A Longitudinal Assessment of Parental Caregiving and Blood Pressure Trajectories: Findings from the China Health and Nutrition Survey for Women 2000–2011

2020 ◽  
Author(s):  
Xiaoxiao Lu ◽  
Hee-Soon Juon ◽  
Xin He ◽  
Cher M. Dallal ◽  
Ming Qi Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Longitudinal Assessment ◽  
Nutrition Survey ◽  
Parental Caregiving ◽  
Health And Nutrition

PARENTAL AND SIBLING MIGRATION AND HIGH BLOOD PRESSURE AMONG RURAL CHILDREN IN CHINA

2015 ◽  
Vol 48 (1) ◽  
pp. 129-142 ◽  
Author(s):  
MING WEN ◽  
KELIN LI
Keyword(s):  
Blood Pressure ◽  
Rural China ◽  
Random Effect ◽  
Rural Children ◽  
Urban Migration ◽  
Nutrition Survey ◽  
Prospective Survey ◽  
Individual Level ◽  
Left Behind ◽  
Health And Nutrition

SummaryThis study examines the associations between parental and sibling rural-to-urban migration and blood pressure (BP) of rural left-behind children (LBC) in rural China. Analysis was based on the 2000, 2004, 2006 and 2009 waves of longitudinal data from the China Health and Nutrition Survey, which is an ongoing prospective survey covering nine provinces with an individual-level response rate of 88%. Blood pressure levels were measured by trained examiners at three consecutive times on the same visit and the means of three measurements were used as the final BP values. An ordinal BP measure was then created using a recently validated age–sex-specified distribution for Chinese children and adolescents, distinguishing normal BP, pre-hypertension and hypertension. Random effect modelling was performed. Different migration circumstances play different roles in LBC's BP with mother-only and both-parent migration being particularly detrimental and father-only and sibling-only migration either having no association or a negative association with LBC's BP levels or odds of high BP. In conclusion, the link between family migration and left-behind children's blood pressure is complex, and depends on who is the person out-migrating.

scholarly journals The Visceral Adipose Index in Relation to Incidence of Hypertension in Chinese Adults: China Health and Nutrition Survey (CHNS)

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 805
Author(s):  
Yong Xue ◽  
Qun Shen ◽  
Chang Li ◽  
Zijian Dai ◽  
Tingchao He
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Cohort Analysis ◽  
Population Characteristics ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Validated Questionnaire ◽  
Visceral Adipose ◽  
Apparently Healthy

Hypertension is the most crucial single contributor to global burden of disease and mortality, while weight loss as a non-pharmacological strategy is recommended to reduce blood pressure. This study aims to examine the association between visceral adipose index (VAI) and hypertension in Chinese adults. Data were collected from the China Health and Nutrition Survey (CHNS), consisting of 8374 apparently healthy participants aged ≥18 years in the 2009 CHNS for cross-sectional analysis, and 4275 participants at entry from 2009 to 2011 for cohort analysis. Height, weight, waist circumference, blood pressure (BP), and blood lipid were measured. Information of population characteristics, smoking status, alcohol consumption, physical activity, and diet were determined by validated questionnaire. Higher VAI scores were significantly associated with higher BP levels and higher risk of hypertension after adjustment with potential confounders (all p-trend < 0.001). The adjusted hazard ratio of hypertension was 1.526 (95%CI: 1.194, 1.952; p-trend < 0.01) for participants in the highest quartile of VAI scores when compared with those in the lowest quartile after adjustment for age, physical activity, antihypertensive medication, total energy intake, salt intake, and other major lifestyle factors. VAI scores were significantly, longitudinally associated with hypertension development among apparently healthy Chinese adults.

scholarly journals Associated factors with awareness, treatment and control of hypertension among 3,579 hypertensive adults in China: data from the China Health and Nutrition Survey

2020 ◽  
Author(s):  
junxiang Wei ◽  
Bo Xin ◽  
Yan Li ◽  
Youfa Wang
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Eastern Region ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Antihypertensive Medications ◽  
Public Health Burden ◽  
Health And Nutrition ◽  
Hypertension Awareness ◽  
And Control

