Prevalence and influencing factors of overweight and obesity in a Chinese rural population: the Henan Rural Cohort Study

Liu, Xiaotian; Wu, Weidong; Mao, Zhenxing; Huo, Wenqian; Tu, Runqi; Qian, Xinling; Zhang, Xia; Tian, Zhongyan; Zhang, Haiqing; Jiang, Jingjing; Li, Yuqian; Wang, Chongjian

doi:10.1038/s41598-018-31336-2

Cited by 59 publications

(49 citation statements)

References 19 publications

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“…Several previous studies investigated the associations between adiposity indices and BMD or osteoporosis, but the findings were inconsistent [11][12][13]18]. In agreement with our findings, a cohort of 16,500 women aged 50 years and older found high BMD in the highest BMI values (≥30 kg/ m 2 ) [11].…”

Section: Comparison With Other Studiessupporting

confidence: 79%

“…During July 2015 and September 2017, 39,259 participants aged 18-79 years old were recruited from five counties of Henan province to the Henan Rural Cohort Study and finished the baseline survey. Detailed baseline characteristics had been described in a previous study [18]. Only 8475 participants who completed the BMD measurement were included in our present study.…”

Section: Study Participantsmentioning

confidence: 99%

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Adiposity reduces the risk of osteoporosis in Chinese rural population: the Henan rural cohort study

et al. 2020

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Background: Adiposity plays a crucial role in the risk of osteoporosis. However, the impact of body fat distribution on the skeleton is contentious. The study was designed to explore the association of various adiposity indices with estimated bone mineral density (BMD) and the risk of osteoporosis based on body mass index (BMI), body fat percentage (BFP), waist circumference (WC), waist to hip ratio (WHR), waist to height ratio (WHtR), and visceral fat index (VFI). Methods: A total of 8475 subjects derived from the Henan Rural Cohort Study were analyzed. The estimated BMD of study participants were measured by calcaneal quantitative ultrasound (QUS). Linear regression and binary logistic regression were performed to estimate the association of adiposity and the outcomes. Results: The mean age of the study participants was 55.23 ± 11.09 years and 59.61% were women. The crude and age-standardized prevalence of high osteoporosis risk was 16.24 and 11.82%. Per unit increment in adiposity indices was associated with 0.005-0.021 g/cm 2 increase in estimated BMD. The adjusted odds ratios (95% confidence interval) for high osteoporosis risk in per 1 SD increase of WC, WHR, WHtR, BMI, BFP, and VFI were 0.820 (0.748, 0.898), 0.872 (0.811, 0.938), 0.825 (0.765, 0.891), 0.798 (0.726, 0.878), 0.882 (0.800, 0.972), and 0.807 (0.732, 0.889), respectively. Stratified analyses indicated greater effects on individuals aged 55 years or older. Conclusions: The adiposity indices have an inverse association with the risk of osteoporosis among Chinese rural population, especially in the elderly.

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Section: Comparison With Other Studiessupporting

confidence: 79%

Section: Study Participantsmentioning

confidence: 99%

Adiposity reduces the risk of osteoporosis in Chinese rural population: the Henan rural cohort study

et al. 2020

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“…Weight, height, and waist circumference (WC) were measured twice for each person to the nearest 0.5 kg and 0.1 cm, according to a standard protocol. Body mass index (BMI) was calculated as weight divided by square of height (kg/m 2 ) . The blood pressure was measured three times with a 30‐second interval between each measurement using an electronic sphygmomanometer (HEM‐770AFuzzy, Omron, Japan) in sitting position, and the mean value was obtained .…”

Section: Methodsmentioning

confidence: 99%

Association of serum testosterone with different classes of glucose metabolism and the mediation effect of obesity: The Henan Rural Cohort Study

