Clustering of cardiovascular disease biological risk factors among older adults in Shenzhen City, China: a cross-sectional study

Ni, Wenqing; Weng, Rongxing; Yuan, Xiaojie; Lv, Deliang; Song, Jing; Chi, Hongshan; Liu, Hailong; Xu, Jian

doi:10.1136/bmjopen-2018-024336

Cited by 21 publications

(29 citation statements)

References 25 publications

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“…In addition, hypertension, diabetes and dyslipidemia had possibly positively associations with the risk of CVDs, which was consistent with previous observations [7][8][9][10][11][12]. In China, the five leading risk factors were high blood pressure, tobacco smoking, high sodium intake, high FPG and high BMI as reported the 2013 Global Burden of Disease Study [4].…”

Section: Discussionsupporting

confidence: 89%

“…About 290 million individuals suffered from CVDs; in which 270 million had hypertension, 13 million were due to stroke, 11 million were attacked by CHD according to the 2016 report on cardiovascular diseases in China [6]. Since 2009, the CVDs mortality rate in rural areas has exceeded and consistently remained higher than that found in urban areas.CVDs were still the dominant cause of deaths among Chinese adults in 2015, which contributed to 42.6% and 45.0% of all deaths in urban and rural areas, respectively [6].The prevalence of major modifiable cardiovascular risk factors including hypertension, diabetes, overweight or obesity, dyslipidemia and tobacco use has been continuously increasing in China [7][8][9][10][11][12]. Moreover, it has been shown that CVD risk factors tend to cluster together in one individual [12][13][14][15].…”

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confidence: 99%

“…The prevalence of major modifiable cardiovascular risk factors including hypertension, diabetes, overweight or obesity, dyslipidemia and tobacco use has been continuously increasing in China [7][8][9][10][11][12]. Moreover, it has been shown that CVD risk factors tend to cluster together in one individual [12][13][14][15].…”

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confidence: 99%

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Association of major cardiovascular risk factors, risk factor clustering with cardiovascular diseases from eastern China A population-based cross-sectional study

Yang¹,

Hong²,

Wang³

et al. 2019

Preprint

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Background: Cardiovascular diseases (CVDs) are serious public health issues and the burden of CVDs is at alarmingly high level in China. The aim of the current study was to estimate the prevalence of CVDs and modifiable risk factors, and explore the association of risk factors, risk factor clustering with CVDs among Nanjing adults from eastern China.Methods: A population-based cross-sectional survey was conducted by a stratified clustered sampling between June and November 2011. A representative sample of 40,896 residents aged over 18 years was interviewed by face-to-face questionnaire survey, anthropometric measurements and laboratory examinations. The prevalence of CVDs including coronary heart disease (CHD) and stroke was determined according to a participant's self-report. Multivariable logistic regression models were used to estimate the relationship between relevant risk factors, their clustering and CVDs.Results: The weighted prevalence of self-reported in the entire population was 1.1% for CHD; and 1.4% for stroke. The weighted prevalence of hypertension, diabetes, dyslipidemia, overweight or obesity, and current smoking was 25.0%, 6.7%, 29.6%, 35.9% and 24.5%, respectively. In multivariable-adjusted models, higher levels of body mass index, systolic blood pressure and fasting plasma glucose could be associated with increased risks of CHD and stroke, whereas higher level of high-density lipoprotein cholesterol could be related to lower risks of CHD. Hypertension, diabetes and dyslipidemia were likely to be positively associated with self-reported CVDs regardless of genders in multivariable logistic regression models. Participants with CVDs had significant higher proportion of at least two of CVD risk factors than their counterparts without CVDs. Compared to those having no risk factor; adults with one, two, three or more CVD risk factors had possibly gradually increased risks of CHD and stroke in both genders.Conclusion: Higher regional prevalence of CVDs was likely to be synergistic effects of risk factors aggregation. Therefore, multifactorial intervention strategies based on associated risk factors may be available for prevention and control of CVDs in Chinese population. Background 4 Cardiovascular diseases (CVDs) are one of the most important public health issues in the world [1].CVDs were the leading cause of deaths and loss of disability worldwide and were responsible for 17.5 million deaths in 2012, which accounted for 31.3% of global deaths [2]. Among these deaths, an estimated 7.4 million and 6.7 million were attributed to heart diseases and strokes, respectively. It is predicted that the overall number of CVD mortality will increase to 20 million by 2030 [3].Additionally, more than 80% of cardiovascular deaths occurred in low-and middle-income countries [2]. The Global Burden of Disease study reported that coronary heart disease (CHD) and stroke were the most common types of CVDs [4].With rapid economic growth, aging population, urbanization and westernization, the burden of CVDs is at alarming...

