机构：[a]Institute for Biomedicine, Anhui Medical University, Hefei, China[b]Department of Cardiology, Peking University First Hospital, Beijing, China[c]Department of Neurology, Guangdong Traditional Chinese Medicine Hospital, Guangzhou, China广东省中医院[d]Department of Neurology, The First People’s Hospital of Lianyungang City, Lianyungang, China[e]Department of Cardiology, The Second Hospital of Lianyungang City, Lianyungang, China[f]Department of Neurology, The First Affiliated Hospital of Anhui Medical University. Hefei, China[g]Lianyungang Center for Advanced Research in Cardiovascular Diseases, Lianyungang, China[h]School of Health Administration, Anhui Medical University, Hefei, China[i]Center on the Early Life Origins of Disease, Johns Hopkins University Bloomberg School of Public Health, Department of Population, Family and Reproductive Health, Baltimore, USA[j]Institute of Nephrology, Southern Medical University, Guangzhou, China
Background & aims: We aimed to examine the prevalence of obesity, abdominal obesity and associated factors in 17,656 Chinese hypertensive adults aged 45-75 years. Methods: A cross-sectional investigation was carried out in Lianyungang, China. Overweight or obesity was defined as a body mass index of >= 25 kg/m(2). Abdominal obesity was defined as a waist circumference >= 90 cm for men and >= 80 cm for women. Results: The prevalence of overweight or obesity and abdominal obesity was 54.4% (women 59.3% and men 46.0%) and 59.4% (women 73.8% and men 35.1%), respectively. In the multivariable logistic-regression models, higher hypertension grades and standard of living, greater red meat consumption, lower physical activity levels, and antihypertensive treatment were independently associated with overweight or obesity and abdominal obesity in both sexes. Inland residence (versus coastal) was an independent associated factor for abdominal obesity in both sexes. Furthermore, a positive family history of diabetes in both sexes, a positive family history of hypertension, men with a positive family history of coronary heart disease, and men with inland residence were all independently associated with overweight or obesity. Conclusions: We found a high prevalence of overweight or obesity and abdominal obesity in Chinese hypertensive adults, particularly in inland areas. (C) 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
基金：
The study was supported by the Ministry of Science and
Technology of the People’s Republic of China (2012zx09101-105);
the Major State Basic Research Development Programof China (973
program, no. 2012CB517703); the Department of Development and
Reform, Shenzhen (2010)1744; and the Department of Science,
Industry, Trade and Information Technology, Shenzhen.
医学