Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18–65 years
العنوان: | Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18–65 years |
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المؤلفون: | Xingxing Tao, Chi Shen, Zhongliang Zhou, Dantong Zhao, Sha Lai, Jianmin Gao, Xin Lan, Dan Li, Wanyue Dong |
المصدر: | BMC Public Health, Vol 19, Iss 1, Pp 1-8 (2019) BMC Public Health |
بيانات النشر: | BMC, 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Male, Rural Population, Urban Population, Overweight, Body Mass Index, 0302 clinical medicine, Risk Factors, Prevalence, Medicine, 030212 general & internal medicine, 2. Zero hunger, education.field_of_study, Incidence (epidemiology), lcsh:Public aspects of medicine, 1. No poverty, Middle Aged, 3. Good health, Obesity, Abdominal, Hypertension, Female, Waist Circumference, medicine.symptom, Research Article, Adult, China, Waist, Adolescent, Population, 030209 endocrinology & metabolism, Young Adult, 03 medical and health sciences, Urbanization, Environmental health, Humans, Obesity, education, Aged, business.industry, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, medicine.disease, Health Surveys, Cross-Sectional Studies, Central obesity, Rural area, business, Body mass index, General obesity |
الوصف: | Background China has the largest obese population in the world, and the prevalence of central obesity is increasing dramatically in China. Moreover, the rapid economic growth of China in recent decades has led to rapid urbanization in rural China. However, studies comparing the prevalence trends of different types of obesity and the association of obesity with hypertension between urban and rural areas in China are very scarce, and most studies have focused only on the difference in the prevalence of overweight and general obesity or hypertension among rural and urban populations. Therefore, the focus of this study was to examine the shifts in the overall distribution of the prevalence of different types of obesity and to estimate the risk of hypertension in different types of obesity among urban and rural adults aged 18–65 years. Methods Seven iterations of the China Health and Nutrition Survey (CHNS), conducted in 1993, 1997, 2000, 2004, 2006, 2009 and 2011, were used in this study. A total of 53,636 participants aged 18–65 years were included. Obesity was classified into three types based on body mass index (BMI) and waist circumference (WC). A log-binomial model was constructed to estimate the prevalence ratio (PR) of hypertension with three types of obesity. Results The age-standardized prevalence of central obesity only, general obesity only, and both central and general obesity increased from 15.8, 0.2 and 2.9% in 1993 to 30.3, 0.9 and 10.3% in 2011, respectively. The prevalence of central obesity only (urban vs. rural: 20.8% vs. 13.4% in 1993, 29.6% vs. 30.6% in 2011) and both central and general obesity (urban vs. rural: 3.5% vs. 2.5% in 1993, 10.0% vs. 10.6% in 2011) in rural adults exceeded that in urban adults in 2011. Participants with both central and general obesity had the highest risk for incident hypertension compared with those with normal body measurements (adjusted PR, urban: 2.30 (95% CI, 2.01–2.63), rural: 2.50 (95% CI, 2.25–2.77)). Conclusions Both WC and BMI should be considered measures of obesity and targeted in hypertension prevention. More attention should be paid to the incidence of central obesity in adults in rural China. |
اللغة: | English |
تدمد: | 1471-2458 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::872c78eaf3f7cecda44bfb6486ab6c6f http://link.springer.com/article/10.1186/s12889-019-7018-4 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....872c78eaf3f7cecda44bfb6486ab6c6f |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14712458 |
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