Dietary pattern associated with C‐reactive protein and trajectories of blood pressure in Chinese adults: evidence from the China Health and Nutrition Survey

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.

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

10.21203/rs.3.rs-18826/v1 ◽

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.

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Trajectories of Dietary Patterns and Their Associations with Overweight/Obesity among Chinese Adults: China Health and Nutrition Survey 1991–2018

Nutrients ◽

10.3390/nu13082835 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2835 ◽

Cited By ~ 1

Author(s):

Jiguo Zhang ◽

Huijun Wang ◽

Zhihong Wang ◽

Feifei Huang ◽

Xiaofan Zhang ◽

...

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Chinese Adults ◽

Nutrition Survey ◽

Health And Nutrition ◽

Group 3 ◽

Group 2 ◽

Prospective Association ◽

Initial Score ◽

The Impact

It is essential to understand the impact of different dietary pattern trajectories on health over time. Therefore, we aimed to explore the long-term trajectories of dietary patterns among Chinese adults and examine the prospective association between different trajectory groups and the risk of overweight/obesity. The sample was 9299 adults aged 18 years or older from the China Health and Nutrition Survey (CHNS) between 1991 and 2018. We used factor analysis to identify dietary patterns and group-based trajectory modeling to identify dietary pattern trajectories. Three trajectories of a southern pattern and a modern pattern and four trajectories of a meat pattern were identified. Participants who followed the highest initial score and a slight decrease trajectory (OR = 1.63; 95% CI: 1.04, 2.54) of the meat dietary pattern were positively associated with risk of overweight/obesity when compared with the lowest initial score trajectory. The southern dietary pattern and the modern dietary pattern trajectories of participants in Group 2 (OR = 0.64; 95% CI: 0.51, 0.81; OR = 0.76; 95% CI: 0.63, 0.91) and Group 3 (OR = 0.71; 95% CI: 0.54, 0.91; OR = 0.64; 95% CI: 0.44, 0.90) were associated with lower risk of overweight/obesity when compared with Group 1. We observed that dietary pattern trajectories have different associations with overweight/obesity among Chinese adults.

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

10.21203/rs.2.13692/v1 ◽

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.

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

10.21203/rs.2.13692/v3 ◽

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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Moderate Intake of Lean Red Meat Was Associated with Lower Risk of Elevated Blood Pressure in Chinese Women: Results from the China Health and Nutrition Survey, 1991–2015

Nutrients ◽

10.3390/nu12051369 ◽

2020 ◽

Vol 12 (5) ◽

pp. 1369

Author(s):

Zhihong Wang ◽

Qiumin Huang ◽

Liusen Wang ◽

Hongru Jiang ◽

Yun Wang ◽

...

Keyword(s):

Blood Pressure ◽

Rural Communities ◽

Lower Risk ◽

Red Meat ◽

Chinese Adults ◽

Nutrition Survey ◽

Mixed Effect ◽

Meat Intake ◽

Health And Nutrition ◽

Red Meat Intake

This study aimed to examine longitudinal associations between fatty and lean, fresh red meat intake and blood pressure (BP) in Chinese adults. The data were from nine waves of the China Health and Nutrition Survey (1991–2015), a longitudinal, open cohort study. The surveys were conducted in 303 urban and rural communities of 15 provinces in China. Collected by consecutive three-day 24-h dietary recalls combined with household weighing for foods or only condiments, the diet exposure of interest was daily red meat intake and its subtypes (fatty versus lean) defined by 10-g fat content per 100 g. The main outcome was systolic blood pressure (SBP), diastolic blood pressure (DBP) and risk of elevated BP defined as having a mean of SBP ≥ 135 mmHg, DBP ≥ 85 mmHg, or taking antihypertensive medication. Three-level mixed-effect regressions showed women had SBP increases of 2.19 mmHg (95% CI: 1.07, 4.46) from a higher intake of total fresh red meat, 2.42 mmHg (95% CI: 1.18, 4.94) from a higher intake of fatty, fresh red meat, as well as 0.48 mmHg (95% CI: 0.26, 0.88) from a higher intake of lean, fresh red meat in the top tertile versus bottom one when adjusted for potential confounders. After adjusting for survey years, women with the highest tertile of lean, fresh red meat intake had a 32% lower risk of elevated BP (OR 0.68, 95%CI:0.48, 0.96) as compared with those with the first tertile (non-consumer). Fatty and lean, fresh red meat intakes were differentially associated with BP among Chinese adults. Further research is required to elicit the potential mechanism on gender-specific differential association of fatty versus lean, fresh red meat with BP.

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Factors associated with awareness, treatment and control of hypertension among 3579 hypertensive adults in China: data from the China Health and Nutrition Survey

BMC Public Health ◽

10.1186/s12889-021-10417-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Junxiang Wei ◽

Yang Mi ◽

Yan Li ◽

Bo Xin ◽

Youfa Wang

Keyword(s):

Public Health ◽

Blood Pressure ◽

Hypertension Treatment ◽

Chinese Adults ◽

Nutrition Survey ◽

Antihypertensive Medications ◽

Factors Associated ◽

Health And Nutrition ◽

Hypertension Awareness ◽

And Control

Abstract Background The prevalence of hypertension is high and rising in China, but most people with hypertension do not have their blood pressure under control. 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 mmHg, diastolic blood pressure ≥ 90 mmHg, 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 mmHg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results Overall, 3579 (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 under control. Higher hypertension treatment was associated with older age (OR = 2.57; 95%CI, 1.65–4.02), urban residency (1.50; 1.14–1.97), living in the Eastern region (1.52; 1.14–2.01), and being overweight/obese (1.99; 1.39–2.84). Hypertension awareness was associated with similar factors as hypertension treatment but was also associated with being female (1.37, 1.12–1.66). Poor hypertension control was associated with being overweight/obese (0.56; 0.42–0.76) and minority ethnicity (0.52; 0.31–0.86). Conclusion Hypertension is a major public health challenge in China. The prevalence of hypertension awareness, treatment, and control are still low despite existing public health policies and programs to reduce the burden of hypertension. More intensive hypertension screening and treatment programs are warranted in China.

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

10.21203/rs.2.13692/v2 ◽

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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