Liu X, et al. – This study explored the risk factors of hypertension in middle–aged people within the Tujia–Nationality settlement in China. Findings reported a higher prevalence of hypertension between 2011 and 2014 in the area. Sex (as woman), Tujia minority, white–collar workers, overweight–obese, those with a middle school education, and those with the lowest cardiorespiratory fitness (CRF) were the identified risk factors for developing hypertension.