高血压和肥胖课件幻灯

高血压和肥胖课件幻灯

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1、HypertensionandObesityinChinaProfessorsChenChunming&ZhaoWenhua(OnbehalfoftheWorkingGrouponObesityinChina,ILSIFocalPointinChina),ChineseCenterforDiseaseControlandPrevention,BeijingChinaPartI:HypertensionriskatBMIandwaistcircumference(WC)levelsInternationa

2、lLifeScienceInstituteFocalPointinChina(ILSIFP-China)establishedaWorkingGrouponObesityinChina(WGOC)in2000.WGOCorganizedametaanalysisonthedatafrom13bigscalecross-sectionalsurveysince1990,underaprotocolforanalysisdatacollectedamong239,972adultsaged20-70were

3、included.DatasourceandanalysisAnalysisondiseaserisksfactors,suchashighbloodpressure,diabetesincludingfastbloodglucose(FBG),serumcholesterol,HDL-C,triglycerides(TG),inrelationtoBMIandwaistcircumference(WC)wascarriedout.Metaanalysisofcohortstudiescovered4d

4、atasetswith76,227adultsubjectswasdone,theendpointsaretotalmortality,mortalityofcoronaryheartdisease,strokeandcancer,aswellasincidencesofcoronaryheartdiseaseeventsandstrokeevents.Partoftheresultsispresentedhere.Theresultsontheprevalenceofhypertension,andc

5、lusteringofriskfactors(highbloodpressure,diabetesincludingfastbloodglucose(FBG),serumcholesterol,HDL,triglycerides)andBMIorwaistcircumference(WC)waspresentedasfollows.BMIandhighbloodpressureMaleMaleFemaleTheprevalenceofhypertensionincreasedwithincreasing

6、levelsofBMI.WCandhighbloodpressureMaleFemaleTheprevalenceofhypertensionincreasedwithincreasinglevelsofWCBMIandriskfactorclusteringMaleFemaleTheprevalenceofclusteringofriskfactorsincreasedwithincreasinglevelsofBMI.WCandriskfactorclusteringMaleFemaleThepre

7、valenceofclusteringofriskfactorsincreasedwithincreasinglevelsofWC.Populationattributableriskpercent(%)ofhypertensionatBMIlevelsMaleFemaleOR*PARPORPARPBMI≥243.6945.92.7638.4BMI≥283.1711.52.6112.7*AgeadjustedPopulationattributablerisk%ofhypertensionbeyondW

8、CcutoffsOR*PARPMenWC≥85cm3.4441.3WomenWC≥80cm3.3042.8*AgeadjustedPartII:CorrelationanalysisofWC、BMIandbloodpressureDatasourceandanalysisAstudywasconductedinAnhuiandHenanprovincesin1996byChenJunshiandZhaoWenhua.Totally11,81

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