Association of Physical Activity With Risk of Major Cardiovascular Diseases in Chinese Men and Women

Bennett, Derrick; Du, Huaidong; Clarke, Robert; Guo, Yu; Yang, Ling; Zheng, Bin; Chen, Yiping; Millwood, Iona Y.; Yu, Canqing; He, Pan; Zheng, Xiangyang; Collins, Rory; Chen, Junshi; Pető, Richárd; Li, Liming; Chen, Zhengming

doi:10.1001/jamacardio.2017.4069

Cited by 125 publications

(127 citation statements)

References 46 publications

(64 reference statements)

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“…The ndings highlight the pivotal role of childhood SES, childhood health status, and health care resources in risk of heart disease among Chinese populations. Some ndings of this study are consistent with prior studies [2,5,10,13,16,26]; age was the most important predictor of morbidity related to heart disease. However, gender, education level, household registration status, overweight, obesity, hypertension, unhealthy behaviors (e.g., smoking), and functional loss in later life were also signi cantly associated with heart disease morbidity in later life.…”

Section: Discussionsupporting

confidence: 92%

“…Previous research identi ed a range of individual-level social and health factors related to heart disease [10][11][12][13][14]. Speci cally, recent Chinese studies identi ed signi cant associations between unhealthy behaviors (e.g., smoking) and heart disease [10,11,13]. Furthermore, overweight and obesity were found to be the main risk factors for hypertension and dyslipidemia, which further increase the risk of heart disease [1,15].…”

Section: Introductionmentioning

confidence: 99%

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The Association between Childhood Conditions and Heart Disease Among Middle-Aged and Older Population in China: A Life Course Perspective

Zhang

Lü

2020

Preprint

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Background: Heart disease is a severe health problem among adult populations in China. The prevalence rates of heart disease increase with age. The pathogenic causes of heart disease are often related to conditions in early life. Using a nationally representative data from adults aged 45 or older in China, we examined the association between childhood conditions and heart disease in later life from a life course perspective.Methods: The data used in this study were derived from China Health and Retirement Longitudinal Study; specifically, the life history module and 2015 wave. Face-to-face interviews were used to collect data from respondents aged 45 or older. Missing data were handled by multiple imputation, generating a final analytic sample of 19,800. Doctor-diagnosed heart disease was the main dependent variable. Random-effects logistic regression models were conducted to test the hypotheses.Results: A total of 16.6% respondents reported being diagnosed with heart disease by doctors. Regarding childhood socioeconomic status, 8.2% of the respondents considered that they were (a lot) better off than their neighbors, and 31.1% considered that their health status in childhood was better than their peers. More than 90% of respondents did not have severe illnesses during their childhood, and around 80.3% had access to health resources nearby in childhood. Socioeconomic status, self-rated health, and severe illnesses in childhood were significantly associated with heart disease after controlling for conditions in adulthood and older age (socioeconomic status: odds ratio (OR) = 0.950; self-rated health: OR = 0.923; severe illnesses: OR = 1.191).Conclusions: Childhood conditions play important roles in influencing the onset of heart disease in middle and older age in China. Poor childhood conditions should be considered as screening criteria to identify populations at risk of heart disease. Community-based preventive strategies and interventions should also be implemented to enhance health in later life.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The Association between Childhood Conditions and Heart Disease Among Middle-Aged and Older Population in China: A Life Course Perspective

Zhang

Lü

2020

Preprint

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“…In addition, the increased prevalence of CHD can be observed in general population and not exclusively in patients with diabetes, which was considered as an alteration in disease patterns from infectious diseases to non-infectious diseases in developing countries [23]. It has been suggested that the ageing population, the western lifestyle, the prevalence of obesity, dyslipidemia, and other metabolic disorders contribute to the disease together [24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors of Coronary Heart Disease in Chinese Patients with type 2 Diabetes Mellitus, 2013-2018

