Trends and Associated Factors of Hypertension among Residents Aged 15 Years in Guangzhou, China, 2004–2013
-
Xiaomei DONG
,
Jiaming RAO
,
Yunfeng YE
,
Minhui PANG
,
Jianwei YANG
,
Haiqing WANG
,
Jiayi ZHANG
,
Bingying PAN
,
Xueji WU
,
Xiongfei CHEN
Abstract
Background: We aimed to describe the trends and associated factors of hypertension among residents aged ³15 yr in Guangzhou, China.
Methods: Three standardized cross-sectional health surveys were conducted in 2004, 2009 and 2013 using a multi-stage cluster sampling method, and a total of 69128 qualified participants were included in the study. The data were obtained through physical health examination and questionnaire survey.
Results: The age-standardised prevalence of hypertension increased from 12.5% to 16.0% between 2004 and 2009 and declined from 16.0% to 14.0% between 2009 and 2013, and crude prevalence respectively was 14.6%, 19.1% and 18.8% in 2004, 2009 and 2013. The proportion of optimal blood pressure dropped from 51.1% to 33.2%, high-normal blood pressure increased from 20.1% to 28.9%, grade 1 hypertension and grade 2 or 3 hypertension increased from 11.5% to 13.6% and 3.9% to 5.8% between 2004 and 2013. The average age was significantly increased (P<0.001) from 42.8 to 47.5 yr, and the average body mass index slightly increased (P<0.001) from 22.4 to 23.0. Logistic regression analysis shows that higher age, male, higher body mass index, smoking and drinking alcohol were potential risk factors for hypertension.
Conclusion: Both crude and age-standardized prevalence of hypertension were initially increased, but subsequently decreased in Guangzhou during 2004–2013. The optimal blood pressure population decreased significantly while the high-normal blood pressure population increased substantially during the survey period.
He J, Gu D, Wu X, et al (2005). Major causes of death among men and women in China. N Engl J Med, 353(11):1124-1134.
Lim SS, Vos T, Flaxman AD, et al (2012). A compar-ative risk assessment of burden of disease and in-jury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380(9859):2224-60.
Kearney PM, Whelton M, Reynolds K, et al (2005). Global burden of hypertension: analysis of worldwide data. Lancet, 365(9455):217-223.
Liu LS, Writing Group of 2010 Chinese Guidelines for the Management of Hypertension. (2011). 2010 Chinese guidelines for the management of hypertension. Zhonghua Xin Xue Guan Bing Za Zhi, 39(7):579-615 (In Chinese).
Lawes CM, Hoorn SV, Rodgers A, et al (2008). Global burden of blood-pressure-related disease, 2001. Lancet, 371(9623):1513-8.
Lewington S, Clarke R, Qizilbash N, et al (2002). Age-specific relevance of usual blood pressure to vas-cular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360(9349):1903-13.
Britton KA, Gaziano JM, Djoussé L (2009). Normal systolic blood pressure and risk of heart failure in US male physicians. Eur J Heart Fail, 11(12):1129-1134.
Slama M, Susic D, Frohlich ED (2002). Prevention of hypertension. Curr Opin Cardiol, 17(5):531-536.
Mancia G, De Backer G, Dominiczak A, et al (2007). 2007 Guidelines for the management of arterial hypertension. J Hypertens, 25(6):1105-87.
Government data. Available from: http://data.gzstats.gov.cn/gzStat1/chaxun/njsj.jsp.
Zhou Q, Pan BY, Lin GZ, et al (2010). Prevalence, Awareness, Treatment and Control of Hyperten-sion in 15-69 Years Old Residents in Guang-zhou. Chin J Pre Control Chron Dis, 18(06):587-590 (In Chinese).
Yang J, Lu F, Zhang C, et al (2010). Prevalence of prehypertension and hypertension in a Chinese rural area from 1991 to 2007. Hypertens Res, 33(4):331-7.
Xi B, Liang Y, Reilly KH, et al (2012). Trends in prevalence, awareness, treatment, and control of hypertension among Chinese adults 1991–2009. Int J Cardiol, 158(2):326-329.
Fang L, Song J, Ma Z, et al (2014). Prevalence and characteristics of hypertension in mainland Chi-nese adults over decades: a systematic review. J Hum Hypertens, 28(11):649-56.
Neuhauser HK, Adler C, Rosario AS, et al (2015). Hypertension prevalence, awareness, treatment and control in Germany 1998 and 2008–11. J Hum Hypertens, 29(4):247-53.
Joffres M, Falaschetti E, Gillespie C, et al (2013). Hy-pertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality: a cross-sectional study. BMJ Open, 3(8): e003423.
Hajjar I, Kotchen JM, Kotchen TA (2006). Hyperten-sion: trends in prevalence, incidence, and control. Annu Rev Public Health, 27:465-490.
Burt VL, Cutler JA, Higgins M, et al (1995). Trends in the prevalence, awareness, treatment, and control of hypertension in the adult US population data from the health examination surveys, 1960 to 1991. Hypertension, 26(1):60-9.
Ibrahim MM, Damasceno A (2012). Hypertension in developing countries. Lancet, 380(9841):611-619.
Lao XQ, Xu YJ, Wong MCS, et al (2013). Hyperten-sion Prevalence, Awareness, Treatment, Control and Associated Factors in a Developing Southern Chinese Population: Analysis of Serial Cross-Sectional Health Survey Data 2002− 2010. Am J Hypertens, 26(11):1335-45.
Government data. http://www.gzstats.gov.cn/tjgb/qstjgb/201304/t20130401_427.html
Liu Z (2009). Dietary sodium and the incidence of hypertension in the Chinese population: a review of nationwide surveys. Am J Hypertens, 22(9): 929-33.
Government data. Available from: http://www.gzfinance.gov.cn/gzgov/s2342/200908/513035.shtml.
Meng XJ, Dong GH, Wang D, et al (2011). Preva-lence, awareness, treatment, control, and risk fac-tors associated with hypertension in urban adults from 33 communities of China: the CHPSNE study. J Hypertens, 29(7):1303-1310.
Wang H, Zhang X, Zhang J, et al (2013). Factors as-sociated with prevalence, awareness, treatment and control of hypertension among adults in Southern China: a community-based, cross-sectional survey. PLoS One, 8(5):e62469.
Niskanen L, Laaksonen DE, Nyyssönen K, et al (2004). Inflammation, abdominal obesity, and smoking as predictors of hypertension. Hyperten-sion, 44(6):859-65.
D'Elia L, De PD, Rossi G, et al (2014). Not smoking is associated with lower risk of hypertension: re-sults of the Olivetti Heart Study. Eur J Public Health, 24(2):226-30.
Beilin LJ, Puddey IB (2006). Alcohol and hyperten-sion: an update. Hypertension, 47(6):1035-8.
Macmahon S (1987). Alcohol consumption hyper-tension. Hypertension, 9:111-121.
Wang Z, Wu Y, Zhao L, et al (2004). Trends in prev-alence, awareness, treatment and control of hyper-tension in the middle-aged population of China, 1992-1998. Hypertens Res, 27(10):703-9.
Popkin BM, Du S, Zhai F, et al (2010). Cohort Pro-file: The China Health and Nutrition Survey—monitoring and understanding socio-economic and health change in China, 1989–2011. Int J Epi-demiol, 39(6):1435-40.
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| Issue | Vol 47 No 2 (2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Hypertension Trend Prevalence China Risk factors | ||
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