高血压和肥胖课件幻灯

Part I: Hypertension risk at BMI and waist circumference (WC) levels
Data source and analysis
International Life Science Institute Focal Point in China (ILSI FP-China) established a Working Group on Obesity in China (WGOC) in 2000. WGOC organized a meta analysis on the data from 13 big scale cross-sectional survey since 1990, under a protocol for analysis data collected among 239,972 adults aged 20-70 were included.
Population attributable risk percent (%) of hypertension at BMI levels
BMI ≥24
Male
Female
OR* PARP OR PARP
3.69 45.9 2.76 38.4
BMI ≥28 3.17 11.5 2.61 12.7
WC and high blood pressure
60
R 50 A T E
40 O F
H 30 B P
% 20
10 60
70
80
90
100
waist
SEX
1
2
Male Female
The prevalence of hypertension increased with increasing levelsn attributable risk % of hypertension beyond WC cutoffs
Men WC≥85cm Women WC≥80cm * Age adjusted
OR* 3.44 3.30
PARP 41.3 42.8
Part II: Correlation analysis of WC、 BMI and blood pressure
Hypertension and Obesity in China
Professors Chen Chunming & Zhao Wenhua (On behalf of the Working Group on Obesity in China, ILSI Focal Point in China), Chinese Center for Disease Control and Prevention, Beijing China
BMI and risk factor clustering
S 50 T A N D 40 A R D
30
R A T 20 E
O F 10
R
F
>0 =
2 17
18
19
20
21
22
23
24
25
26
27
28
29
30
%
BMI
SEX
1
2
Male Female
The prevalence of clustering of risk factors increased with increasing levels of BMI.
BMI and high blood pressure
50
S T A N 40 D A R D 30
R A 20 T E
O 10 F
H
B0 P
17
18
19
20
21
22
23
24
25
26
27
28
29
30
%
BMI
Male SEX Male 1 Female 2
The prevalence of hypertension increased with increasing levels of BMI.
Analysis on disease risks factors, such as high blood pressure, diabetes including fast blood glucose (FBG), serum cholesterol, HDL-C, triglycerides (TG), in relation to BMI and waist circumference (WC) was carried out. Meta analysis of cohort studies covered 4 data sets with 76,227 adult subjects was done, the end points are total mortality, mortality of coronary heart disease, stroke and cancer, as well as incidences of coronary heart disease events and stroke events. Part of the results is presented here.
WC and risk factor clustering
70
R 60 A T E 50
O F 40
R 30 F > = 20 2
% 10
0
60
70
80
90
100
waist
SEX
1
Male
2
Female
The prevalence of clustering of risk factors increased with increasing levels of WC.
The results on the prevalence of hypertension, and clustering of risk factors (high blood pressure, diabetes including fast blood glucose (FBG), serum cholesterol, HDL, triglycerides ) and BMI or waist circumference (WC) was presented as follows.