Preventing chronic diseases in China

Wang, Longde; Kong, Lingzhi; Wu, Fan; Bai, Yun; Burton, Robert C.

doi:10.1016/s0140-6736(05)67344-8

Cited by 418 publications

(315 citation statements)

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“…FVC is an important indicator for lung function and chronic respiratory diseases, 8 the third leading cause of death in China. 2 Handgrip strength, sit-and reach and standing on one leg are reliable tests for measuring musculoskeletal fitness, which have been implicated in bone/cardiometabolic health, quality of life and longevity. 28 Despite increase in LTPA participation rate, we reported a downwards progression of these physical fitness indices over time for each age group.…”

Section: Discussionmentioning

confidence: 99%

“…1 These diseases accounted for an estimated 80% of deaths and 70% of total disease burden in China. 2 While aging of the population is an important contributing factor, such health consequences are also likely attributed to the drastic changes in lifestyles following China's economic boom that result in obesity and physical inactivity. 3 These two factors, despite their strong correlation, have been independently linked to increased risk of major NCDs and higher all-cause mortality.…”

Section: Introductionmentioning

confidence: 99%

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BMI, leisure-time physical activity, and physical fitness in adults in China: results from a series of national surveys, 2000–14

Tian

Jiang

Wang

et al. 2016

The Lancet Diabetes & Endocrinology

200

158

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Background:Obesity, physical inactivity and reduced physical fitness may contribute to the rising burden of chronic diseases in China. We investigated these factors in China over a 14-year period using data from the randomized national surveys in 2000, 2005, 2010 and 2014. Methods:We conducted four national surveys among 151,656, 163,386, 154,931and 146,703 Chinese adults aged 20-59 in 2000, 2005, 2010 and 2014, respectively. Body mass index (BMI, kg/m 2 ) was used to evaluate underweight (BMI<18·5), overweight (BMI 23·0-27·5) and obesity (BMI≥27·5). Central obesity was defined as waist circumference >90 cm in men and >85 cm in women. Leisure-time physical activity (LTPA) was evaluated by whether or not the participants had completed the recommended minimum 150-min moderate or 75-min vigorous exercise per week. Indices for assessing physical fitness included forced vital capacity, resting heart rate, handgrip strength, sit and reach, and standing on one leg. Findings:The prevalence of obesity increased from 8·6% in 2000, 10·3% in 2005, and 12·2% in 2010 to 12·9% in 2014 (0·32% per year). Comparable estimates were 37·4%, 39·2%, 40·7% and 41·2% for overweight and 13·9%, 18·3%, 22·1% and 24·9% for central obesity. The corresponding upward trends per year were 0·27% and 0·78%, respectively. The prevalence of overweight, obesity and central obesity increased with age and was higher in men than women.. A simultaneous decrease was observed in the prevalence of underweight (5·4% in 2000 versus 4·6% in 2014, a downward trend of 0·06% per year). More participants met the minimum LTPA recommendation (17·2% in 2000 versus 22·8% in 2014), with the prevalence change per year being 0·33%, 0·50%, 0·37%, 0·06% for underweight, normal-weight, overweight, and obesity, respectively. Physical fitness deterioration was observed for all measures examined except resting heart rate. Interpretation:Despite increased participation in LTPA, we observed an upward trend in overweight/obesity and a decline in physical fitness in Chinese adults. Continued nationwide interventions are needed for promoting physical activity and other healthy lifestyles in China. Funding:National Physical Fitness Surveillance Center, Ministry of Science and Technology of the People's Republic of China. Introduction In recent decades, China has witnessed a rapid rise in the burden of noncommunicable diseases (NCDs). Despite differences in sampling methods and 3 diagnostic criteria, the estimated prevalence grew from 9.7% to 11.6% for type 2 diabetes, and from 15.5% to 50.1% for pre-diabetes between 2008 and 2010. 1 These diseases accounted for an estimated 80% of deaths and 70% of total disease burden in China. 2 While aging of the population is an important contributing factor, such health consequences are also likely attributed to the drastic changes in lifestyles following China's economic boom that result in obesity and physical inactivity. 3 These two factors, despite their strong correlation, have been independently linked to increased risk of ...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

BMI, leisure-time physical activity, and physical fitness in adults in China: results from a series of national surveys, 2000–14

Tian

Jiang

Wang

et al. 2016

The Lancet Diabetes & Endocrinology

200

158

View full text Add to dashboard Cite

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“…In China, chronic noncommunicable diseases accounts for about 80% of deaths and 70% of disability-adjusted life-years. 3 As a developing country with huge population, it is imperative that an economical and valid instrument is developed for screening major chronic diseases. The SHSQ-25 is short and easy to be completed, and therefore, suitable for use in general population and primary care service.…”