Wang¹,

Xie²,

Huang³

et al. 2020

Preprint

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Background: Coronary heart disease (CHD) is the most common cause of death in patients with type 2 diabetes (T2DM). We aim to estimate the prevalence of CHD and cardiovascular risk factors in Chinese diabetic inpatients.Methods: A total of 66536 diabetic inpatients from 2013 to 2018 were investigated, demographic and clinical data were gathered from 30693 patients with T2DM. The age-standardized prevalence of CHD was calculated on the basis of data from Chinese population census in 2010. Multiple imputation was used to impute missing values and logistic regression analysis was used to analyze the risk factors.Results: The crude prevalence of CHD was estimated to be 23.5% and a standardized prevalence was 13.9% (16.0% in men and 11.9% in women). More than half of diabetic patients with CHD have 4 or above of the 5 traditional risk factors, which is much higher than 38.96% of diabetic patients (p<0.01). Multivariate regression analysis showed that diabetes duration, hypertension, smoking, underweight, overweight, obesity, hypoglycemia were significantly associated with a higher risk of CHD (all p<0.05). The odds ratio of CHD in patients having 3, 4, or 5 CHD risk factors were 2.35 (95%CI 1.81- 3.04), 2.96 (95%CI 2.28- 3.85), and 5.29 (95%CI 4.04- 6.93), compared with diabetes patients without any other risk factors.Conclusions: The prevalence of CHD was rather high in Chinese T2DM inpatients, aggregation of CHD risk factors was more seriously, hierarchical CHD prevention strategies based on risk factors are needed for them.

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“…As for exercise, guidelines recommend at least 2.5 hours of moderate exercise, or 75 minutes of intense exercise every week. In a commentary in JAMA, Salim Yusuf and associates write, "Regular physical activity is one of the simplest ways, for individuals and populations to reduce the risk of premature death and incident cardiovascular disease [45,46].…”

Section: Discussionmentioning

confidence: 99%

Fitness, Lifestyle Changes, and Wellness: Cardiometabolic Health

Ghr¹

2018

OAJC

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Market size of Global health club's industry is 83 billion, with over 200,000 clubs, and 160 million members worldwide. According to the Global Wellness Institute, the global wellness industry grew 10.6% from 2013 to 2015; from 3.6 trillion to 3.72 trillion market. The global corporate wellness market size was valued at USD 50 billion in 2017. According to the global wellness experts, the health and wellness industry is experiencing a "healthy" boom,-that is global anti-aging market is worth 250 billion in the US alone. As the theme of this mini review states, we would like to explore challenges and opportunities, in this growing area and take advantage of this huge fitness and wellness market trends, to develop an integrated preventive program, that will aim at a better health, as well as a healthy aging concept. Vascular diseases rank as the number one killer for decades. Development of preventive strategies, based on the modifiable risk factors for cardiovascular disease (CVD), identified by the Framingham Heart Study Group, has contributed significantly for the observed decline in heart disease related deaths worldwide. Having said that, we need to explain the discrepancy between the reported decline in CVD-related deaths, and the statement that CVD ranks the number one killer in the world. In our opinion, there is more to the mechanisms underlying vascular disease, than the modifiable risks identified by the Framingham Heart Group. In this overview, we would like to discuss the role of fitness, lifestyle changes, and wellness concept as they relate to the reduction, reversal, and prevention of metabolic diseases.

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Association of Physical Activity With Risk of Major Cardiovascular Diseases in Chinese Men and Women

Abstract: Among Chinese adults, higher occupational or nonoccupational physical activity was associated with significantly lower risks of major CVD.

Cited by 125 publications

References 46 publications

The Association between Childhood Conditions and Heart Disease Among Middle-Aged and Older Population in China: A Life Course Perspective

The Association between Childhood Conditions and Heart Disease Among Middle-Aged and Older Population in China: A Life Course Perspective

Prevalence and Risk Factors of Coronary Heart Disease in Chinese Patients with type 2 Diabetes Mellitus, 2013-2018

Fitness, Lifestyle Changes, and Wellness: Cardiometabolic Health

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