Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015
Background. Rising hypertension prevalence, coupled with increasing overweight and obesity rates, has been observed in Yi people. Moreover, the growing blood pressure level among Yi people was mostly attributable to the continuous increase of body mass index (BMI). However, little is known about the...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2020/5368357 |
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| author | Jia Zhang Shaoping Wan Fen Dong Li Pan Wuli Yihuo Haiying Gong Fang Yang Zheng Li Guoju Li Xiaoyang Wang Guangliang Shan |
| author_facet | Jia Zhang Shaoping Wan Fen Dong Li Pan Wuli Yihuo Haiying Gong Fang Yang Zheng Li Guoju Li Xiaoyang Wang Guangliang Shan |
| author_sort | Jia Zhang |
| collection | DOAJ |
| description | Background. Rising hypertension prevalence, coupled with increasing overweight and obesity rates, has been observed in Yi people. Moreover, the growing blood pressure level among Yi people was mostly attributable to the continuous increase of body mass index (BMI). However, little is known about the trend of association between them. Methods. Consequently, we investigated the impact of overweight/obesity on hypertension over three periods (1996, 2007-2008, 2015) using data from Yi Migrant Study (n = 8749). The Yi Migrant Study incorporated three successive cross-sectional studies which were implemented by the same team with consistent protocols. Results. Compared with period 1 (1996), the influence of overweight/obesity on hypertension risk significantly increased in period 2 (2007-2008) and period 3 (2015); relative excess risk due to interaction (RERI) was 1.59 (95% CI: 0.12, 3.05) and 1.41 (95% CI: 0.30, 2.78), respectively. Meanwhile, the overweight/obese population in period 3 did not show hypertension risk higher than that in period 2 (RERI = 0.15; 95% CI: −0.76, 1.07). Additionally, we observed a continuously growing trend of hypertension risk among normal weight Yi people. Conclusions. During the past two decades, there was a significant increase in the association between overweight/obesity and hypertension in Yi people, whereas the increasing trend has leveled off in more recent years. These findings suggest that overweight/obesity and hypertension are becoming more epidemic comorbidity over time. Interventions to prevent hypertension should focus not only on the overweight/obese population, but also on those with normal weight. |
| format | Article |
| id | doaj-art-5ac84e7ccffd40728a3519217c4a4f96 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-5ac84e7ccffd40728a3519217c4a4f962025-08-20T03:34:13ZengWileyInternational Journal of Hypertension2090-03842090-03922020-01-01202010.1155/2020/53683575368357Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015Jia Zhang0Shaoping Wan1Fen Dong2Li Pan3Wuli Yihuo4Haiying Gong5Fang Yang6Zheng Li7Guoju Li8Xiaoyang Wang9Guangliang Shan10Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaSichuan Cancer Hospital and Institute, Sichuan Cancer Center, Cancer Hospital Affiliated to School of Medicine, UESTC, Chengdu, Sichuan 610041, ChinaChina-Japan Friendship Hospital, Beijing 100029, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaPuge County Center for Disease Control and Prevention, Liangshan, Sichuan 615300, ChinaBeijing Fangshan Center for Disease Control and Prevention, Beijing 102440, ChinaXichang Municipal Center for Disease Control and Prevention, Xichang, Sichuan 615000, ChinaXichang Municipal Center for Disease Control and Prevention, Xichang, Sichuan 615000, ChinaQingdao Women and Children’s Hospital, Qingdao University, Qingdao, Shandong 266011, ChinaThe People’s Hospital of Bao'an, Shenzhen, Guangdong 518101, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaBackground. Rising hypertension prevalence, coupled with increasing overweight and obesity rates, has been observed in Yi people. Moreover, the growing blood pressure level among Yi people was mostly attributable to the continuous increase of body mass index (BMI). However, little is known about the trend of association between them. Methods. Consequently, we investigated the impact of overweight/obesity on hypertension over three periods (1996, 2007-2008, 2015) using data from Yi Migrant Study (n = 8749). The Yi Migrant Study incorporated three successive cross-sectional studies which were implemented by the same team with consistent protocols. Results. Compared with period 1 (1996), the influence of overweight/obesity on hypertension risk significantly increased in period 2 (2007-2008) and period 3 (2015); relative excess risk due to interaction (RERI) was 1.59 (95% CI: 0.12, 3.05) and 1.41 (95% CI: 0.30, 2.78), respectively. Meanwhile, the overweight/obese population in period 3 did not show hypertension risk higher than that in period 2 (RERI = 0.15; 95% CI: −0.76, 1.07). Additionally, we observed a continuously growing trend of hypertension risk among normal weight Yi people. Conclusions. During the past two decades, there was a significant increase in the association between overweight/obesity and hypertension in Yi people, whereas the increasing trend has leveled off in more recent years. These findings suggest that overweight/obesity and hypertension are becoming more epidemic comorbidity over time. Interventions to prevent hypertension should focus not only on the overweight/obese population, but also on those with normal weight.http://dx.doi.org/10.1155/2020/5368357 |
| spellingShingle | Jia Zhang Shaoping Wan Fen Dong Li Pan Wuli Yihuo Haiying Gong Fang Yang Zheng Li Guoju Li Xiaoyang Wang Guangliang Shan Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 International Journal of Hypertension |
| title | Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 |
| title_full | Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 |
| title_fullStr | Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 |
| title_full_unstemmed | Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 |
| title_short | Secular Trends of the Impact of Overweight and Obesity on Hypertension in Yi People: Yi Migrant Study, 1996–2015 |
| title_sort | secular trends of the impact of overweight and obesity on hypertension in yi people yi migrant study 1996 2015 |
| url | http://dx.doi.org/10.1155/2020/5368357 |
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