073","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T04:44:40Z","timestamp":1721105080000},"page":"1576-1586","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Prospective Study on Lifestyle Factors, Body Mass Index Changes, and Lipitension Risk in Japanese Young and Middle-Aged Women"],"prefix":"10.1177","volume":"33","author":[{"given":"Rupa","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Clinical Trials and Clinical Epidemiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jou-Yin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Clinical Trials and Clinical Epidemiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven R.","family":"Hawks","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Science, Utah State University, Moab, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Wagatsuma","sequence":"additional","affiliation":[{"name":"Department of Clinical Trials and Clinical Epidemiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2014.05.005"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2012.01.001"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980013000141"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.93742"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjhyper.2004.10.017"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2017.1357691"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l2323"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2006.01.024"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.621"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7176.2008.00065.x"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-2402"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.119.314991"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13763"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2011.03.003"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41440-019-0284-9"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-019-08936-1"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40119-019-00159-1"},{"key":"e_1_3_6_19_2","unstructured":"Japanese Ministry of Health Labour and Welfare. 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