scholarly journals Association of Obesity and Hypertension: A Cohort Study in China

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xia Li ◽  
Huiqin Niu ◽  
XiaoGang Bai ◽  
YuWei Wang ◽  
Weihua Wang
Keyword(s):  
Logistic Regression ◽  
Cohort Study ◽  
Sex Education ◽  
Alcohol Drinking ◽  
Central Obesity ◽  
Normal Weight ◽  
General Obesity ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Prevalence Of Obesity

The prevalence of general and central obesity has increased rapidly in China for decades, while little is known on obesity-normal weight-central obesity (NWCO) in China. In this study, we aim to depict the trend of the three kinds of obesity and to explore their associations with hypertension in a cohort study in China. We used data from eight waves of the China Health and Nutrition Survey (CHNS) in 1993, 1997, 2000, 2004, 2006, 2009, 2011, and 2015 for analysis. The Cochran–Armitage test was used for trend of the three kinds of obesity or hypertension. Mixed logistic regression was used to explore their relationship. In this study, we found the prevalence of general obesity increased from 20.81% in 1993 to 50.57% in 2015 in China, which was from 19.23% to 56.15% for central obesity and from 27.20% to 49.07% for NWCO, respectively. Males had the highest increase among all the subgroups. The RR for hypertension and general obesity was 3.71 (95%CI: 3.26–4.22), 3.62 (95%CI 3.19–4.12) for central obesity, and 1.60 (95%CI 1.23–2.06) for NWCO after adjusted for age, sex, education, smoking, alcohol drinking, marriage status, urbanicity and income. Both prevalence of obesity and hypertension have increased significantly in China for the two decades. The general obesity was most likely to develop hypertension compared to central or NOCWO in this study.

scholarly journals Diabetic Retinopathy and Hearing Loss: Results from the Fifth Korean National Health and Nutrition Survey

2021 ◽  
Vol 10 (11) ◽  
pp. 2398
Author(s):  
Yong Un Shin ◽  
Seung Hun Park ◽  
Jae Ho Chung ◽  
Seung Hwan Lee ◽  
Heeyoon Cho
Keyword(s):  
Hearing Loss ◽  
Logistic Regression ◽  
Diabetic Retinopathy ◽  
Old Age ◽  
National Health ◽  
Noise Exposure ◽  
Middle Aged ◽  
Nutrition Survey ◽  
Aged Group ◽  
Health And Nutrition

We investigated the association between the severity of diabetic retinopathy (DR) and hearing loss based on vascular etiology. We used data from the Korean National Health and Nutrition Survey 2010–2012. Adults aged >40 years with diabetes were enrolled. Demographic, socioeconomic, general medical, noise exposure and biochemical data were used. Participants were classified into three groups: diabetes without DR, non-proliferative DR (NPDR), and proliferative DR (PDR); participants were also divided into two groups (middle age (40 ≤ age < 65 years) vs. old age (age ≥ 65 years)). The association between hearing loss and DR was determined using logistic regression analysis. A total of 1045 participants (n = 411, middle-aged group; n = 634, old-age group) were enrolled. Overall, the prevalence of hearing loss was 58.1%, 61.4%, and 85.0% in the no DR, NPDR, and PDR groups, respectively. After adjusting for confounding factors, the logistic regression model showed that there was no significant association between the prevalence of DR and hearing loss in the overall sample. However, the presence of PDR (OR 7.74, 95% CI 2.08–28.82) was significantly associated with hearing loss in the middle-aged group. Middle-aged people with diabetes may have an association between DR severity and hearing loss. The potential role of microvascular diseases in the development of hearing loss, especially in middle-aged patients, could be considered.

Violencia en el hogar contra mujeres adultas durante el confinamiento por la pandemia de Covid-19 en México

2021 ◽  
Vol 63 (6, Nov-Dic) ◽  
pp. 782-788
Author(s):  
Rosario Valdez-Santiago ◽  
Aremis Litai Villalobos-Hernández ◽  
Luz Arenas-Monreal ◽  
Karla Flores ◽  
Luciana Ramos-Lira
Keyword(s):  
Domestic Violence ◽  
Logistic Regression ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Well Being ◽  
Adult Women ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
National Representation ◽  
Low Levels

Objective. To analyze the prevalence of domestic violence in adult women during confinement derived from the Co­vid-19 pandemic and individual, familiar and communitarian associated factors. Materials and methods. A second­ary analysis was carried out the 2020 National Health and Nutrition Survey on Covid-19, with national representation. A logistic regression model adjusted for the variables of interest was performed. Results. The prevalence was 5.8%. The most reported acts were shouting, insults or threats (4.3%). Most of the women who reported some type of violence in the home had already experienced it before the confinement. Low levels of well-being (OR= 1.96, 95%CI: 1.28,2.99), and living in a home where job was lost due to contingency (OR= 1.96, 95%CI: 1.41,2.73) were associated factors. Conclusions. In care interventions, it is necessary to take into account factors that deepen the vulnerability of women, such as pre-existing violence and loss of employment.