Abstract Background: Hypertension prevalence is high and rising in China, but it is inadequately controlled. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. Methods: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mm Hg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results: Overall, 3,579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure controlled. Rates of hypertension awareness and treatment varied across population subgroups; higher likelihood was associated with being female (OR = 1.37; 95%CI, 1.12-1.66), older age (1.57; 1.65-4.02), urban residence (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), having overweight/obesity (1.99; 1.39-2.84), and engaging in less healthy lifestyles. Lower control rate was associated with obesity (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). Conclusion: Hypertension is a major public health burden in China. Rates of hypertension awareness, treatment, and control are still low despite efforts that have been made. More intensive screening and treatment intervention programs are needed in the future.

scholarly journals Occupational Physical Activity and New-Onset Hypertension: A Nationwide Cohort Study in China

Hypertension ◽  
2021 ◽  
Author(s):  
Qinqin Li ◽  
Rui Li ◽  
Shaojie Zhang ◽  
Yuanyuan Zhang ◽  
Panpan He ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Occupational Physical Activity ◽  
Nutrition Survey ◽  
Metabolic Equivalent ◽  
Health And Nutrition ◽  
Increased Risk ◽  
Males And Females ◽  
New Onset

The association between occupational physical activity (OPA) and the risk of hypertension remains uncertain. We aimed to examine the prospective relations of OPA and new-onset hypertension among Chinese males and females. A total of 9350 adults who were free of hypertension at baseline were enrolled from the CHNS study (China Health and Nutrition Survey). Data on OPA were obtained by using self-reported questionnaires and calculated as metabolic equivalent task (MET)–hours per week. MET–hours per week may account for both intensity and time spent on activities. The study outcome was new-onset hypertension, defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or diagnosed by physician or under antihypertensive treatment during the follow-up. During a median of 6.1 years (82 410 person-years) of follow-up, a total of 2949 participants developed hypertension. Overall, there was a L-shaped association between the OPA and new-onset hypertension in males and a U-shaped association in females (all P values for nonlinearity <0.001). Accordingly, when OPA was categorized as four groups (<80, 80–<160, 160–<240, and ≥240 metabolic MET–hours per week), in males, the risk of new-onset hypertension was significantly increased only among participants with OPA <80 MET–hours per week; however, in females, the lowest risk of new-onset hypertension was found among those with OPA 80 to 240 MET–hours per week. In summary, moderate OPA, in terms of both duration and intensity, is associated with a lower risk of new-onset hypertension among both males and females, whereas heavy OPA was related to increased risk of new-onset hypertension in females.

scholarly journals Time Trends in Comorbidity and Management of Hypertension and Diabetes: A 15-year Nationwide Longitudinal Study of 18,380 Adults in China

2020 ◽  
Author(s):  
Yixuan Li ◽  
Xiaomin Sun ◽  
Junxiang Wei ◽  
Jing Wu ◽  
Youfa Wang
Keyword(s):  
Blood Pressure ◽  
Time Trends ◽  
Weight Status ◽  
Hypertension Treatment ◽  
Nutrition Survey ◽  
Average Systolic Blood Pressure ◽  
Hypertension Prevalence ◽  
Health And Nutrition ◽  
And Control

Abstract Background: To examine time trends in comorbidity of hypertension and type 2 diabetes (T2DM) and their diagnosis, treatment, and management in China during 2000-2015 and study factors associated with these outcomes. Methods: Longitudinal data collected from the China Health and Nutrition Survey (CHNS) during 2000-2015 were analyzed. Of the 28,204 adults, 832 had both hypertension and T2DM were selected. Average systolic blood pressure (SBP) and diastolic blood pressure (DBP) and hypertension prevalence among T2DM patients, and treatment and control of hypertension and T2DM among patients with both conditions were examined for all and by sex and weight status. Mixed effects models assessed the associations. Results: From 2000 to 2015, among patients with T2DM, hypertension prevalence dropped from 88.4% to 83.0% and BPs decreased (P < 0.05). Men and overweight/obese patients had greater decreases in hypertension prevalence and DBP, while women had a larger decrease in SBP than men. Over time, among patients with both hypertension and T2DM, rates of hypertension treatment (45.3% to 57.7%), hypertension control (3.0% to 10.9%) and T2DM treatment (90.0% to 95.6%) increased, but were still very low except for T2DM treatment (all P < 0.001). Age, gender, smoking, drinking, household income, education, residence, and weight status were significantly associated with prevalence, treatment, and control of hypertension, and T2DM treatment among patients with both hypertension and T2DM. Conclusion: Rates of hypertension treatment and control among patients with both hypertension and T2DM have improved in recent years, but were still low.

scholarly journals Potential Impact of 2017 American College of Cardiology / American Heart Association High Blood Pressure Guideline on Chinese Adults---How to Face?

