Obesity and overweight prevalence and its association with undiagnosed hypertension in Shanghai population, China: a cross-sectional population-based survey
Obesity and overweight prevalence and its association with undiagnosed hypertension in Shanghai population, China: a cross-sectional population-based survey
The aim of this study was to determine the prevalence of overweight and obese subjects in the Shanghai population of China and its association with undiagnosed hypertension, by taking age, gender and place of residence (urban or suburban) into account. A cross-sectional population-based survey was conducted in 2007. The sample included 13 359 participants aged 15–69 years. Weight, height, and blood pressure were recorded, and information about gender, age and place of residence was obtained. Overweight and obesity prevalence were calculated by the body mass index (BMI) definition recommended by Working Group on Obesity in China (normal weight, 18.5–23.9 kg/m2; overweight, 24–27.9 kg/m2; obesity,≥28 kg/m2). Undiagnosed hypertension was defined by China criteria in accord with that of WHO-ISH (subjects with systolic pressure≥140 mmHg, and/or diastolic pressure≥90 mmHg). Multiple logistic regression analyses were used to assess the association of overweight or obesity with undiagnosed hypertension by adjusting for age, gender and place of residence. The overall overweight, obesity, and undiagnosed hypertension prevalence were 27.6% (95% CI: 26.8–28.4), 6.6% (95% CI: 6.2–7.0), and 15.5% (95% CI: 14.9–16.1), respectively. Compared to normal weight subjects, the odds ratios (OR) for subjects who were overweight and had hypertension was 2.33 (95% CI: 2.10–2.59); that for obesity and hypertension was 4.27 (95% CI: 3.66–4.99). These data suggest that overweight and obesity prevalence and their association with undiagnosed hypertension are high in our study population.
Corresponding Author(s):
Li Xinjian,Email:xjli@scdc.sh.cn; Lu Wei,Email:weiloo@scdc.sh.cn
引用本文:
. Obesity and overweight prevalence and its association with undiagnosed hypertension in Shanghai population, China: a cross-sectional population-based survey[J]. Frontiers of Medicine, 0, (): 322-328.
Xinjian Li, Jiying Xu, Haihong Yao, Yanfei Guo, Minna Chen, Wei Lu. Obesity and overweight prevalence and its association with undiagnosed hypertension in Shanghai population, China: a cross-sectional population-based survey. Front Med, 0, (): 322-328.
World Health Organization. http://www.wpro.who.int/health_topics/obesity (Accessed on February11, 2011)
2
Rahmouni K, Correia MLG, Haynes WG, Mark AL. Obesity-associated hypertension: new insights into mechanisms. Hypertension 2005; 45(1): 9–14 pmid:15583075
3
Leenen FH, McInnis NH, Fodor G. Obesity and the prevalence and management of hypertension in Ontario, Canada. Am J Hypertens 2010; 23(9): 1000–1006 doi: 10.1038/ajh.2010.93 pmid:20448534
4
Liu L. Cardiovascular diseases in China. Biochem Cell Biol 2007; 85(2): 157–163 doi: 10.1139/O07-004 pmid:17534394
5
World Health Organization. The world Health Report 2002. Geneva: World Health Organization, 2003
6
Popkin BM, Kim S, Rusev ER, Du S, Zizza C. Measuring the full economic costs of diet, physical activity and obesity-related chronic diseases. Obes Rev 2006; 7(3): 271–293 doi: 10.1111/j.1467-789X.2006.00230.x pmid:16866975
7
Popkin BM. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am J Clin Nutr 2006; 84(2): 289–298 pmid:16895874
8
Zhao W, Zhai Y, Hu J, Wang J, Yang Z, Kong L, Chen C. Economic burden of obesity-related chronic diseases in Mainland China. Obes Rev 2008; 9(Suppl 1): 62–67 doi: 10.1111/j.1467-789X.2007.00440.x pmid:18307701
9
Ma GS, Li YP, Wu YF, Zhai FY, Cui ZH, Hu XQ, Luan DC, Hu YH, Yang XG. The prevalence of body overweight and obesity and its changes among Chinese people during 1992 to 2002. Chin J Prev Med (Zhonghua Yu Fang Yi Xue Za Zhi) 2005; 39(5): 311–315 (in Chinese) pmid:16266539
10
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363(9403): 157–163 doi: 10.1016/S0140-6736(03)15268-3 pmid:14726171
11
Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass index/body fat per cent relationship. Obes Rev 2002; 3(3): 141–146 doi: 10.1046/j.1467-789X.2002.00065.x pmid:12164465
12
Wang J, Thornton JC, Russell M, Burastero S, Heymsfield S, Pierson RN Jr. Asians have lower body mass index (BMI) but higher percent body fat than do whites: comparisons of anthropometric measurements. Am J Clin Nutr 1994; 60(1): 23–28 pmid:8017333
13
World Health Organization. Obesity: Preventing and Managing the Golobal Epdemic. Geneva: World Health Organization, 1997
14