scholarly journals The underweight/overweight household: an exploration of household sociodemographic and dietary factors in China

2002 ◽  
Vol 5 (1a) ◽  
pp. 215-221 ◽  
Author(s):  
Colleen Doak ◽  
Linda Adair ◽  
Margaret Bentley ◽  
Zhai Fengying ◽  
Barry Popkin
Keyword(s):  
Motor Vehicle ◽  
Healthy Lifestyle ◽  
Nutrition Transition ◽  
Normal Weight ◽  
Dietary Factors ◽  
Nutrition Survey ◽  
Diet Patterns ◽  
Health And Nutrition ◽  
Effective Public Health ◽  
Diet And Lifestyle

AbstractObjective:The goal of this paper is to explore the hypothesis that the nutrition transition is related to households having an underweight and an overweight member simultaneously (under/over households and under/over pairs).Design:The 1993 China Health and Nutrition Survey (CHNS) was used to test the association between being an under/over household and household characteristics related to the nutrition transition. Sociodemographic and diet patterns were tested for the main age combination of the under/over pairs.Setting:In China, 8.1% of all households were found to have underweight and overweight members within the same household.Subjects:Results are from the 1993 China Health and Nutrition Survey and are based on a sample of 13814 persons from 3340 households.Results:The under/over household was more urban, had a higher income and was more likely to have assets such as a television, a motor vehicle and a washing machine, even after controlling for sociodemographic confounders. The under/over household had a diet that was higher in fat and protein compared with the underweight and normal weight households. There were no significant differences between the under/over and overweight households, with many of the associations near unity. Comparisions of the under/over subgroups by age of the under/over pairs showed some differences by income and occupation, but not for diet.Conclusions:It is imperative, as more individuals become exposed to the diet and lifestyle patterns of the nutrition transition, to find effective public health programmes that can simultaneously promote a healthy lifestyle, improve diet quality and address both undernutrition and chronic disease.

Urban—Rural Disparity of Overweight, Hypertension, Undiagnosed Hypertension, and Untreated Hypertension in China

2008 ◽  
Vol 20 (2) ◽  
pp. 159-169 ◽  
Author(s):  
Xiaohui Hou
Keyword(s):  
Logistic Regression ◽  
Odds Ratios ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Undiagnosed Hypertension ◽  
Treatment Of Hypertension ◽  
Urban Rural ◽  
Urban Adults ◽  
The Difference ◽  
Untreated Hypertension

The objective of this study was to examine the urban—rural variations in the prevalence of overweight, hypertension, undiagnosed hypertension, and untreated hypertension among adults. The China Health and Nutrition Survey was used to study adults 25 to 65 years old. Logistic regression was used to obtain the odds ratios (ORs) after adjusting for demographic, socioeconomic, and lifestyle variables. Urban adults have a higher probability of being overweight (OR = 1.18, P < .01) and having hypertension (OR = 1.19, P < .1). After further controlling for lifestyle variables, the difference is not significant. Urban hypertensive adults are less likely to be undiagnosed (OR = 0.54, P < .001) and untreated (OR = 0.53, P < .001), even after controlling for socioeconomic and lifestyle variables, suggesting that there are other reasons for the urban—rural disparity of undiagnosed and untreated hypertension. This finding suggests that modifying lifestyles is critical in preventing urban adults from being overweight. Interventions targeting rural adults should promote the awareness and treatment of hypertension.

scholarly journals 1400Central but not general obesity is positively associated with risk of hyperhomocysteinemia in middle-aged women

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Yingying Wang
Keyword(s):  
Cardiovascular Disease ◽  
Logistic Regression ◽  
Regression Models ◽  
Central Obesity ◽  
Multiple Logistic Regression ◽  
Obese Women ◽  
General Obesity ◽  
Middle Aged ◽  
Logistic Regression Models ◽  
The Relationship

