Prevalence and risk factors of hypertension among college freshmen in China

Abstract Hypertension is the leading single contributor to all-cause death and disability worldwide. However, there is scarce evidence on the prevalence and risk factors of hypertension for Chinese youth. This study aimed to investigate the prevalence of hypertension among Chinese college freshmen a...

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Autores principales:	Qingqing Jiang, Qiumei Zhang, Tiantian Wang, Qiqi You, Chun Liu, Shiyi Cao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b35d62cdae81487b9ce28779631dd868
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spelling	oai:doaj.org-article:b35d62cdae81487b9ce28779631dd8682021-12-05T12:13:43ZPrevalence and risk factors of hypertension among college freshmen in China10.1038/s41598-021-02578-42045-2322https://doaj.org/article/b35d62cdae81487b9ce28779631dd8682021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02578-4https://doaj.org/toc/2045-2322Abstract Hypertension is the leading single contributor to all-cause death and disability worldwide. However, there is scarce evidence on the prevalence and risk factors of hypertension for Chinese youth. This study aimed to investigate the prevalence of hypertension among Chinese college freshmen and to identify the influencing factors. We conducted a cross-sectional study of all freshmen from 2015 to 2017 at a university in Wuhan, China by physical examination and standard-structured questionnaire. The Pearson chi-square test was used to compare categorical variables. Forward stepwise logistic regression method was used in the multivariate analysis to identify independent predictors of hypertension in youth. A total of 12,849 participants were included, and the prevalence of hypertension of Chinese college freshmen was 4.3% (7.9% in men and 1.6% in women). Men had a higher risk of hypertension than women (odds ratio [OR]: 5.358, 95% confidence interval [CI]: 4.345–6.607, P < 0.001). Obese people were more likely to develop hypertension than those with normal body mass index (OR: 10.465, 95% CI: 8.448–12.964, P < 0.001). People with elevated resting heart rate (RHR) had a higher prevalence of hypertension (OR: 4.987, 95% CI: 3.641–6.832, P < 0.001). Staying up late (OR: 2.957, 95% CI: 2.482–3.523, P < 0.001), physical inactivity (OR: 4.973, 95% CI: 4.141–5.972, P < 0.001), living in urban district (OR: 1.864, 95% CI: 1.493–2.329, P < 0.001) and family history of cardiovascular diseases (CVDs) (OR: 2.685, 95% CI: 2.108–3.421, P < 0.001) were related to higher prevalence of hypertension in youth. Male, obesity, elevated RHR, physical inactivity and family history of CVDs were identified as important risk factors of hypertension in youth. These risk factors should be given more attention when designing and implementing the interventional programs.Qingqing JiangQiumei ZhangTiantian WangQiqi YouChun LiuShiyi CaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Qingqing Jiang Qiumei Zhang Tiantian Wang Qiqi You Chun Liu Shiyi Cao Prevalence and risk factors of hypertension among college freshmen in China
description	Abstract Hypertension is the leading single contributor to all-cause death and disability worldwide. However, there is scarce evidence on the prevalence and risk factors of hypertension for Chinese youth. This study aimed to investigate the prevalence of hypertension among Chinese college freshmen and to identify the influencing factors. We conducted a cross-sectional study of all freshmen from 2015 to 2017 at a university in Wuhan, China by physical examination and standard-structured questionnaire. The Pearson chi-square test was used to compare categorical variables. Forward stepwise logistic regression method was used in the multivariate analysis to identify independent predictors of hypertension in youth. A total of 12,849 participants were included, and the prevalence of hypertension of Chinese college freshmen was 4.3% (7.9% in men and 1.6% in women). Men had a higher risk of hypertension than women (odds ratio [OR]: 5.358, 95% confidence interval [CI]: 4.345–6.607, P < 0.001). Obese people were more likely to develop hypertension than those with normal body mass index (OR: 10.465, 95% CI: 8.448–12.964, P < 0.001). People with elevated resting heart rate (RHR) had a higher prevalence of hypertension (OR: 4.987, 95% CI: 3.641–6.832, P < 0.001). Staying up late (OR: 2.957, 95% CI: 2.482–3.523, P < 0.001), physical inactivity (OR: 4.973, 95% CI: 4.141–5.972, P < 0.001), living in urban district (OR: 1.864, 95% CI: 1.493–2.329, P < 0.001) and family history of cardiovascular diseases (CVDs) (OR: 2.685, 95% CI: 2.108–3.421, P < 0.001) were related to higher prevalence of hypertension in youth. Male, obesity, elevated RHR, physical inactivity and family history of CVDs were identified as important risk factors of hypertension in youth. These risk factors should be given more attention when designing and implementing the interventional programs.
format	article
author	Qingqing Jiang Qiumei Zhang Tiantian Wang Qiqi You Chun Liu Shiyi Cao
author_facet	Qingqing Jiang Qiumei Zhang Tiantian Wang Qiqi You Chun Liu Shiyi Cao
author_sort	Qingqing Jiang
title	Prevalence and risk factors of hypertension among college freshmen in China
title_short	Prevalence and risk factors of hypertension among college freshmen in China
title_full	Prevalence and risk factors of hypertension among college freshmen in China
title_fullStr	Prevalence and risk factors of hypertension among college freshmen in China
title_full_unstemmed	Prevalence and risk factors of hypertension among college freshmen in China
title_sort	prevalence and risk factors of hypertension among college freshmen in china
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b35d62cdae81487b9ce28779631dd868
work_keys_str_mv	AT qingqingjiang prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina AT qiumeizhang prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina AT tiantianwang prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina AT qiqiyou prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina AT chunliu prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina AT shiyicao prevalenceandriskfactorsofhypertensionamongcollegefreshmeninchina
_version_	1718372152805163008

Prevalence and risk factors of hypertension among college freshmen in China

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