Associations of Socioeconomic Status and Physical Activity With Obesity Measures in Rural Chinese Adults

Pan, Mingming; Tu, Runqi; Gu, Jianjun; Li, Ruiying; Liu, Xiaotian; Chen, Ruoling; Yu, Songcheng; Wang, Xian; Mao, Zhenxing; Huo, Wenqian; Hou, Jian

doi:10.3389/fpubh.2020.594874

Cited by 5 publications

(3 citation statements)

References 63 publications

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“…The reason for the low obesity rate in this study can be explained by the high level of education of the participants. This result was observed to be compatible with other studies (28)(29)(30).…”

Section: Discussionsupporting

confidence: 94%

Determination of Multiple Cancer Risk Behaviors Among Adult Population in Turkey: A Cross-sectional Study

ŞIKLAROĞLU

Tuzcu

2023

Journal of Basic and Clinical Health Sciences

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Background: Modifiable cancer risk behaviors are general not seen alone but in combination in individuals. Purpose: This study aims to investigate the factors associated with combinations of cancer risk behaviors, including tobacco use, obesity, and low physical activity that cause cancer in adults. Methods: A total of 720 adults were selected using the multi-stage cluster sampling method. Data were collected using the World Health Organization STEP-wise protocols. Results: It was found that 46.9% of the participants showed one, 46.3% two or more types of risk behavior. The percentage of married individuals was higher among those who engaged in one, two, or three risky behaviors than those who did not engage in risky behaviors. Among participants with two risk behaviors, the percentage of those who rated their health as very good was lower than those without risk behaviors; those who had friends or relatives with cancer were high. Those who engaged in three risk behaviors were less educated and had lower incomes than those who did not engage in risk behaviors. Conclusions: Health intervention strategies should be increased in primary health care institutions for individuals who are married, has low level of education and income and has weak perception of health.

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Section: Discussionsupporting

confidence: 94%

Determination of Multiple Cancer Risk Behaviors Among Adult Population in Turkey: A Cross-sectional Study

ŞIKLAROĞLU

Tuzcu

2023

Journal of Basic and Clinical Health Sciences

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“…Third, some studies suggest that people with obesity might have a higher socioeconomic status, which may explain this result, but some studies also suggested that the link between obese people and higher socioeconomic status exists only in some poor countries [ 33 ]. Some studies have shown that the influence of socioeconomic status and education level on Chinese individuals is different by sex, and the results are heterogeneous [ 34 – 36 ]. Therefore, it is difficult to explain this result by the socioeconomic status of people with obesity.…”

Section: Discussionmentioning

confidence: 99%

Hypertension modifies the associations of body mass index and waist circumference with all-cause mortality among older Chinese: a retrospective cohort study

et al. 2022

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Background The effect of baseline hypertension status on the BMI–mortality association is still unclear. We aimed to explore the relationships of body mass index (BMI) and waist circumference (WC) with all-cause mortality among older hypertensive and normotensive Chinese individuals. Methods This retrospective cohort study was conducted in Xinzheng, Henan Province, Central China. The data came from the residents’ electronic health records of the Xinzheng Hospital Information System. A total of 77,295 participants (41,357 hypertensive participants and 35,938 normotensive participants) aged ≥ 60 years were included from January 2011 to November 2019. Cox proportional hazard regression model was used to examine the relationships. Results During a mean follow-up of 5.3 years, 10,755 deaths were identified (6,377 in hypertensive participants and 4,378 in normotensive participants). In adjusted models, compared with a BMI of 18.5–24 kg/m2, the hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) of BMI < 18.5, 24–28 and ≥ 28 kg/m2 for mortality in hypertensive participants were 1.074 (0.927–1.244), 0.881 (0.834–0.931) and 0.856 (0.790–0.929), respectively, and 1.444 (1.267–1.646), 0.884 (0.822–0.949) and 0.912 (0.792–1.051), respectively, in normotensive participants. Compared with normal waist circumference, the adjusted HRs and 95% CIs of central obesity for mortality were 0.880 (0.832–0.931) in hypertensive participants and 0.918 (0.846–0.996) in normotensive participants. A sensitivity analysis showed similar associations for both hypertensive and normotensive participants. Conclusion Low BMI and WC were associated with a higher risk of all-cause mortality regardless of hypertension status in older Chinese individuals. The lowest risk of death associated with BMI was in the overweight group in normotensive participants and in the obesity group in hypertensive participants.

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“…The effect modification by SES on sex disparity in the association between waist-to-hip ratio and PAD, are likely to have been driven by our finding that waist-to-hip ratio was more strongly related to PAD risk in women in low compared to high SES (p<0.001). Consistently, women of low SES have been found to be more susceptible to obesity [32]. However, it is uncertain why this was not the case in other adiposity measures.…”

Section: Plos Onementioning

confidence: 96%

Sex differences in risk factors for incident peripheral artery disease hospitalisation or death: Cohort study of UK Biobank participants

Xu,

Harris,

Pouncey

et al. 2023

PLoS ONE

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Background Women with peripheral artery disease (PAD) often have atypical symptoms, late hospital presentations, and worse prognosis. Risk factor identification and management are important. We assessed sex differences in associations of risk factors with PAD. Methods 500,207 UK Biobank participants (54.5% women, mean age 56.5 years) without prior hospitalisation of PAD at baseline were included. Examined risk factors included blood pressure, smoking, diabetes, lipids, adiposity, history of stroke or myocardial infarction (MI), socioeconomic status, kidney function, C-reactive protein, and alcohol consumption. Poisson and Cox regressions were used to estimate sex-specific incidence of PAD hospitalisation or death, hazard ratios (HRs), and women-to-men ratios of HRs (RHR) with confidence intervals (CIs). Results Over a median of 12.6 years, 2658 women and 5002 men had a documented PAD. Age-adjusted incidence rates were higher in men. Most risk factors were associated with a higher risk of PAD in both sexes. Compared with men, women who were smokers or had a history of stroke or MI had a greater excess risk of PAD (relative to those who never smoked or had no history of stroke or MI): RHR 1.18 (95%CI 1.04, 1.34), 1.26 (1.02, 1.55), and 1.50 (1.25, 1.81), respectively. Higher high-density lipoprotein cholesterol (HDL-C) was more strongly associated with a lower risk of PAD in women than men, RHR 0.81 (0.68, 0.96). Compared to HDL-C at 40 to 60 mg/dL, the lowest level of HDL-C (≤40 mg/dL) was related to greater excess risk in women, RHR 1.20 (1.02, 1.41), whereas the highest level of HDL-C (>80 mg/dL) was associated with lower risk of PAD in women, but higher risk in men, RHR 0.50 (0.38, 0.65). Conclusions While the incidence of PAD was higher in men, smoking and a history of stroke or MI were more strongly associated with a higher risk of PAD in women than men. HDL-C was more strongly associated with a lower risk of PAD in women than men.

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Associations of Socioeconomic Status and Physical Activity With Obesity Measures in Rural Chinese Adults

Cited by 5 publications

References 63 publications

Determination of Multiple Cancer Risk Behaviors Among Adult Population in Turkey: A Cross-sectional Study

Determination of Multiple Cancer Risk Behaviors Among Adult Population in Turkey: A Cross-sectional Study

Hypertension modifies the associations of body mass index and waist circumference with all-cause mortality among older Chinese: a retrospective cohort study

Sex differences in risk factors for incident peripheral artery disease hospitalisation or death: Cohort study of UK Biobank participants

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