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1、HypertensionandObesityinChinaProfessorsChenChunming&ZhaoWenhua(OnbehalfoftheWorkingGrouponObesityinChina,ILSIFocalPointinChina),ChineseCenterforDiseaseControlandPrevention,BeijingChinaPartI:HypertensionriskatBMIandwaistcircumference(WC)levelsInternationalLifeScienceInstituteFocalPo
2、intinChina(ILSIFP-China)establishedaWorkingGrouponObesityinChina(WGOC)in2000.WGOCorganizedametaanalysisonthedatafrom13bigscalecross-sectionalsurveysince1990,underaprotocolforanalysisdatacollectedamong239,972adultsaged20-70wereincluded.DatasourceandanalysisAnalysisondiseaserisksfact
3、ors,suchashighbloodpressure,diabetesincludingfastbloodglucose(FBG),serumcholesterol,HDL-C,triglycerides(TG),inrelationtoBMIandwaistcircumference(WC)wascarriedout.Metaanalysisofcohortstudiescovered4datasetswith76,227adultsubjectswasdone,theendpointsaretotalmortality,mortalityofcoron
4、aryheartdisease,strokeandcancer,aswellasincidencesofcoronaryheartdiseaseeventsandstrokeevents.Partoftheresultsispresentedhere.Theresultsontheprevalenceofhypertension,andclusteringofriskfactors(highbloodpressure,diabetesincludingfastbloodglucose(FBG),serumcholesterol,HDL,triglycerid
5、es)andBMIorwaistcircumference(WC)waspresentedasfollows.BMIandhighbloodpressureMaleMaleFemaleTheprevalenceofhypertensionincreasedwithincreasinglevelsofBMI.WCandhighbloodpressureMaleFemaleTheprevalenceofhypertensionincreasedwithincreasinglevelsofWCBMIandriskfactorclusteringMaleFemale
6、TheprevalenceofclusteringofriskfactorsincreasedwithincreasinglevelsofBMI.WCandriskfactorclusteringMaleFemaleTheprevalenceofclusteringofriskfactorsincreasedwithincreasinglevelsofWC.Populationattributableriskpercent(%)ofhypertensionatBMIlevelsMaleFemaleOR*PARPORPARPBMI≥243.6945.92.76
7、38.4BMI≥283.1711.52.6112.7*AgeadjustedPopulationattributablerisk%ofhypertensionbeyondWCcutoffsOR*PARPMenWC≥85cm3.4441.3WomenWC≥80cm3.3042.8*AgeadjustedPartII:CorrelationanalysisofWC、BMIandbloodpressureDatasourceandanalysisAstudywasconductedinAnhuiandHenanprovincesin1996byChenJunshi
8、andZhaoWenhua.Totally11,81