Jiang

Liu

et al. 2019

Diabetes Metabolism Res

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Aims:We aimed to investigate the association of serum testosterone with impaired fasting glucose (IFG) and type 2 diabetes mellitus (T2DM) and calculate the proportion explained by obesity status on the relationship. Materials and Methods:A case-control study including 2775 participants was performed. Serum testosterone was quantified by liquid chromatography-tandem mass spectrometry. Conditional logistic regression and multivariable linear regression were performed to estimate the relationships between testosterone and different glucose status. Waist circumference (WC) was used as a mediator to estimate the mediation effect.Results: After adjusting for multiple variables, serum testosterone levels were negatively associated with T2DM in males (per 1 unit natural log-transformed, odd ratio (OR) = 0.73, 95% confidence interval (CI): 0.56, 0.96; Tertile 3 vs Tertile 1, OR = 0.46, 95% CI:0.29, 0.72) while were positively in females (per 1 unit natural logtransformed, OR = 1.56, 95% CI:1.32, 1.84; Tertile 3 vs Tertile 1, OR = 3.55, 95% CI: 2.22, 5.66). In males, a higher testosterone tended to be associated with a lower fasting plasma glucose level and a weaker HOMA2-IR but a stronger HOMA2-β.Opposite findings were observed in females. Furthermore, WC played a full and partial mediating role in the relationship between testosterone and IFG and T2DM both in males and females.Conclusion: Serum testosterone levels had opposite effects on IFG and T2DM in males and females. With higher serum testosterone levels, the dysglycemia progression was decreased among males while increased among females. In addition, WC played a full and partial mediating role in the relationship between testosterone and IFG and T2DM.

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“…The rates of abdominal obesity still increased rapidly in the Chinese population, especially in rural population 57 . The agestandardized prevalence of abdominal obesity was 43.71% in the general Chinese rural adults 58 . Thus, effective measures should be taken to improve the status of prevention and control of abdominal obesity to improve the status of ICH.In addition, we found that drinking may be associated with a more ideal CVH and a more ideal HF in women, but not in men.…”

Section: Discussionmentioning

confidence: 93%

Gender-specific Prevalence and Influencing Factors of Ideal Cardiovascular Health in Chinese Rural Population: The Henan Rural Cohort Study

Liu

Luo

et al. 2020

Preprint

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Abstract Background: The American Heart Association define a new concept of ideal cardiovascular health (ICH), which was widely used. However, the prevalence of ICH according to the definition of Chinese rural population is unclear. The study aimed to estimate prevalence and influencing factors of ICH in rural areas of China.Methods: This study included 35081 participants (13711 men and 21370 women)aged 18 to 79 years from “the Henan Rural Cohort study”. The cardiovascular health (CVH) metrics, the ICH scores, the ideal health behaviors (IHB) scores and ideal health factors (IHF)scores were evaluated in Chinese rural adults. Each CVH metrics divided into ideal and non-ideal including diet, physical activity, smoking, BMI, blood pressure, total cholesterol and fasting plasma glucose. The influencing factors of ideal CVH (ICH scores≥5), ideal HB (IHB scores>3) and ideal HF (IHF scores>3) were explored by logistic regression analysis.Results: The age-standardized mean scores of the ICH was 4.30(3.62 in men and4.69 in women). Prevalence of ICH metrics about ideal physical activity was the highest (91.37%), while about ideal diet was lowest (0.48%).The age-standardized prevalence of population who with 7 scores of ICH was 0.10% (0.07% in men and 0.11% in women). The age-standardized prevalence of Ideal CVH (ICH scores≥5) was 48.86% (28.26% in men and 60.70% in women). The age-standardized prevalence of 4 of IHB scores and 4 of IHF scores were 0.16% (0.17% in men and 0.16% in women) and 33.26% (10.06% in men and 46.60% in women), respectively. Further, apart from IHB scores, age had an inverse relationship with the ICH scores and IHF scores in total populations and women. Much older, men, low family income, current drinking and abdominal obesity were independently associated with ICH in Chinese rural adults.Conclusions: The percentage of ideal cardiovascular health is extremely low in rural China. There is an increasing need for primordial prevention of unhealthy lifestyles and monitoring high risk factors to promote cardiovascular health in rural China.Clinical Trial Registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375

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Prevalence and influencing factors of overweight and obesity in a Chinese rural population: the Henan Rural Cohort Study

Cited by 59 publications

References 19 publications

Adiposity reduces the risk of osteoporosis in Chinese rural population: the Henan rural cohort study

Adiposity reduces the risk of osteoporosis in Chinese rural population: the Henan rural cohort study

Association of serum testosterone with different classes of glucose metabolism and the mediation effect of obesity: The Henan Rural Cohort Study

Gender-specific Prevalence and Influencing Factors of Ideal Cardiovascular Health in Chinese Rural Population: The Henan Rural Cohort Study

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