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Section: Discussionsupporting

confidence: 89%

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confidence: 99%

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Association of major cardiovascular risk factors, risk factor clustering with cardiovascular diseases from eastern China A population-based cross-sectional study

Yang¹,

Hong²,

Wang³

et al. 2019

Preprint

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“…Although HBP was more frequent in men, it was not significantly so. When we compared our data to the cross-sectional study by Niu et al [ 53 ], more older adults in China presented diabetes (18% vs. our 14.2%), hypercholesterolemia (40.2% vs. our 37.9%), and HBP (51.9% vs. 48.8%), but less adults presented obesity (10.8% vs. our 13.6%).…”

Section: Discussionmentioning

confidence: 79%

Cognitive Differences in the Older Adults Living in the General Community: Gender and Mental Occupational State Study

Calatayud

Salavera

Gómez-Soria

2021

IJERPH

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Older adults are particularly vulnerable to cognitive impairment with age, and gender differences are remarkable. However, there is very little evidence to identify both baseline cognitive and occupational gender differences prior to older adults’ retirement to design more efficient personalized cognitive interventions. This descriptive observational study examined gender differences in initial cognitive performance in 367 older adults with subjective memory complaints from a primary healthcare center in Zaragoza (Spain). To evaluate initial cognitive performance, the Spanish version of the Mini-Mental State Examination (MEC-35) and the set test were used to measure verbal fluency. Sociodemographic and clinical characteristics were evaluated, and cognitive and occupational differences were analyzed per gender. Men had higher educational and occupational levels, were older and more of them were married (p < 0.001) than women. Regarding cardiovascular risk factors, diabetes and cerebrovascular accidents were more frequent in women, while hypercholesterolemia and obesity were more frequent in men (p < 0.001). High blood pressure was more frequent in women, but not significantly so (p = 0.639). Global cognition was higher in men (p < 0.001) for attention, calculation, and language (p < 0.001). Verbal fluency was higher in women, but the difference was not statistically significant (p = 0.105). These results could be generalized to other health centers in the province and other Spanish autonomous communities as their sociodemographic variables are similar. Individualized interventions that adapt to gender, cognitive and initial occupational performance should be developed and adapted to elderly populations living in the general community to maintain their cognitive capacity and prevent their cognitive impairment and the social health costs this would imply.

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“…Overweight/obesity was defined as BMI ≥24.0 kg/m 2 . [23][24][25] Current smoking was defined as self-reported having used any tobacco products, including cigarettes, cigars or pipes daily continuously. 26 Excessive alcohol consumption, insufficient fresh vegetables and fruit intake were defined according to the Dietary Guidelines for Chinese residents (2016).…”

Section: Assessment Criteria Definitions Of Udtc Modifiable Risk Factors and The Coprevalence Of These Risk Factorsmentioning

confidence: 99%

Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study

et al. 2021

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ObjectivesTo describe the prevalence of modifiable risk factors for upper digestive tract cancer (UDTC) and its coprevalence, and investigate relevant influencing factors of modifiable UDTC risk factors coprevalence among residents aged 40–69 years in Yangzhong city, China.DesignCross-sectional study.ParticipantsA total of 21 175 participants aged 40–69 years were enrolled in the study. 1962 subjects were excluded due to missing age, marital status or some other selected information. Eventually, 19 213 participants were available for the present analysis.Main outcomes measuresPrevalence and coprevalence of eight modifiable UDTC risk factors (overweight or obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food) were analysed.ResultsThe prevalence of overweight/obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food in this study was 45.3%, 24.1%, 16.2%, 66.1%, 94.5%, 68.1%, 36.0% and 88.4%, respectively. Nearly all (99.9%) participants showed one or more UDTC risk factors, 98.6% of the participants showed at least two risk factors, 92.2% of the participants had at least three risk factors and 69.7% of the participants had four or more risk factors. Multivariate logistic regression analysis revealed that men, younger age, single, higher education, higher annual family income and smaller household size were more likely to present modifiable UDTC risk factors coprevalence.ConclusionsThe prevalence and coprevalence of modifiable UDTC risk factors are high among participants in Yangzhong city. Extra attention must be paid to these groups who are susceptible to risk factors coprevalence during screening progress. Relative departments also need to make significant public health programmes that aim to decrease modifiable UDTC risk factors coprevalence among residents aged 40–69 years from high-risk areas of UDTC.

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Clustering of cardiovascular disease biological risk factors among older adults in Shenzhen City, China: a cross-sectional study

Cited by 21 publications

References 25 publications

Association of major cardiovascular risk factors, risk factor clustering with cardiovascular diseases from eastern China A population-based cross-sectional study

Association of major cardiovascular risk factors, risk factor clustering with cardiovascular diseases from eastern China A population-based cross-sectional study

Cognitive Differences in the Older Adults Living in the General Community: Gender and Mental Occupational State Study

Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study

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