Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011

Abstract We determined if the increasing trend in hypertension can be partly attributed to increasing prevalence of overweight/obesity in China over the past two decades. Data were collected from 1991 to 2011 and the population attributable risk (PAR), which is used to estimate the intervention effe...

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Autores principales: Jian Gou, Huiying Wu
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/876f6d00d2f542eb811f7340edbbf3b0
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spelling oai:doaj.org-article:876f6d00d2f542eb811f7340edbbf3b02021-12-02T13:17:49ZSecular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 201110.1038/s41598-021-85794-22045-2322https://doaj.org/article/876f6d00d2f542eb811f7340edbbf3b02021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85794-2https://doaj.org/toc/2045-2322Abstract We determined if the increasing trend in hypertension can be partly attributed to increasing prevalence of overweight/obesity in China over the past two decades. Data were collected from 1991 to 2011 and the population attributable risk (PAR), which is used to estimate the intervention effect on hypertension if overweight/obese, were eliminated. Linear regression was used to evaluate the secular trends. The age-standardized prevalence of overweight and obesity increased by 26.32% with an overall slope of 1.27% (95% CI: 1.12–1.43%) per year. Hypertension also increased by 12.37% with an overall slope of 0.65% (95% CI: 0.51–0.79%) per year. The adjusted ORs of overweight/obesity for hypertension across the survey years remained unchanged; however, the trend in PAR increased steadily from 27.1 to 44.6% with an overall slope of 0.81% (95% CI: 0.34–1.28%) per year (P = 0.006). There was no significant gender difference in the slopes of increasing PAR, as measured by regression coefficients (β = 0.95% vs. β = 0.63% per year, P = 0.36). Over the past two decades, the increase in the prevalence of hypertension in China was partly attributed to the overweight/obesity epidemic, which highlights the importance of controlling weight and further reducing the burden of hypertension.Jian GouHuiying WuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jian Gou
Huiying Wu
Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
description Abstract We determined if the increasing trend in hypertension can be partly attributed to increasing prevalence of overweight/obesity in China over the past two decades. Data were collected from 1991 to 2011 and the population attributable risk (PAR), which is used to estimate the intervention effect on hypertension if overweight/obese, were eliminated. Linear regression was used to evaluate the secular trends. The age-standardized prevalence of overweight and obesity increased by 26.32% with an overall slope of 1.27% (95% CI: 1.12–1.43%) per year. Hypertension also increased by 12.37% with an overall slope of 0.65% (95% CI: 0.51–0.79%) per year. The adjusted ORs of overweight/obesity for hypertension across the survey years remained unchanged; however, the trend in PAR increased steadily from 27.1 to 44.6% with an overall slope of 0.81% (95% CI: 0.34–1.28%) per year (P = 0.006). There was no significant gender difference in the slopes of increasing PAR, as measured by regression coefficients (β = 0.95% vs. β = 0.63% per year, P = 0.36). Over the past two decades, the increase in the prevalence of hypertension in China was partly attributed to the overweight/obesity epidemic, which highlights the importance of controlling weight and further reducing the burden of hypertension.
format article
author Jian Gou
Huiying Wu
author_facet Jian Gou
Huiying Wu
author_sort Jian Gou
title Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
title_short Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
title_full Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
title_fullStr Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
title_full_unstemmed Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011
title_sort secular trends of population attributable risk of overweight and obesity for hypertension among chinese adults from 1991 to 2011
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/876f6d00d2f542eb811f7340edbbf3b0
work_keys_str_mv AT jiangou seculartrendsofpopulationattributableriskofoverweightandobesityforhypertensionamongchineseadultsfrom1991to2011
AT huiyingwu seculartrendsofpopulationattributableriskofoverweightandobesityforhypertensionamongchineseadultsfrom1991to2011
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