scholarly journals Gender-specific Prevalence and Influencing Factors of Ideal Cardiovascular Health in Chinese Rural Population: The Henan Rural Cohort Study

2020 ◽  
Author(s):  
Xueyan Wu ◽  
Xiaotian Liu ◽  
Zhicheng Luo ◽  
Miaomiao Niu ◽  
Yaling He ◽  
...  

Abstract Background: The American Heart Association define a new concept of ideal cardiovascular health (ICH), which was widely used. However, the prevalence of ICH according to the definition of Chinese rural population is unclear. The study aimed to estimate prevalence and influencing factors of ICH in rural areas of China.Methods: This study included 35081 participants (13711 men and 21370 women)aged 18 to 79 years from “the Henan Rural Cohort study”. The cardiovascular health (CVH) metrics, the ICH scores, the ideal health behaviors (IHB) scores and ideal health factors (IHF)scores were evaluated in Chinese rural adults. Each CVH metrics divided into ideal and non-ideal including diet, physical activity, smoking, BMI, blood pressure, total cholesterol and fasting plasma glucose. The influencing factors of ideal CVH (ICH scores≥5), ideal HB (IHB scores>3) and ideal HF (IHF scores>3) were explored by logistic regression analysis.Results: The age-standardized mean scores of the ICH was 4.30(3.62 in men and4.69 in women). Prevalence of ICH metrics about ideal physical activity was the highest (91.37%), while about ideal diet was lowest (0.48%).The age-standardized prevalence of population who with 7 scores of ICH was 0.10% (0.07% in men and 0.11% in women). The age-standardized prevalence of Ideal CVH (ICH scores≥5) was 48.86% (28.26% in men and 60.70% in women). The age-standardized prevalence of 4 of IHB scores and 4 of IHF scores were 0.16% (0.17% in men and 0.16% in women) and 33.26% (10.06% in men and 46.60% in women), respectively. Further, apart from IHB scores, age had an inverse relationship with the ICH scores and IHF scores in total populations and women. Much older, men, low family income, current drinking and abdominal obesity were independently associated with ICH in Chinese rural adults.Conclusions: The percentage of ideal cardiovascular health is extremely low in rural China. There is an increasing need for primordial prevention of unhealthy lifestyles and monitoring high risk factors to promote cardiovascular health in rural China.Clinical Trial Registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029590 ◽  
Author(s):  
Runqi Tu ◽  
Yuqian Li ◽  
Lijun Shen ◽  
HuiJuan Yuan ◽  
Zhenxing Mao ◽  
...  

ObjectivesTo estimate the prevalence and influencing factors of physical activity (PA) and sedentary behaviour (SB) in rural areas of China.DesignCross-sectional study.SettingA multistage, stratified cluster sampling method was used to obtain samples in the general population of Henan province in China.Participants38 515 participants aged 18–79 years were enrolled from the Henan Rural Cohort Study for the cross-sectional study.Main outcome measuresThe International Physical Activity Questionnaire was used to assess the levels of PA and SB. Multiple logistic regression analysis was used to calculate ORs and 95% CIs of potential influencing factors with physical inactivity.ResultsThe age-standardised prevalence of light PA and sitting >7.5 hours per day were 32.74% and 26.88% in the general Chinese rural adults, respectively. Gender differences were: 34.91%, 29.76% for men and 31.75%, 25.16% for women, respectively. The prevalence of participants with both light PA and sitting >7.5 hours per day was 13.95%. Education at least junior middle school, divorced/widowed/unmarried, RMB1000> per capita monthly income ≥RMB500, sitting >7.5 hours per day were negatively associated with light PA. For sitting >7.5 hours per day, the negative factors were being men, divorced/widowed/unmarried, heavy smoking, Fishery products, vegetable and fruits intake .ConclusionPhysical inactivity and SB were high in rural China. There is an increased need to promote a healthy lifestyle to the rural population.Clinical trial registrationThe Henan Rural Cohort Study has been registered with the Chinese Clinical Trial Register.Registration number: ChiCTR-OOC-15006699.http://www.chictr.org.cn/showproj.aspx?proj=11375


2021 ◽  
Vol 8 ◽  
Author(s):  
Xueyan Wu ◽  
Xiaotian Liu ◽  
Wei Liao ◽  
Ning Kang ◽  
Shengxiang Sang ◽  
...  

