Blood pressure in relation to general and central adiposity among 500 000 adult Chinese men and women

International Journal of Epidemiology
Z ChenChina Kadoorie Biobank Collaborative Group

Abstract

Greater adiposity is associated with higher blood pressure. Substantial uncertainty remains, however, about which measures of adiposity most strongly predict blood pressure and whether these associations differ materially between populations. We examined cross-sectional data on 500 000 adults recruited from 10 diverse localities across China during 2004-08. Multiple linear regression was used to estimate the effects on systolic blood pressure (SBP) of general adiposity [e.g. body mass index (BMI), body fat percentage, height-adjusted weight] vs central adiposity [e.g. waist circumference (WC), hip circumference (HC), waist-hip ratio (WHR)], before and after adjustment for each other. The main analyses excluded those reported taking any antihypertensive medication, and were adjusted for age, region and education. The overall mean [standard deviation (SD)] BMI was 23.6 (3.3) kg/m(2) and mean WC was 80.0 (9.5) cm. The differences in SBP (men/women, mmHg) per 1SD higher general adiposity (height-adjusted weight: 6.6/5.6; BMI: 5.5/4.9; body fat percentage: 5.5/5.0) were greater than for central adiposity (WC: 5.0/4.3; HC: 4.8/4.1; WHR: 3.7/3.2), with a 10 kg/m(2) greater BMI being associated on average with 16 (men/women: 17/14) mmH...Continue Reading

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Citations

Aug 16, 2016·International Journal of Epidemiology·Ling YangUNKNOWN China Kadoorie Biobank study collaborative group (members listed at end of report)
Feb 23, 2017·Hypertension·Louisa GnatiucPablo Kuri-Morales
Nov 12, 2019·Research in Nursing & Health·Ângela Taís Mattei da SilvaRoberto Molina de Souza
Jan 26, 2020·The European Respiratory Journal·Jiachen LiUNKNOWN China Kadoorie Biobank Collaborative Group
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Aug 30, 2018·International Journal of Hypertension·Whye Lian CheahGrace Woei Feng Kho
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Feb 16, 2021·Open Medicine·Wenjing QiaoShuman Yang
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Feb 12, 2021·The Journal of Clinical Endocrinology and Metabolism·Ruizhi ZhengGuang Ning
May 18, 2021·European Journal of Internal Medicine·Päivi E KorhonenJohan G Eriksson

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