Prehypertension in Rural Northeastern China: Results From the Northeast China Rural Cardiovascular Health Study

Abstract

using a multistage clustering method to select a representative sample of individuals (≥35 years old), resulting in a study population of 11,576 adults. Prehypertension was defined as a systolic blood pressure (BP) in the range of 120 mm Hg to 139 mm Hg and/or a diastolic BP between 80 mm Hg and 89 mm Hg according to the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). The results showed that the meanAEstandard deviation systolic and diastolic BP values for the entire population were 141.8AE23.5 mm Hg and 82.1AE11.8 mm Hg, respectively. Among the whole population, 35.1% of men and 32.5% of women were prehypertensive. Multiple logistic regression analysis showed that high body mass index, advanced age, alcohol consumption, diabetes, high triglyceride and lowdensity lipoprotein cholesterol levels, and elevated diet score were risk factors for prehypertension. This study indicates that there is a high prevalence of prehypertension in rural China and confirms the importance of healthy lifestyles-including the control of obesity, diabetes, and dyslipidemia-to decrease the incidence of prehypertension.

Prehypertension Tsunami: A Decade Follow-Up of an Iranian Adult Population

“…The differences observed in the incidence of prehypertension between different populations might be related to the variation in ethnicity and different population characteristics [ 22 ]. As a result, the reported high incidence of prehypertension in the current study might be attributable to the alarming rise of obesity [ 23 ], increasing trend of diabetes incidence [ 24 ] as the coexistent cardiovascular risk factors with prehypertension [ 25 – 27 ], high prevalence of low physical activity (40% in a national survey) [ 28 ]and unhealthy diet specifically high amount of dietary salt intake [ 29 ], in Iran. In a study by Khosravi et al on a representative adult population in Isfahan province, it was shown that the amount of urinary excretion of sodium was more than 8 gr/day; hence, it was estimated that the equivalent salt intake was between 9 to 11.8 gr/day [ 30 ].…”

Alcohol consumption and cardiovascular diseases in rural China

“…The latest studies have found that the prevalence of CVD in northeast China is much higher than it was in previous years [14][15][16]. Whether this is related to the drinking status of people in this region needs to be further analyzed.…”

Prevalence of dyslipidemia and associated factors among the hypertensive population from rural Northeast China

“…The prevalence and epidemiologic characters of hypertension in China had been thoroughly studied in resent years and reached the conclusion that hypertension became prevalent not only in urban but also in rural areas [ 7 ]. There was high prevalence of hypertension in rural northern, northeastern, and northwestern China; but low level of awareness, and treatment rates.…”