Overweight is an independent risk factor for cardiovascular disease in Chinese populations

• DOI: 10.1046/j.1467-789x.2002.00068.x
• Publication Date: 2003-03-12T15:44:30Z
• Authors: Beifan Zhou; Yangfeng Wu; Jun Yang; Ying Li; Hongye Zhang; Liancheng Zhao
• Keywords: Stroke

In the last decade of 20th century, cardiovascular disease was leading cause death in China, accounting for one-third total deaths. comparison with western populations, mean body weight or mass index (BMI) Chinese population lower, but showed an increasing trend. Whether variation within lower levels BMI waist circumference associated other risk factors disease, and whether they contribute independently to population, investigated this study. keeping a uniform study design, each 14 populations at different geographical locations characteristics, incidence rates stroke, coronary heart (CHD) causes were monitored approximately/= 100000 residents from 1991 1995 using MONICA procedure. Risk surveyed random cluster sample 1000 subjects (35-59 years age) under surveillance internationally standardized methods centralized system ensure quality control. Among factors, weight, height, hip circumferences measured. Cross-sectional stratified analyses used analyse relationship (kg m(-2)) metabolic factors. Ten cohorts among 24734 participants 1982 1985 as baseline further followed-up 9 taking events CHD end-points. Cox regression models explore association relative risks death. The survey samples number 19 741 that (20.8-25.1) (67.8-86.7 cm) much than those populations. There was, however, anthropometric measurements China. Thus, overweight varied 2.7% 48.1% obesity 0% 9.5% on basis World Health Organization (WHO) classification, these values found Data 10 cohort compared data early 1980s BMIs increased significantly eight during 1990s differences ranging 0.5 2.5 kg m(-2). Despite level rate overweight, cross-sectional prevalence hypertension, high fasting serum glucose, cholesterol low high-density lipoprotein (HDL-C) their clustering all raised increases circumference. prospective one independent stroke Hence, characterized by great variability related clustering. Overweight CHD, both individual levels. Given trends years, period economic transition there is need encourage adopt healthy dietary habits increase physical activity. education health promotion are important prevention non-pharmacological therapy