Allman-Farinelli MA, Chey T, Bauman AE, Gill T, James WP. Age, period and birth cohort effects on prevalence of overweight and obesity in Australian adults from 1990 to 2000. Eur J Clin Nutr 2008; 62(7): 898–907 doi: 10.1038/sj.ejcn.1602769 pmid:17440514
15
Davy KP, Hall JE. Obesity and hypertension: two epidemics or one? Am J Physiol Regul Integr Comp Physiol 2004; 286(5): R803–R813 doi: 10.1152/ajpregu.00707.2003 pmid:15068965
16
Nguyen TT, Adair LS, Suchindran CM, He K, Popkin BM. The association between body mass index and hypertension is different between East and Southeast Asians. Am J Clin Nutr 2009; 89(6): 1905–1912 doi: 10.3945/ajcn.2008.26809 pmid:19369374
17
Chen CM, Kong LZ. Guideline for Prevention and Control of Overweight and Obesity in Adult. Beijing: People’s Medical Publishing House, 2006
18
Revision Committee of China Guideline for Prevention and Treatment of Hypertension in Adult. China Guideline for Prevention and Treatment of Hypertension in Adult . Beijing: People’s Medical Publishing House, 2005
19
Shanghai Municipal Statistics Bureau. Shanghai Statistical Yearbook 2007. Beijing: China Statistics Press, 2007
20
Cooperartive Meta-analysis Group of the Working Group on Obesity in China. Effect of body mass index on all-cause mortality and incidence of cardiovascular diseases—report for meta-analysis of prospective studies open optimal cut-off points of body mass index in Chinese adults. Biomed Environ Sci 2002; 15(3): 245–252 pmid:12500665
21
Nguyen TT, Adair LS, He K, Popkin BM. Optimal cutoff values for overweight: using body mass index to predict incidence of hypertension in 18- to 65-year-old Chinese adults. J Nutr 2008; 138(7): 1377–1382 pmid:18567764
22
Cooperartive Meta-analysis Group of the Working Group on Obesity in China. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults—study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci 2002; 15(1): 83–96 pmid:12046553
23
Wu YF, Ma GS, Hu YH, Li YP, Li X, Cui ZH, Chen CM, Kong LZ. The current prevalence status of body overweight and obesity in China: data from the China National Nutrition and Health Survey. Chin J Prev Med (Zhonghua Yu Fang Yi Xue Za Zhi) 2005; 39(5): 316–320 (in Chinese) pmid:16266540
24
Chen J, Zhao XL, Wu F, Cui YL, Hu DY. Epidemiology of obesity and overweight and relation thereof to the prevalence of hypertension in 14 provinces/municipality in China. Natl Med J China (Zhonghua Yi Xue Za Zhi) 2005; 85(40): 2830–2834 (in Chinese) pmid:16324340
25
Martínez-Ros MT, Tormo MJ, Navarro C, Chirlaque MD, Pérez-Flores D. Extremely high prevalence of overweight and obesity in Murcia, a Mediterranean region in south-east Spain. Int J Obes Relat Metab Disord 2001; 25(9): 1372–1380 doi: 10.1038/sj.ijo.0801684 pmid:11571602
26
Cea-Calvo L, Moreno B, Monereo S, Gil-Guillén V, Lozano JV, Martí-Canales JC, Llisterri JL, Aznar J, González-Esteban J, Redón J; PREV-ICTUS Study.Prevalence and related factors of overweight and obesity in Spanish population aged 60 years-old or older. The PREV-ICTUS study. Med Clin (Barc) 2008; 131(6): 205–210 doi: 10.1157/13124609 pmid:18674498
27
Yin R, Wu J, Pan S, Lin W, Yang D, Chen Y. Sex differences in environmental and genetic factors for hypertension. Am J Med 2008; 121(9): 811–819 doi: 10.1016/j.amjmed.2008.04.026 pmid:18724972
28
Silventoinen K, Magnusson PK, Neovius M, Sundstr?m J, Batty GD, Tynelius P, Rasmussen F. Does obesity modify the effect of blood pressure on the risk of cardiovascular disease? A population-based cohort study of more than one million Swedish men. Circulation 2008; 118(16): 1637–1642 doi: 10.1161/CIRCULATIONAHA.108.772707 pmid:18824645
29
Kotchen TA. Obesity-related hypertension: epidemiology, pathophysiology, and clinical management. Am J Hypertens 2010; 23(11): 1170–1178 doi: 10.1038/ajh.2010.172 pmid:20706196
30
Stanner S. Cardiovascular Disease: Diet, Nutrition and Emerging Risk Factor. Oxford: Blackwell Publishing, 2005
31
De Luis DA, Aller R, Izaola O, Gonzalez Sagrado M, Conde R, Perez Castrillon JL. Effects of lifestyle modification on adipocytokine levels in obese patients. Eur Rev Med Pharmacol Sci 2008; 12(1): 33–39 pmid:18401970
32
Cui Z, Huxley R, Wu Y, Dibley MJ. Temporal trends in overweight and obesity of children and adolescents from nine Provinces in China from 1991–2006. Int J Pediatr Obes 2010; 5(5): 365–374 doi: 10.3109/17477166.2010.490262 pmid:20836722
33
The NS, Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA 2010; 304(18): 2042–2047 doi: 10.1001/jama.2010.1635 pmid:21063014
34
Movahed MR, Bates S, Strootman D, Sattur S. Obesity in adolescence is associated with left ventricular hypertrophy and hypertension. Echocardiography 2011; 28(2): 150–153 doi: 10.1111/j.1540-8175.2010.01289.x pmid:21276070