Section: Discussionmentioning

confidence: 99%

“…3 Preclinical status of diseases and its early detection have become major issues in the promotion of the basic health service in the reform of health care in China. Despite poor perceived health is a subjective construct lacking in precision, it has been found to hold considerable predictive validity in relation to functional disability, morbidity, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Association of Suboptimal Health Status and Cardiovascular Risk Factors in Urban Chinese Workers

et al. 2011

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Suboptimal health status (SHS) has become a new public health challenge in urban China. Despite indications that SHS may be associated with progression or development of chronic diseases such as cardiovascular and metabolic diseases, there are few reports on SHS investigations. To explore the relationship between SHS and traditional cardiovascular risk factors, a cross-sectional study was conducted in a sample of 4,881 workers employed in 21 companies in urban Beijing. Blood pressure, glucose, lipid levels (total cholesterol, high-density lipoprotein [HDL] cholesterol, lowdensity lipoprotein [LDL] cholesterol and triglycerides), cortisol, and body mass index were measured. SHS score was derived from data collection in the SHS questionnaire (SHSQ-25). Univariate analysis and linear two-level model were used to analyze the association of SHS with the cardiovascular risk factors. Serum cortisol level was much higher among the SHS high-score group than that among the low SHS score group (204.31 versus 161.33 ng/ml, PG0.001). In a linear two-level model, we found correlation between SHS and systolic blood pressure, diastolic blood pressure, plasma glucose, total cholesterol, and HDL cholesterol among men, and correlation between SHS and systolic blood pressure, diastolic blood pressure, total cholesterol, triglyceride, and HDL cholesterol among women after controlling for age, education background, occupation, smoking, and physical activity. SHS is associated with cardiovascular risk factors and contributes to the development of cardiovascular disease. SHS should be recognized in the health care system, especially in primary care.

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“…Like other developing nations, China struggles with an epidemic of NCDs, which now account for 80% of deaths and 70% of disability-adjusted life years [4,5]. China's status as the most populous nation with 20% of the world's population magnifies the urgency for effective strategies to reduce its NCD burden.…”

Section: The Ncd Epidemic In Chinamentioning

confidence: 99%

The China Seven Cities Study (CSCS) consortium: adapting evidence-based prevention science from west to east

Palmer

Xie

et al. 2011

Behav. Med. Pract. Policy Res.

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Chronic, noncommunicable diseases (NCDs) have surpassed infectious diseases as the primary cause of death and disability in most developing nations. Nowhere is this more evident than in China where NCDs account for 80% of all deaths and skyrocketing medical costs. Driving the escalation of NCDs are high rates of tobacco use, longer life spans, and changes in the traditional Chinese diet and lifestyle bolstered by unprecedented economic growth and the new global culture. Despite the epidemic of NCDs, few evidencebased interventions either to prevent or retard their progression exist in China. We present a case for the development and adoption of such strategies as effective tools to combat China's greatest health threat. Finally, we offer an example of a collaborative network linking Chinese public health and academic institutions with US researchers to promote the translation of western evidence-based interventions that fully incorporate local knowledge, culture, and capacity. KeywordsNoncommunicable disease, Tobacco control, China, Evidence-based As low-and middle-income countries industrialize, urbanize, and integrate features of western culture with their traditional lifestyle, rates of noncommunicable diseases (NCDs) rise and portend alarming trends for the future. Globally, 35 million deaths annually are attributable to cardiovascular diseases (CVDs), chronic respiratory diseases, diabetes, and cancer with 80% of these occurring in developing nations [1]. In resource-poor developing nations where healthcare systems are often woefully underfunded, understaffed, and in flux, population-based approaches to combating NCDs may produce the greatest and most cost-effective results. The value of incorporating evidence-based, prevention-focused strategies that can be rolled out into communities has been demonstrated in developed nations [2]. To date, however, very few evidence-based approaches for health risk behavior modification have been utilized in economically developing nations [3].

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Preventing chronic diseases in China

Cited by 418 publications

References 3 publications

BMI, leisure-time physical activity, and physical fitness in adults in China: results from a series of national surveys, 2000–14

BMI, leisure-time physical activity, and physical fitness in adults in China: results from a series of national surveys, 2000–14

Association of Suboptimal Health Status and Cardiovascular Risk Factors in Urban Chinese Workers

The China Seven Cities Study (CSCS) consortium: adapting evidence-based prevention science from west to east

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