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
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.
引用
收藏
页码:1347 / 1352
页数:6
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