Abstract Background Obesity and homocysteine (Hcy) are two important risk factors for cardiovascular disease (CVD); however, there were conflicting results for the relationship between them. Our study is to explore the associations of general and central obesity with hyperhomocysteinemia (HHcy) in middle-aged women. Methods The current analysis was based on data from 11007 women aged 40-60 years. Height, weight, and waist circumference (WC) were measured and serum homocysteine was determined. Multiple logistic regression models were used to assess the associations of the risk of hyperhomocysteinemia (HHcy, Hcy&gt;15μmol/L) with BMI and WC. Results 13.71% women had HHcy. The prevalences of BMI-based general obesity and WC-based central obesity were 11.17% and 22.88%, respectively. Compared with non-obese women, the mean serum Hcy concentration was significantly higher in WC-based central obese women (P = 0.002), but not in BMI-based general obese women (P &gt; 0.05). In the multiple logistic regression models, central obesity was positively related to the risk of HHcy (OR = 1.30, 95%CI=1.10 to 1.52), while general obesity was inversely related to the risk of HHcy (OR = 0.82, 95%CI=0.72 to 0.93 and OR = 0.71,95% CI = 0.57 to 0.89). Conclusions Central obesity was positively, while general obesity was negatively related to the risk of HHcy. Menopause showed no effect modification on these associations. Key messages Homocysteine; Central obesity; Menopause; Cardiovascular Disease

scholarly journals Obesity prevalence in Mexico: impact on health and economic burden

2013 ◽  
Vol 17 (1) ◽  
pp. 233-239 ◽  
Author(s):  
Ketevan Rtveladze ◽  
Tim Marsh ◽  
Simon Barquera ◽  
Luz Maria Sanchez Romero ◽  
David Levy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Economic Burden ◽  
Cumulative Incidence ◽  
Normal Weight ◽  
Obesity Prevalence ◽  
Nutrition Survey ◽  
Middle Income ◽  
Health And Nutrition ◽  
Care Costs

AbstractObjectiveAlong with other countries having high and low-to-middle income, Mexico has experienced a substantial change in obesity rates. This rapid growth in obesity prevalence has led to high rates of obesity-related diseases and associated health-care costs.DesignMicro-simulation is used to project future BMI trends. Additionally thirteen BMI-related diseases and health-care costs are estimated. The results are simulated for three hypothetical scenarios: no BMI reduction and BMI reductions of 1 % and 5 % across the population.SettingMexican Health and Nutrition Surveys 1999 and 2000, and Mexican National Health and Nutrition Survey 2006.SubjectsMexican adults.ResultsIn 2010, 32 % of men and 26 % of women were normal weight. By 2050, the proportion of normal weight will decrease to 12 % and 9 % for males and females respectively, and more people will be obese than overweight. It is projected that by 2050 there will be 12 million cumulative incidence cases of diabetes and 8 million cumulative incidence cases of heart disease alone. For the thirteen diseases considered, costs of $US 806 million are estimated for 2010, projected to increase to $US 1·2 billion and $US 1·7 billion in 2030 and 2050 respectively. A 1 % reduction in BMI prevalence could save $US 43 million in health-care costs in 2030 and $US 85 million in 2050.ConclusionsObesity rates are leading to a large health and economic burden. The projected numbers are high and Mexico should implement strong action to tackle obesity. Results presented here will be very helpful in planning and implementing policy interventions.

scholarly journals Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Won Kyoung Cho ◽  
Hyojin Kim ◽  
Hyun Young Lee ◽  
Kyung Do Han ◽  
Yeon Jin Jeon ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
National Health ◽  
Central Obesity ◽  
Normal Weight ◽  
Female Adolescents ◽  
Height Ratio ◽  
Health And Nutrition ◽  
High Insulin ◽  
Waist To Height Ratio ◽  
Wbc Count

Background. To evaluate insulin resistance of normal weight central obese 13–18-year-old male and female adolescents stratified by waist to height ratio (WHR).Methods. Data were obtained from the Korea National Health and Nutrition Examination Survey (K-NHANES) conducted during 2008–2010. Central obesity was defined as that in the upper quartile of age and sex specific WHR. Subjects were classified into no central obesity normal weight (NW), central obesity normal weight (CONW), no central obesity overweight (OW), and central obesity overweight (COOW).Results. The prevalence of CONW was 9.6% (83/832) in female and 7.0% (61/909) in male. CONW showed higher levels of insulin (P<0.006), HOMA-IR (P<0.006), and ALT (P<0.001) than NW in female. CONW had higher levels of insulin (P<0.0001), HOMA-IR (P<0.0001), and WBC count (P<0.021) and lower level of HDL (P<0.0001) than NW in male. WHR and BMI had similar significant correlations with MS components. CONW showed 2.5 times (95% confidence interval, 1.21–5.00) more likelihood to have high insulin resistance than NW in male.Conclusions. Screening for central obesity using WHR in clinical setting is recommended.

scholarly journals Exposure to the Great Famine in Early Life and the Risk of Obesity in Adulthood: A Report Based on the China Health and Nutrition Survey

