Long-term trends and regional variations of hypertension incidence in China: a prospective cohort study from the China Health and Nutrition Survey, 1991–2015

Luo, Yunmei; Xia, Fan; Yu, Xuexin; Li, Peiyi; Huang, Wenzhang; Zhang, Wei

doi:10.1136/bmjopen-2020-042053

Cited by 14 publications

(12 citation statements)

References 48 publications

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“…Obese individuals have a higher likelihood of developing HTN, and the mechanisms behind this relationship are complex and involve various physiological processes such as sympathetic nervous system activation, renin-angiotensin-aldosterone system stimulation, changes in adipose-derived cytokines, insulin resistance, and renal structural and functional alterations. (23,(42)(43)(44). While the incidence of HTN is typically higher in men than in women, the ndings of this study suggest that the opposite is true.…”

Section: The Association Between the Demographic And Lifestyle Variab...mentioning

confidence: 48%

“…Although previous research has identi ed several risk factors for HTN, including age, low physical activity, smoking, unhealthy eating habits (such as high salt consumption), race, and alcohol consumption, con icting ndings have arisen due to limitations in study design, analysis, and the number of factors considered. (18)(19)(20)(21)(22)(23). Speci cally, regular logistic regression, which is commonly used to examine risk factors for HTN, may produce biased estimates when dealing with rare events (those with less than 10% occurrence) or an unbalanced number of independent variables.…”

Section: Introductionmentioning

confidence: 99%

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Exploring Hypertension Incidence and Predictors in a Prospective Cohort Study of Kharameh in Southern Iran

Rezaianzadeh

Johari‬

Baeradeh

et al. 2023

Preprint

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Background: Hypertension (HTN) is a significant public health concern globally. The study aims to estimate the incidence of HTN among adults aged 40 and above in southern Iran and identify the risk factors associated with it. Methods: The participants in the present prospective cohort study consisted of 7710 people aged 40–70 years. HTN is defined according to European guidelines for HTN management. Firth Logistic regression was used to model and predict the factors related to HTN. Additionally, the age standardized incidence rate (ASPR) of HTN was determined using the standard Asian population. Results: The study found that the incidence rate of HTN during the four-year follow-up was 21.54 per 1000 person-years, with higher incidence in females than males. Risk factors for developing HTN included being old, female, obesity, and using opium. Clinical risk factors included pre-HTN, family history of HTN, rheumatoid disease, kidney stones, recurrent headaches, history of head injury with anesthesia, and high triglyceride levels. Conclusion: The incidence of HTN was greater in women than in men. Furthermore, pre- HTN, advanced age, obesity, opioid use, and family history of HTN were the most significant risk factors for developing HTN. Therefore, it is advisable to develop strategies to lessen modifiable risk factors.

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Section: The Association Between the Demographic And Lifestyle Variab...mentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Exploring Hypertension Incidence and Predictors in a Prospective Cohort Study of Kharameh in Southern Iran

Rezaianzadeh

Johari‬

Baeradeh

et al. 2023

Preprint

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show abstract

“…Our results showed that the prevalence of hypertension in Tianjin in 2018 was much higher than the national level (23.2%, from 2012 to 2015). [ 2 ] Previous studies have shown that the higher incidence and prevalence of hypertension in northeastern and eastern China compared to western China [ 2 , 9 ] may be closely associated with higher salt intake, obesity rates and higher body weight. In 2017, high sodium intake was the leading dietary risk for deaths and high DALYs in China.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of hypertension in the last 16 years in high prevalence region of China and the attribute ratios for cardiovascular mortality

