Cohort profile: protocol and baseline survey for the Shanghai Suburban Adult Cohort and Biobank (SSACB) study

Zhao, Qi; Chen, Bo; Wang, Ruiping; Zhu, Meiying; Shao, Yueqin; Wang, Na; Liu, Xing; Zhang, Tiejun; Jiang, Feng; Wang, Weibing; Jiang, Yonggen; He, Na; Chen, Wen

doi:10.1136/bmjopen-2019-035430

Cited by 40 publications

(45 citation statements)

References 15 publications

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“…The Shanghai survey, part of a cohort study conducted in eastern China [ 22 ], selected a representative sample of residents aged 35–64 years old who had been living in the area under study for more than five years. Recruitment took place between June 2016 and December 2017 and a multistage stratified clustered sampling method was used.…”

Section: Methodsmentioning

confidence: 99%

Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden

et al. 2020

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Background Failure to promote early detection and better management of hypertension will contribute to the increasing burden of cardiovascular diseases. This study aims to assess the gender differences in the prevalence, awareness, treatment and control of hypertension, together with its associated factors, in China and Sweden. Methods We used data from two cross-sectional studies: the Västerbotten Intervention Program in northern Sweden (n = 25,511) and the Shanghai survey in eastern China (n = 25,356). We employed multivariable logistic regression to examine the socio-demographics, lifestyle behaviours, and biological factors associated with the prevalence, awareness, treatment and control of hypertension. Results Men had a higher prevalence of hypertension (43% in Sweden, 39% in China) than their female counterparts (29 and 36%, respectively). In Sweden, men were less aware of, less treated for, and had less control over their hypertension than women. Chinese men were more aware of, had similar levels of treatment for, and had less control over their hypertension compared to women. Awareness and control of hypertension was lower in China compared to Sweden. Only 33 and 38% of hypertensive Chinese men and women who were treated reached the treatment goals, compared with a respective 48 and 59% in Sweden. Old age, impaired glucose tolerance or diabetes, a family history of hypertension or cardiovascular diseases, low physical activity and overweight or obesity were found to increase the odds of hypertension and its diagnosis. Conclusions This study shows the age and gender differences in the prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. Multisectoral intervention should be developed to address the increasing burden of sedentary lifestyle, overweight and obesity and diabetes, all of which are linked to the prevention and control of hypertension. Development and implementation of the gender- and context-specific intervention for the prevention and control of hypertension facilitates understanding with regard to the implementation barriers and facilitators.

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Section: Methodsmentioning

confidence: 99%

Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden

et al. 2020

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“…This study was based on the Shanghai Gaofeng cohort study, which is an ongoing large-scale prospective cohort study that consists of the Shanghai Suburban Adult Cohort and Biobank study (SSACB) and cohort study from Xuhui and the Minhang districts of Shanghai. The SSACB has been described in great details in our previous report [ 34 ]. Briefly, multistage cluster sampling was used for recruitment.…”

Section: Methodsmentioning

confidence: 99%

“…Briefly, multistage cluster sampling was used for recruitment. First, 2 districts (Songjiang and Jiading) were selected according to participant willingness, health service facilities, population, geographic region, and electronic medical record system [ 34 ]. Then, 7 communities were selected as the study sites of SSACB: 4 from Songjiang (Zhongshan, Xinqiao, Sheshan, and Maogang) and 3 from Jiading (Anting, Huating, and Huangdu), based on their economic status and population.…”

Section: Methodsmentioning

confidence: 99%

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Soy Isoflavones Intake and Obesity in Chinese Adults: A Cross-Sectional Study in Shanghai, China

et al. 2021

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This study was designed to examine the association of soy isoflavones (SI) intake with different body measurements indicative of obesity in Chinese adults of Shanghai, a population consuming foods rich in SI. This study used baseline data from the Shanghai Gaofeng cohort study. SI intake was measured by using a self-reported food frequency questionnaire (FFQ). A restricted cubic spline (RCS) was performed to examine the possible nonlinear relationship of SI intake with obesity. A logistic regression model was applied to estimate the odds ratios (OR) and 95% confidence interval (CI). Compared with the lowest tertile group of SI intake, the highest tertile group had a lower prevalence of obesity and central obesity. The OR for overall obesity was 0.91 (95% CI: 0.85, 0.98) in the highest versus the lowest SI tertile group; the associations differed by sex and menopausal status. A negative association was also observed between SI intake and central obesity, and a significant modifying effect of sex was found on the association. No significant interactions were observed between SI intake and physical activity (PA) levels. Our results suggest that Chinese adults with higher dietary intake of SI may be less likely to be obese, particularly for postmenopausal women.

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“…This study was based on the data obtained from the “Shanghai Suburban Adult Cohort and Biobank (SSACB)”, which is a community-based cohort study conducted by the School of Public Health of Fudan University in collaboration with the Shanghai Songjiang Center for Disease Prevention and Control from June 2016 to August 2020 [ 32 ]. The SSACB study used a representative sample living in a suburban area with rapid urbanization, seven communities of Songjiang and Jiading, and a local population-based information system.…”

Section: Methodsmentioning

confidence: 99%

Association of the Reproductive Period with Decreased Estimated Glomerular Filtration Rate in Menopausal Women: A Study from the Shanghai Suburban Adult Cohort and Biobank (2016–2020)

Zhao

Jiang

et al. 2021

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In previous studies, it has been documented that a short reproductive period is associated with a higher risk of diabetes, cardiovascular disease, and chronic kidney disease. This study aims to investigate the association of the reproductive period length with decreased renal function. This study obtained data from “the Shanghai Suburban Adult Cohort and Biobank”. An estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m2 indicated decreased renal function during follow-up. Participants were grouped into quintiles by reproductive period. Logistic regression analysis was performed to examine the association between the reproductive period and decreased renal function. A total of 5503 menopausal women with baseline eGFR > 60 mL/min/1.73 m2 were included. Age, eGFR, and metabolic equivalent of task (MET) at baseline were 61.0 (range, 36.0–74.0) years, 92.2 (range, 60.1–194.5) mL/min/1.73 m2, and 1386 (range, 160–6678), respectively. A reproductive period of 37–45 years was associated with a lower risk of decreased eGFR (OR: 0.59, 95% CI: 0.35–1.00, p = 0.049) after adjusting for confounding variables. METs decreased the risk of decreased eGFR in women with a reproductive period of 37–45 years (OR: 0.43, 95% CI: 0.23–0.81, p = 0.010). Women with a longer reproductive period have a lower risk of decreased renal function. METs had an opposite influence on renal function in women with longer (decreased risk) or shorter (increased risk) reproductive periods.

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Cohort profile: protocol and baseline survey for the Shanghai Suburban Adult Cohort and Biobank (SSACB) study

Cited by 40 publications

References 15 publications

Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden

Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden

Soy Isoflavones Intake and Obesity in Chinese Adults: A Cross-Sectional Study in Shanghai, China

Association of the Reproductive Period with Decreased Estimated Glomerular Filtration Rate in Menopausal Women: A Study from the Shanghai Suburban Adult Cohort and Biobank (2016–2020)

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