Introduction: We aimed to explore the association between night sleep duration and ideal cardiovascular health (ICH) among Chinese rural population.Methods: In all, 35,094 participants were included from the Henan Rural Cohort study. Information on sleep was collected using the Pittsburgh Sleep Quality Index. The ICH scores were evaluated. The associations between night sleep duration and ICH were examined using both linear regression and logistic regression models.Results: The mean night sleep duration for all participants was 7.75 ± 1.28 h. Compared with those with night sleep duration of 7 to <9 h by using linear regression model, a significant decrease in ICH scores was observed for participants with shorter [−0.077 (−0.131, −0.024)] and longer [−0.079 (−0.121, −0.036)] night sleep duration. Compared with 7 to <9 h, longer sleep duration [0.919 (0.851, 0.992)] were associated with decreased odds of ideal CVH.Conclusions: Shorter and longer night sleep duration are negatively associated with ICH among rural population. This suggests that it may be beneficial to include night sleep duration assessment in cardiovascular risk screening.


Author(s):  
Tzu‑Hsiang Tseng ◽  
Li‑Xian Yeo ◽  
Wei‑Liang Chen ◽  
Tung‑Wei Kao ◽  
Li‑Wei Wu ◽  
...  

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Xiaotian Liu ◽  
Weidong Wu ◽  
Zhenxing Mao ◽  
Wenqian Huo ◽  
Runqi Tu ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Yanhui Li ◽  
Di Gao ◽  
Zhaogeng Yang ◽  
Ying Ma ◽  
Manman Chen ◽  
...  

Background: Parental health status had a potential influence on offspring health. This study aimed to investigate the separate associations between paternal and maternal cardiovascular health statuses and the prevalence of childhood overweight and obesity in the offspring.Methods: Data were from a cross-sectional study conducted in seven provinces or cities of China in 2013. A total of 29,317 children aged 6–18 years old and their parents, making up 9,585 father-offspring pairs and 19,732 mother-offspring pairs, were included in the final analysis. Information on parental cardiovascular health status factors (dietary behaviors, body mass index (BMI), smoking, physical activity, hypertension, and diabetes mellitus) was obtained from the structured self-administrated questionnaires. Based on the health status factors, we then generated an ideal cardiovascular health (iCVH) score. The overweight and obesity of children were defined using age- and sex-specific cutoffs based on the International Obesity Task Force criteria. A multilevel log-binomial regression model was used to assess the association between parental cardiovascular health status and prevalence of childhood overweight and obesity in the offspring.Results: The prevalence of pediatric overweight and obesity was 22.0% in the father-offspring subset and 23.8% in the mother-offspring subset, respectively. Fathers with ideal BMI, non-smoking, and absence of hypertension and diabetes, and mothers with ideal BMI, ideal physical activity, and absence of hypertension and diabetes were found to be associated with lower prevalence of overweight and obesity in the offspring. The prevalence of offspring overweight and obesity was significantly decreased with the parental iCVH scores increased. Each additional increase in paternal and maternal iCVH factor was associated with a 30% and 27% lower prevalence of overweight and obesity in the offspring. Compared with children whose parental iCVH scores ≤ 3, offspring whose fathers or mothers met all six iCVH factors had 67% [prevalence ratio (PR): 0.33, 95%CI: 0.25–0.42] and 58% (PR: 0.42, 95%CI: 0.29–0.62) lower prevalence of overweight and obesity, respectively.Conclusions: Parental adherence to iCVH status was associated with a lower prevalence of pediatric overweight and obesity in offspring. Our findings support the intervention strategy that parents should involve in the obesity intervention program for children.


Sign in / Sign up

Export Citation Format

Share Document