2019 ◽  
Author(s):  
Yundi Jiao ◽  
Zhaoqing Sun ◽  
Yanxia Xie ◽  
Jia Zheng ◽  
Zhao Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Intensive Management ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Potential Impact ◽  
Crude Prevalence

Abstract Background The current analysis was to estimate the percentage and number of Chinese adults with hypertension and recommended for pharmacological anti-hypertensive treatment according to the 2017 American College of Cardiology / American Heart Association (ACC/AHA) guideline as compared with the 2010 Chinese Guideline.Methods We used the 2011 data of China Health and Nutrition Survey (CHNS). 12,499 Chinese adults aged ≥ 18 years with complete blood pressure (BP) values were selected for the present analysis.Results The crude prevalence (95% CI) of hypertension according to the definitions from 2017 ACC/AHA guideline and the 2010 Chinese guideline was 58.0% (57.2% to 58.9%) and 25.4% (24.7% to 26.2%), respectively. Meanwhile, the percentage of recommended anti-hypertensive medications was 31.5% and 28.8%. Among adults who taking anti-hypertensive medications, the percentage of which had above goal BP level was 88.8% compared to 53.3%. Overall, 613.3 million Chinese adults (aged ≥ 18 years) met the definition for hypertension according to the 2017 ACC/AHA guideline, for which was 267.7 million according to the 2010 Chinese guideline. An additional 28.4 million (2.7%) Chinese adults were recommended anti-hypertensive medication.Conclusions The present analysis revealed that 2017 ACC/AHA hypertension guideline will result in a substantial increase in the percentage and number of Chinese adults defined as having hypertension and a small increase in the percentage of adults who are recommended anti-hypertensive medications compared to the 2010 Chinese guideline. More intensive management and anti-hypertensive medications are suggested to improve the control rate of hypertension among Chinese adults.

scholarly journals Potential Impacts of the 2017 American College of Cardiology / American Heart Association High Blood Pressure Guideline on Chinese Adults and How to Address Them

2020 ◽  
Author(s):  
Yundi Jiao ◽  
Zhaoqing Sun ◽  
Yanxia Xie ◽  
Jia Zheng ◽  
Zhao Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Antihypertensive Medications ◽  
Health And Nutrition ◽  
To Receive ◽  
Crude Prevalence

Abstract Background: The current analysis was performed to estimate the percentage and number of Chinese adults with hypertension and the percentage and number of Chinese adults recommended to receive pharmacological antihypertensive treatment according to the 2017 American College of Cardiology / American Heart Association (ACC/AHA) guideline compared with the same parameters according to the 2010 Chinese guideline. Methods: We use2011 data from the China Health and Nutrition Survey (CHNS). A total of 12,499 Chinese adults aged ≥ 18 years with complete blood pressure (BP) values were selected for the present analysis. Results: The crude prevalence rates (95% CI) of hypertension according to the definitions from the 2017 ACC/AHA guideline and the 2010 Chinese guideline were 58.0% (57.2% to 58.9%) and 25.4% (24.7% to 26.2%), respectively. Moreover, the percentage of the participants recommended to take antihypertensive medications were 31.5% and 28.8%, respectively. Among adults who took antihypertensive medications, 88.8% had above-goal BP levels compared to 53.3%. Overall, 613.3 million Chinese adults (aged ≥ 18 years) met the criteria for hypertension according to the 2017 ACC/AHA guideline, and 267.7 million met the criteria according to 2010 Chinese guideline. An additional 28.4 million (2.7%) Chinese adults were recommended to take antihypertensive medication. Conclusions: The present analysis revealed that the 2017 ACC/AHA hypertension guideline will result in a substantial increase in the percentage and number of Chinese adults defined as having hypertension and a small increase in the percentage of adults who are recommended to take antihypertensive medications compared to the same parameters based on the 2010 Chinese guideline. More intensive management and antihypertensive medications use are suggested to improve the control rate of hypertension among Chinese adults.

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