Evaluation of Serum Zinc Status of Pregnant Women in the China Adult Chronic Disease and Nutrition Surveillance (CACDNS) 2015

Liu, Xiaobing; Lu, Jiaxi; Wang, Limin; Hu, Yichun; Wang, Rui; Mao, Deqian; Huang, Jinlong; Zhao, Liyun; Yang, Xiaoguang; Yang, Lichen

doi:10.3390/nu13041375

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…In the present study, the zinc deficiency rate of the elderly in CACDNS 2015 was 8.68%, which was quite lower than the recommended 20% and was also lower than the 12.2% prevalence for 131 middle-aged and elderly people living in Wuhan reported in 2010 [ 14 ]. However, when comparing with the other population in CACDNS 2015, we found that the zinc deficiency rate in elderly were higher than the adult aged 18–60y (6.04%) [ 16 ], the childbearing women (5.03%) [ 17 ] and the pregnant women (3.5%) [ 18 ]. Therefore, it is still necessary to continue to pay more attention to this population.…”

Section: Discussionmentioning

confidence: 99%

Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

et al. 2021

Nutrients

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Objectives: To analyze the serum zinc nutrition status of the Chinese elderly, and to assess the risk factor for zinc deficiency. Methods: 3727 elderly people over 60 years old were randomly selected from 302 monitoring points in 31 provinces of China Adult Chronic Disease and Nutrition Surveillance (CACDNS) 2015. Blood samples were selected from the biological sample bank of CACDNS 2015 and the basic information were collected by questionnaires. The criteria of serum zinc deficiency recommended by the International Zinc Nutrition Consulting Group (IZiNCG) were adopted, and the related factors were also analyzed. Results: The median serum zinc concentration of Chinese elderly was 99.2 (84.3~118.7) μg/dL. The overall adjusted prevalence of zinc deficiency was 8.68%, with a 95% confidence interval (CI) of 7.74% and 9.61%. Significant differences were found in different sex, age groups, Body Mass Index (BMI), residence region, race and education level in terms of serum zinc status in the elderly (p < 0.05). Participants who are males, aged above 70y, with BMIs of less than 18.5 kg/m2, living in rural areas, minority, and with the lowest income had a higher prevalence of zinc deficiency in the subgroups under different classifications. The risk of zinc deficiency in the elderly over 70y was 1.44 higher than those aged 60–69y (OR = 1.44, 95%CI 1.14–1.82), and the minority elderly has a 1.39 higher risk than Han nationality (OR = 1.39, 95%CI 1.01–1.91), while overweight/obesity and female elderly were at lower risk (OR < 1, p < 0.05). Conclusions: The overall prevalence of zinc deficiency in the elderly was highest in all adults in the CACDNS. It is recommended that the male elderly, over 70 years, and the minority elderly should pay more attention to the zinc nutrition status of their own.

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Section: Discussionmentioning

confidence: 99%

Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

et al. 2021

Nutrients

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“…The on-site survey phase is an effort involving live, face-to-face interviews and anthropometric measurements, together with the administration of a questionnaire by trained interviewers. The standard questionnaire, which was designed based on the questionnaire of the China Adult Chronic Disease and Nutrition Surveillance (CACDNS) that was carried out every three years in China [ 16 ], contains information about the basic personal information (age, gender, marital status, education level, occupation type, family income, etc. ), the prevalence of behavioral risk factors (smoking, alcohol consumption, diet, physical activity), family history of hypertension, etc.…”

Section: Methodsmentioning

confidence: 99%

Association of socioeconomic status with hypertension prevalence and control in Nanjing: a cross-sectional study