et al. 2023

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Background Tianjin is one of the cities with the highest prevalence of hypertension in China and one of the first regions to develop community management of hypertension. Our aim was to analyze the characteristics of hypertension in the last 16 years, and estimate the population attributable fraction for cardiovascular mortality in Tianjin, China. Methods We compared the epidemiological characteristics of hypertension between 2002 and 2018 by analyzing data from the National Nutrition and Chronic Disease Risk Factor Survey. Subsequently, we obtained the cause-specific mortality in the same year from the Tianjin All Cause of Death Registration System (CDRS), and the population attributable fraction was used to estimate the annual cardiovascular disease (CVD) deaths caused by hypertension. Results In 2002 and 2018, the crude prevalence, awareness, treatment rate in diagnosed, control rate in treated, and overall control rate of hypertension were 36.6% and 39.8%, 36.0% and 51.9%, 76.0% and 90.1%, 17.4% and 38.3%, 4.8% and 17.9%, respectively (P < 0.05). The mean SBP for males between the ages of 25 and 50 was significantly higher in 2018 than in 2002. The number of CVD deaths attributed to hypertension was 13.8 thousand in 2002 (account for 59.1% of total CVD deaths), and increased to 21.7 thousand in 2018 (account for 58.8% of total CVD deaths). The population attributable fraction have increased in the age groups of 25–44 and 75 and above, and decreased in the age group of 45–74 from 2002 to 2018. Conclusions Compare to 2002, the proportion of CVD deaths attributed to hypertension remains high, particularly among younger and older people, despite a very significant increase in treatment and control rates for hypertension in 2018.

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“…[8] The CHNS study, with a prospective cohort of 12,952 Chinese adults aged >18 years, showed that the agestandardized prevalence of hypertension increased from 40.8/1000 person-years in 1993-1997 to 48.6/1000 person-years in 2011-2015. [9] The awareness, treatment, and control rates of hypertension were rising among Chinese adults aged ≥18 years, at 51.6%, 45.8%, and 16.8%, respectively in 2015.…”

Section: Hypertensionmentioning

confidence: 99%

Summary of the 2022 Report on Cardiovascular Health and Diseases in China

Wang,

Ma,

Liu

et al. 2023

Chin Med J

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Recent decades have seen the remarkable development of China in medical accessibility and quality index, and the application of a number of new advanced cardiovascular technologies benefits more patients. However, according to the Annual Report on Cardiovascular Health and Diseases in China published in this article, which was organized and summarized by National Center for Cardiovascular Diseases, there is still a huge population living with risk factors of cardiovascular diseases (CVD), and the morbidity and mortality of CVD are increasing. It is estimated that there are around 330 million patients suffering from CVD currently, including 245 million of hypertension, 13 million of stroke, 45.3 million of peripheral artery disease, 11.39 million of coronary heart disease (CHD), 8.9 million of heart failure, 5 million of pulmonary heart disease, 4.87 million of atrial fibrillation, 2.5 million of rheumatic heart disease, and 2 million of congenital heart disease. Tobacco use, diet and nutrition factors, physical activity, overweight and obesity, and psychological factors are what affect cardiovascular health, while hypertension, dyslipidemia, diabetes, chronic kidney disease, metabolic syndrome, and air pollution are the risk factors for CVD. In this article, in addition to risk factors for CVD, we also report the epidemiological trends of CVD, including CHD, cerebrovascular disease, arrhythmias, valvular heart disease, congenital heart disease, cardiomyopathy, heart failure, pulmonary vascular disease and venous thromboembolism, and aortic and peripheral artery diseases, as well as the basic research and medical device development in CVD. In a word, China has entered a new stage of transforming from high-speed development focusing on scale growth to high-quality development emphasizing on strategic and key technological development to curb the trend of increasing incidence and mortality of CVD.

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Long-term trends and regional variations of hypertension incidence in China: a prospective cohort study from the China Health and Nutrition Survey, 1991–2015

Cited by 14 publications

References 48 publications

Exploring Hypertension Incidence and Predictors in a Prospective Cohort Study of Kharameh in Southern Iran

Exploring Hypertension Incidence and Predictors in a Prospective Cohort Study of Kharameh in Southern Iran

Characteristics of hypertension in the last 16 years in high prevalence region of China and the attribute ratios for cardiovascular mortality

Summary of the 2022 Report on Cardiovascular Health and Diseases in China

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