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1285
Author(s):  
Huiru Jiang ◽  
Yongfu Yu ◽  
Leah Li ◽  
Wanghong Xu
Keyword(s):  
Rural Areas ◽  
Early Life ◽  
Central Obesity ◽  
Age Groups ◽  
Exposed Group ◽  
Fetal Exposure ◽  
Nutrition Survey ◽  
Health And Nutrition ◽  
Famine Exposure ◽  
Stratified Analysis

Intrauterine malnutrition has a long-term effect on human health. This study aimed to evaluate the associations between exposure to famine in early life and obesity in adulthood in Chinese adults. A total of 5033 participants (22,132 observations) of the China Health and Nutrition Survey (CHNS) in 1991–2015 were classified into three famine exposure groups according to their birth year: unexposed (1963–1966), fetal-exposed (1959–1962) and childhood-exposed (1955–1958). Compared with the unexposed group, the fetal-exposed group had higher levels of body-mass-index (BMI) and waist-circumference (WC), and higher prevalence of overweight and central obesity, whereas the childhood-exposed group had lower levels of the measurements. However, the positive associations of fetal exposure with BMI, WC and prevalence of overweight and central obesity were attenuated by additionally adjusting for age at survey. Stratified analysis showed that the adverse effect of fetal exposure to famine was only observed in subjects at several specific age-groups, and in men living in rural areas and in women living in more severe famine exposed areas (p for interaction < 0.05). Our results provide evidence for the weak effect of fetal exposure to famine on body measurements in adulthood, and suggest the importance of severity of famine exposure and timing of exposure.

scholarly journals Underweight and normal weight central obesity among filipinos and its association with cardiovascular risks and diseases

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
B Toledano ◽  
G Vilela
Keyword(s):  
Central Obesity ◽  
Age Groups ◽  
Normal Weight ◽  
Older Age ◽  
Age Group ◽  
Cardiovascular Risks ◽  
Nutrition Survey ◽  
Local Study ◽  
Weight Category ◽  
Age And Sex

Abstract Introduction Underweight (UW) and normal weight with central obesity (NWCO) groups are either underrepresented, excluded or merged to the normal weight category in data analysis of epidemiological studies. Purpose This is a local study conducted that explored the association of underweight versus normal weight central obesity in terms of cardiovascular risks and diseases among Filipinos. Methods The participants were Filipinos age 20 years old above who had participated and completed the desired data in the National Nutrition Survey II. The participants were categorized into the following groups: underweight (&lt;18.5kg.m2) and normal weight with central obesity (WC ≥80cm or WHR ≥0.85 for females, WC ≥90cm or WHR ≥0.90 for males). This study compared the baseline profile of UW versus NWCO and determined its association with cardiovascular risks and diseases while using adjustment models for age and sex. Results A total of 3,009 participants were included in this study, 684 (22.7%) UW and 2,325 (77.3%) NWCO. The mean age was UW 47.8 versus NWCO 43.2, females 56.6% versus males 43.4%. In comparison to NWCO using adjustment models for age and sex, the ORs for hypertension (OR=1.498, 95% CI 1.23–1.82, p=.001), diabetes (OR=1.71, 95% CI 1.1–2.72, p=.023) and dyslipidemia (OR=1.8, 95% CI 1.5–2.16, p=.0001). Using age stratified model, CAD 25thP (31 years old) OR= 2, 95%Cl 1.5,2.6 p&lt;.001), 50thP (43 years old), (OR=2.4, 95% CI 1.9,2.9, p&lt;.001), 75thP (55 years old) (OR=1.9 95% CI 1.6,2.4 P&lt;.001), CVA 75thP (OR=2.5,95% CI 1.1,5.6,p=.021), PAD 50thP (OR=3.4,95% CI 1.1,10.7,p=.03). Hypertension 25thP (OR=2.0,95%Cl 1.5,2.6 p&lt;.001), 50thP (OR=2.4,95%Cl 1.9,2.9 p&lt;.001), 75thP (OR=1.9,95%Cl 1.6,2.4 p&lt;.001), Diabetes 25thP (OR=6.7,95% CI 2.8,15.9, p&lt;.001), 75thP (OR=1.7,95% CI 1.1,2.5, p=.005) and Dyslipidemia 25thP (OR=1.2, 95%Cl, 1.1,1.6 p=.02) were significantly higher in UW. Conclusion Lipid and blood pressure parameters differed among male and female UW. A greater association in hypertension and coronary artery disease in all age groups, stroke among the older age group, and diabetes among the younger and older age group is seen among UW versus NWCO among Filipinos. FUNDunding Acknowledgement Type of funding sources: None.

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