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The prevalence of obesity-related hypertension among middle-aged and older adults in China

Bibliographic Data

ID22066703
AuthorsYang Zhang (0000-0001-6777-3487, Chengdu Second People's Hospital), Wenqiang Zhang (0000-0002-0317-3914, West China Medical Center of Sichuan University), Wen-Qiang Zhang, Weiwei Tang (0000-0002-0725-3073, Nanjing Medical University), Wei-Wei Tang, Wenyong Zhang (0000-0002-8531-8274, West China Medical Center of Sichuan University), Wen-Yong Zhang, Jian-Xiong Liu (Chengdu Second People's Hospital), Ronghua Xu (0000-0002-3754-2079, Chengdu Second People's Hospital), Rong-Hua Xu, Tzung-Dau Wang, Tzung‐Dau Wang (0000-0002-7180-3607, National Taiwan University Hospital, corresponding author), Xiaobo Huang (0000-0002-4692-1433, Chengdu Second People's Hospital, corresponding author), Xiao-Bo Huang
Year2022
Volume10
Pages865870-865870
Publication date2022-11-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.865870
PMID36504973
OpenAlexW4309902651
LanguageEN
Citations received7
References cited55

Objective The aim of our study was to assess the prevalence and geographic variation of obesity-related hypertension in China among adults aged 45 years or older. Methods Data were derived from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2015. Stratified sample households covered 150 counties/districts and 450 villages/urban communities from 28 provinces by using household questionnaires, clinical measurements, and blood-based bioassays. A multivariable non-conditional logistic regression model was used to analyze the risk factors correlated with obesity-related hypertension. Results The prevalence of obesity-related hypertension was 22.7%, ~120 million people, among adults aged 45 years or older in China. For people in the age ranges of 45–54, 55–64, 65–74, and ≥75 years, the prevalence of obesity-related hypertension was 16.7, 24.3, 27, and 26.7%, respectively, and the prevalence of obesity-related hypertension among hypertensive participants was 66.0, 60.9, 54.2, and 47.3%, respectively. Compared with non-obesity-related hypertension, the obesity-related hypertensive patients had a higher prevalence of diabetes mellitus, dyslipidemia, and hyperuricemia (all P < 0.0001). The prevalence of obesity-related hypertension showed a decreasing gradient from north to south and from east to west. Multivariate logistic regression analysis showed that female gender, living in urban areas, diabetes mellitus, dyslipidemia, and hyperuricemia were positively correlated with obesity-related hypertension. Conclusion The prevalence of obesity-related hypertension among adults aged 45 years or older was high in China. Among hypertensive participants, older age was negatively correlated with obesity-related hypertension. Obesity-related hypertensive participants are more prone to aggregation of risk factors of atherosclerotic cardiovascular disease

Blood pressure · Comorbidity · Diabetes mellitus · Dyslipidemia · Environmental health · Hyperuricemia · Logistic regression · Obesity · Uric acid · Cancer Research and Treatment · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Sodium Intake and Health · Endocrinology · Gerontology · Internal Medicine

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Unique citing works7
Citations per year2.33
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 7

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