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题名: The Interactive Association of General Obesity and Central Obesity with Prevalent Hypertension in Rural Lanzhou, China
作者: Gao, WL; Qiao, XW; Wang, YH; Wan, LP; Wang, ZW; Wang, X; Di, ZX; Liu, XY
收录类别: SCIE ; PubMed ; MEDLINE
出版日期: 2016-10-12
刊名: PLOS ONE
卷号: 11, 期号:1-10
出版者: PLOS
出版地: SAN FRANCISCO
英文摘要: Objective To evaluate the interactive association between obesity with different anthropometry indices and prevalence of hypertension in rural Lanzhou. Methods A cross-sectional survey was conducted in rural Lanzhou from April to July in 2013. The available information of 1275 rural residents aged more than 35 years was collected with a unified questionnaire and their blood pressure and anthropometry indices were measured in the field. The male-to-female ratio was 1:1.1. A generalized estimate equation (GEE) linear model was used to determine the association between obesity with different indexes and hypertension. Results There was a moderate prevalence of general obesity (similar to 11%) and very high prevalence of central obesity (53.2 similar to 67%) among the adults of rural Lanzhou. The prevalence of hypertension approximated 28%. GEE linear models showed that obesity with any one of anthropometry indices was associated significantly with the increased prevalence of hypertension among both males and females. In females, general obesity increased the prevalence of hypertension by 37% (0.37, 95% CI: 0.27,0.47) but in males by 23% (0.23, 95% CI: 0.12,0.35). The hypertensive effect of all central obesity was much lower than that of general obesity but approximately comparable to that of overweight. In addition, the interactions of the classified body mass index (BMI) and central obesity showed that when general obesity or overweight coexisted with any one of central obesity, the prevalence of hypertension was increased significantly, and this effect was a little higher than the corresponding main effect of general obesity or overweight in females but was much higher in males. In addition, general obesity or overweight which did not coexist with central obesity was not significantly associated with the increased prevalence of hypertension, nor were the other situations of central obesity in the normal weight or underweight except for the situation of central obesity with waist-to-hip ratio in the males of normal weight or underweight. Conclusion In rural Lanzhou, higher BMI had larger associations with the increased prevalence of hypertension than central obesity indices. Only when general obesity or overweight coexisted with central obesity, the prevalence of hypertension was significantly increased. So, central obesity indices should be used jointly with BMI in evaluating the risk of hypertension.
作者部门: [Gao, Wenlong] Lanzhou Univ, Sch Publ Hlth, Inst Epidemiol & Hlth Stat, Lanzhou, Gansu, Peoples R China ; [Qiao, Xiaowei ; Wang, Yuhong ; Wan, Liping ; Di, Zhaoxin] Lanzhou Ctr Dis Prevent & Control, Lanzhou, Gansu, Peoples R China ; [Wang, Zengwu ; Wang, Xin] Fuwai Hosp, Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Div Prevent & Community Hlth, Beijing, Peoples R China ; [Wang, Zengwu ; Wang, Xin] Chinese Acad Med Sci, Beijing, Peoples R China ; [Liu, Xiaoyu] Yuzhong Cty Ctr Dis Prevent & Control, Lanzhou, Gansu, Peoples R China
通讯作者: Gao, WL (reprint author), Lanzhou Univ, Sch Publ Hlth, Inst Epidemiol & Hlth Stat, Lanzhou, Gansu, Peoples R China.
学科分类: Science & Technology - Other Topics
文章类型: Article
所属项目编号: research of key technology integration and application demonstration for prevention and treatment of cardiovascular and cerebral diseases in rural areas, national "Twelfth Five Year Plan" science and technology support program [2012BAJ18B04]
所属项目名称: 国家科技支撑计划
项目资助者: MOST
语种: 英语
DOI: 10.1371/journal.pone.0164409
ISSN号: 1932-6203
WOS记录号: WOS:000385505300054
PM记录号: 27732655
IR记录号: WOS:000385505300054
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内容类型: 期刊论文
URI标识: http://ir.lzu.edu.cn/handle/262010/189122
Appears in Collections:公共卫生学院_期刊论文

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Recommended Citation:
Gao, WL,Qiao, XW,Wang, YH,et al. The Interactive Association of General Obesity and Central Obesity with Prevalent Hypertension in Rural Lanzhou, China[J]. PLOS ONE,2016,11(1-10).
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