Qin

et al. 2022

BMC Public Health

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Background The role of socioeconomic status (SES) on hypertension prevalence and hypertension control has gotten much attention but with conflicting results. This paper aimed to quantify the association of SES with both hypertension prevalence and hypertension control rate in Nanjing, China. Methods A community-based cross-sectional study was conducted using multistage random sampling on 60,283 adults aged more than 18 years between March 2017 and June 2018. Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg or self-reported diagnosis of hypertension or respondent's report of taking antihypertensive medications. The controlled hypertension was defined by systolic BP < 140 mmHg and diastolic BP of < 90 mmHg among the subjects that self-reported exhibiting hypertensive and taking antihypertensive medications. The associations between SES with hypertension prevalence and hypertension control were quantified using generalized mixed model regression analysis and reported as odds ratios (ORs) and 95% confidence interval (CI). Results There was a high prevalence of subjects with primary educational level (49.6%) or unemployed and retired (49.5%) or lower annual household income level (44.9%) in each SES group, respectively. After adjustments for potential confounding factors, there were higher odds of hypertension among those with primary educational level (OR = 1.56), but lower odds for controlled BP (OR = 0.51). Higher odds of hypertension could be found among unemployed and retired, and higher odds of controlled BP was observed in the mental laborers or students (OR = 1.30), compared with the other categories, respectively. The lower-income group was more likely to be hypertensive (OR = 1.35) and less likely to have controlled hypertension (OR = 0.73). Conclusion Socioeconomic status played an important role in hypertension prevalence and hypertension control among adults in Nanjing, China. Strategies for hypertension prevention and control should especially focus on people in the vulnerable lower SES groups.

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“…The study was conducted based on the WHO STEPwise approach to chronic disease risk factor surveillance with slight modifications and included a questionnaire survey and anthropometric measurements. A standard questionnaire was designed based on the China Adult Chronic Disease and Nutrition Surveillance questionnaire with minor adjustments 20. This instrument included questions related to the respondent’s baseline characteristics (age, sex, marital status, nationality, region and residence), SES (education, occupation and income) and health behaviours (smoking, alcohol consumption and diet).…”

Section: Methodsmentioning

confidence: 99%

“…A standard questionnaire was designed based on the China Adult Chronic Disease and Nutrition Surveillance questionnaire with minor adjustments. 20 This instrument included questions related to the respondent’s baseline characteristics (age, sex, marital status, nationality, region and residence), SES (education, occupation and income) and health behaviours (smoking, alcohol consumption and diet). Trained investigators conducted face-to-face household interviews.…”

Section: Methodsmentioning

confidence: 99%

Association between socioeconomic status and hypertension among adults in Fujian province and the mediating effect of BMI and cooking salt intake: a cross-sectional study

Li,

Ge,

et al. 2024

BMJ Open

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ObjectivesThis study aimed to investigate the association between socioeconomic status (SES) and the prevalence of hypertension in Fujian province, China, and to evaluate the mediating effect of body mass index (BMI) and cooking salt intake between SES and hypertension.DesignCommunity-based cross-sectional survey was conducted between June 2018 and December 2019.SettingFujian province, China.ParticipantsA total of 26 500 participants aged >18 years completed the survey.Outcome measuresThe primary outcome was the prevalence of hypertension. Education, income and occupation were used as SES indicators. Meanwhile, certain health behaviours and metabolic risk factors were used as secondary indicators of SES.ResultsThe prevalence of hypertension was relatively high among participants who finished primary education (34.8%), had the lowest annual income (46.0%), were unemployed or retired (34.7%). Education and income levels were negatively associated with the prevalence of hypertension (p<0.05). Regular smoking, alcohol consumption, BMI and high cooking salt intake were also significantly associated with the prevalence of hypertension (p<0.05). Cooking salt intake was identified as a partial mediator between income and hypertension, mediating 3.45% of the association. Both BMI and cooking salt intake were partial mediators between education and hypertension, mediating 5.23% and 1.93% of the association, respectively.ConclusionsSES was associated with the prevalence of hypertension among adults in Fujian province, China. BMI and cooking salt intake were partial mediators of the association between SES and hypertension.

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Evaluation of Serum Zinc Status of Pregnant Women in the China Adult Chronic Disease and Nutrition Surveillance (CACDNS) 2015

Cited by 8 publications

References 20 publications

Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

Zinc Nutritional Status and Risk Factors of Elderly in the China Adult Chronic Disease and Nutrition Surveillance 2015

Association of socioeconomic status with hypertension prevalence and control in Nanjing: a cross-sectional study

Association between socioeconomic status and hypertension among adults in Fujian province and the mediating effect of BMI and cooking salt intake: a cross-sectional study

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