共 30 条
Association of 6-year waist circumference gain and incident hypertension
被引:70
作者:
Zhao, Yang
[1
]
Zhang, Ming
[2
,3
]
Luo, Xinping
[2
,3
]
Wang, Chongjian
[1
]
Li, Linlin
[1
]
Zhang, Lu
[1
,2
,3
]
Wang, Bingyuan
[1
,2
,3
]
Ren, Yongcheng
[1
,2
,3
]
Zhou, Junmei
[2
,3
]
Han, Chengyi
[1
,2
,3
]
Pang, Chao
[4
]
Yin, Lei
[4
]
Feng, Tianping
[4
]
Zhao, Jingzhi
[4
]
Hu, Dongsheng
[1
]
机构:
[1] Zhengzhou Univ, Dept Epidemiol & Hlth Stat, Coll Publ Hlth, Zhengzhou, Henan, Peoples R China
[2] Shenzhen Univ, Dept Prevent Med, Hlth Sci Ctr, Shenzhen, Guangdong, Peoples R China
[3] Shenzhen Univ, Affiliated Luohu Hosp, Hlth Sci Ctr, Shenzhen, Guangdong, Peoples R China
[4] Mil Hosp Henan Prov, Dept Prevent & Hlth Care, Zhengzhou, Henan, Peoples R China
来源:
基金:
中国国家自然科学基金;
关键词:
BODY-MASS INDEX;
HIGH BLOOD-PRESSURE;
TO-HIP RATIO;
ABDOMINAL OBESITY;
RISK-FACTORS;
CHINESE ADULTS;
DISEASE RISK;
PREVALENCE;
PREDICTORS;
TRENDS;
D O I:
10.1136/heartjnl-2016-310760
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objective The risk of incident hypertension with gain in waist circumference (WC) has not been fully addressed among Chinese adults. Methods A total of 10 265 non-hypertensive participants >= 18 years old who underwent health examinations in rural China were recruited in 2007-2008 and followed up in 2013-2014. Participants were classified by gender according to categories of per cent WC gain at follow-up: <=-2.5%, -2.5% to 2.5%, 2.5% to 5% and >5%. Relative risk (RR) and 95% CI values for effect of WC gain on the incident hypertension were calculated by using modified Poisson regression models. Results During 6 years of follow-up, we identified 2027 hypertension cases (1213 women). From baseline to follow-up, the prevalence of abdominal obesity increased from 21.1% to 29.6% for men and 49.8% to 61.9% for women. As compared with participants who were not abdominally obese at both baseline and follow-up, both genders who were abdominally obese at follow-up showed greater risk of hypertension regardless of abdominal obesity status at baseline. Compared with the reference group of -2.5% to 2.5% change in WC, with >5% WC gain, risk of incident hypertension was increased for men (RR=1.34, 95% CI 1.15 to 1.57) and women (RR=1.28, 95% CI 1.10 to 1.50). The hypertension risk decreased for men with WC loss >= 2.5% (RR=0.81, 95% CI 0.67 to 0.98). Conclusions Abdominal obesity is seriously prevalent in China. The risk of hypertension increased significantly with increasing WC for both genders in a rural Chinese population.
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页码:1347 / 1352
页数:6
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