HypertensionCohort study

Weight change and short-term risk of hypertension in healthy adults

Eur J Prev CardiolPublished

  • Retrospective cohort study

Authors' conclusion

Weight gain was associated with higher risk of antihypertensive treatment across BMI categories compared with stable weight, whereas weight loss was inversely associated with initiation among adults with overweight or obesity.

Study context

Population
Adults aged 18–79 in the Danish Blood Donor Study with at least two questionnaires (2010–2025)
Participants
81,954 adults
Exposure
Weight change categories vs stable weight, across body mass index (BMI) categories
Outcome
Incident hypertension (first redemption of antihypertensive drugs)
Follow-up
Median 1.66 years (maximum 3 years)

Main finding

As reported in the abstract

Antihypertensive treatment initiation, >10% weight gain vs stable normal weight
>10% gain vs Stable weightHazard ratio (95% CI)
normal weight; reference stable normal weight
1.60(1.30–1.96)
overweight; reference stable normal weight
2.44(2.02–2.96)
obesity; reference stable normal weight
4.51(3.57–5.70)

Observational data: associations, not effects.

Further findings

By sex and age

HRs comparable across sex and age groups, although higher in younger men with obesity; rates highest in older participants

Original publication

Weight change and short-term risk of hypertension in healthy adults. Eur J Prev Cardiol. Published 15 July 2026. doi:10.1093/eurjpc/zwag356

Summarised from the published abstract; every number is checked against it