Prevalence, awareness, treatment and control of hypertension in Taiwan: results of Nutrition and Health Survey in Taiwan (NAHSIT) 1993–1996

Wh, Pan; Chang, HY; Wt, Yeh; Sy, Hsiao; Yt, Hung

doi:10.1038/sj.jhh.1001268

Cited by 87 publications

(67 citation statements)

References 6 publications

(4 reference statements)

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“…17 The 1993-1996 hypertension survey conducted in Taiwan indicated that the prevalence of hypertension was 26.0% in men and 19.0% in women. 18 The agespecific prevalence of hypertension in our study was similar to that reported in the US population for those age 35 to 44 years and 45 to 54 years, but lower for those age Ն55 years ( Figure 2). Similar to our findings, several national surveys have suggested a high prevalence of hypertension in developing countries.…”

Section: Discussionsupporting

confidence: 74%

“…Without an effective intervention program, an epidemic of CVD and renal disease in China is inevitable in the near future. The prevalence of hypertension in China estimated in the present study exceeds that of many developing counties [17][18][19] and is similar to that in industrial counties. 20 -22 The overall prevalence of hypertension in Korea was estimated to be 19.8% in 1990.…”

Section: Discussionmentioning

confidence: 77%

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Prevalence, Awareness, Treatment, and Control of Hypertension in China

et al. 2002

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 77%

Prevalence, Awareness, Treatment, and Control of Hypertension in China

et al. 2002

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“…15,16 A significant regional variation in the prevalence of hypertension and hyperuricaemia, with the highest in Mountainous area (mainly Aborigines) was reported in the first national survey, NHSIT. 16,17 Furthermore, we demonstrated that hyperuricaemia, diabetes and dyslipidaemia associated with prevalence of hypertension, specifically in Minnan women in this study. Body of evidence support hypertension a complex disease strongly associated with dyslipidaemia and insulin resistance.…”

Section: Discussionsupporting

confidence: 50%

Ethnic variation in hypertension prevalence of women in Taiwan

Hwang

You

et al. 2008

J Hum Hypertens

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The prevalence and risk factors of hypertension vary in ethnic groups. This study aimed to estimate the hypertension prevalence and to compare risk factors associated with hypertension in women of four ethnic groups in Taiwan. The study subjects were participants in the Taiwanese Survey on Hypertension, Hyperglycemia and Hyperlipidemia (TwSHHH) enrolled in 2002. In this analysis, only 2810 women who were at age of 20-80 years old and whose father and mother had same ethnic background (Minnan, Hakka, Aborigines or Mainland Chinese) were included. Results showed that there were significant ethnic differences in the prevalence of hypertension, obesity indices, fasting glucose, dyslipidaemia, hyperuricaemia, history of alcohol drinking and tobacco smoking and socioeconomic status. Aborigines had the highest prevalence of hypertension (28.6%) and diabetes mellitus (8.9%), whereas the Minnan group had the second highest prevalence of hypertension (19.2%) and diabetes mellitus (7.9%). Both age and central obesity were associated with an increased prevalence of hypertension except central obesity in Mainland Chinese in all four ethnic groups. Compared with the Mainland Chinese as the referent, the multivariateadjusted odds ratio (OR) (95% CI) was 1.19 (0.63-2.26), 1.92 (1.15-3.21) and 2.03 (1.00-4.12) for Hakka, Minnan and Aborigines, respectively. Elevated body mass index (X27.0 vs o24.0 kg m À2 ) and central obesity were significantly associated with hypertension showing multivariate-adjusted OR (95% CI) of 1.68 (1.18-2.38) and 1.95 (1.48-2.57), respectively. In addition, dyslipidaemia, hyperuricaemia and diabetes associated with higher OR for hypertension in Minnan women. In conclusion, there were ethnic variations in hypertension prevalence and determinants in Taiwanese women.

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“…12 To obtain discordant sib pairs for the study, the 30th percentile of age-and sexspecific blood pressure (BP) distribution in Taiwan was used as the cutoff to define low BP sibs of the hypertensive proband. 13 In some families, sibs found in the examination do not meet the criteria for hypertension or low BP were also recruited as control subjects for the family study. All participants with known diabetes or fasting plasma glucose higher than 7 mmol/l were excluded from the study.…”

Section: Subjectsmentioning

confidence: 99%

Sagittal abdominal diameter is associated with insulin sensitivity in Chinese hypertensive patients and their siblings

et al. 2003

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The purpose of the study is to observe the relation between anthropometric measurements, focusing on sagittal abdominal diameter (SAD), and insulin sensitivity indices in Chinese hypertensive patients and their siblings. In total, 907 participants, 537 hypertensive and 370 nonhypertensive, from 311 Taiwanese families were drawn from the Stanford Asia and Pacific Program for Hypertension and Insulin Resistance for the study. The participants received anthropometric measurements and 75-g oral glucose tolerance tests after an overnight fast. Fasting insulin, homeostasis model assessment for insulin resistance (HOMA-IR), and the insulin sensitivity index ISI 0,120 were chosen as surrogate measures of insulin sensitivity. In addition to Pearson and partial correlations, we used generalized estimating equations (GEEs) to examine the association between anthropometric measurements and insulin sensitivity indices. A small deviance in the GEEs indicates the goodness of model fit, irrespective of the independence among variables. The hypertensive patients were older in age, wider in waist circumference (WC), larger in body mass index (BMI) and SAD, and more insulin resistant than the nonhypertensive counterparts. The logarithmic transformation of fasting insulin, HOMA-IR, and ISI 0,120 significantly correlated with SAD, WC, and BMI before and after adjustments for age and sex. The deviances of SAD in the GEEs were similar to those of WC in all subjects, while BMI had smaller deviances than SAD and WC in the hypertensive patients. Our results suggest that the performance of SAD in predicting insulin sensitivity is comparable with WC in Chinese hypertensive patients and their siblings. BMI, however, seems to have better association with insulin sensitivity than SAD and WC in the patients with hypertension.

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Prevalence, awareness, treatment and control of hypertension in Taiwan: results of Nutrition and Health Survey in Taiwan (NAHSIT) 1993–1996

Cited by 87 publications

References 6 publications

Prevalence, Awareness, Treatment, and Control of Hypertension in China

Prevalence, Awareness, Treatment, and Control of Hypertension in China

Ethnic variation in hypertension prevalence of women in Taiwan

Sagittal abdominal diameter is associated with insulin sensitivity in Chinese hypertensive patients and their siblings

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