Volume 42 Issue 10
Oct.  2021
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Lian-ju HE, Chun-mei ZUO, Lan LIU, Wen-long CUI, Jin-bo LI, Yi MO, Lu-ming FAN, Le CAI. Analysis of Trend in Prevalence of Hypertension and Its Relationship with Different Obesity Indices among Rural Adults in Fumin County of Yunnan Province[J]. Journal of Kunming Medical University, 2021, 42(10): 38-44. doi: 10.12259/j.issn.2095-610X.S20211008
Citation: Lian-ju HE, Chun-mei ZUO, Lan LIU, Wen-long CUI, Jin-bo LI, Yi MO, Lu-ming FAN, Le CAI. Analysis of Trend in Prevalence of Hypertension and Its Relationship with Different Obesity Indices among Rural Adults in Fumin County of Yunnan Province[J]. Journal of Kunming Medical University, 2021, 42(10): 38-44. doi: 10.12259/j.issn.2095-610X.S20211008

Analysis of Trend in Prevalence of Hypertension and Its Relationship with Different Obesity Indices among Rural Adults in Fumin County of Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20211008
  • Received Date: 2021-07-16
    Available Online: 2021-10-29
  • Publish Date: 2021-10-30
  •   Objective  To analyze the trend of hypertension prevalence and its relationship with different obesity indices among rural adults in Fumin county of Yunnan province.   Methods  A repeated cross-sectional surveys was employed. A total of 2544 individuals aged ≥35 years in 2009 and 2502 in 2019 were selected by multistage stratified random sampling method. Each participant received face to face questionnaire interview and physical examination.   Results  From 2009 to 2019, the overall age-standardized prevalence of hypertension increased from 32.8% to 44.1%, while prevalence of hypertension increased from 31.2% to 43.5% among males, and increased from 33.9% to 44.6% among females, respectively (χ2 = 68.122, χ2 = 39.626, χ2 = 31.456, P < 0.001). Both in 2009 and 2019, the age-standardized prevalence of hypertension increased with age, whereas decreased with level of education and annual per capita household income (P < 0.05). The mean of body mass index (BMI) increased from 22.90 kg/m2 to 23.62 kg/m2t = -7.326, P < 0.001), while there were no significant difference of waist circumference (WC), waist-to-hip ratio (WHR), body roundness index (BRI) and body adiposity index (BAI) between two survey years (P > 0.05). The result of multiple logistic regression indicated that both males and females with higher values of WC, WHR, BMI, BRI and BAI had higher risk of suffering from hypertension (P < 0.001). WHR showed strongest association with hypertension (males: OR = 7.446, females: OR = 2.223, P < 0.001). The correlation between obesity indices and hypertension prevalence was stronger in males than in females. The result of ROC curve analysis showed that WC, WHR, BMI, BRI and BAI were significant predictors of risk of hypertension in both males and females (P < 0.001).   Conclusion  Prevalence of hypertension increased substantially in Fumin county of Yunnan province. WC, WHR, BMI, BRI and BAI were positively correlated with prevalence of hypertension, keep people’ s values of obesity indices within normal interval is beneficial to control of hypertension.
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