Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China
Objective To identify the relationship between obesity indicators and hypertension–diabetes comorbidity (HDC) among adults in central China.Design and setting A cross-sectional study was conducted from 1 June 2015 to 30 September 2018 in 11 districts of Hubei Province, China.Participants A total of...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e052674.full |
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| author | Li Li Ling Li Ying Wang Wenwen Wu Xiaodong Tan Fen Yang Jinru Yang Yifan Wu Donghan Sun Ziling Ni Yaofei Xie |
| author_facet | Li Li Ling Li Ying Wang Wenwen Wu Xiaodong Tan Fen Yang Jinru Yang Yifan Wu Donghan Sun Ziling Ni Yaofei Xie |
| author_sort | Li Li |
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| description | Objective To identify the relationship between obesity indicators and hypertension–diabetes comorbidity (HDC) among adults in central China.Design and setting A cross-sectional study was conducted from 1 June 2015 to 30 September 2018 in 11 districts of Hubei Province, China.Participants A total of 29 396 participants aged 18 years or above were enrolled in the study. 2083 subjects with missing data were excluded. Eventually, 25 356 participants were available for the present analysis.Main outcome measures Data were subjected to univariable and multivariable logistic regression to examine the association between obesity indicators (body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR)) and HDC prevalence. Crude odds ratio and adjusted OR (AOR) with associated 95% CI were calculated.Results Overall, 2.8% of the respondents had HDC. The odds of HDC prevalence increased with the BMI of the participants (18.5≤BMI (kg/m2)≤23.9—1; 24≤BMI (kg/m2)≤26.9—AOR: 5.66, 95% CI: 4.25 to 7.55; BMI (kg/m2)≥27—AOR: 7.96, 95% CI: 5.83 to 10.87). The risk of HDC also increased with the WHtR of participants (WHtR≤P25—1; P25≤WHtR≤P50—AOR: 1.73, 95% CI: 1.10 to 2.71; P50 ≤WHtR≤P75—AOR: 2.51, 95% CI: 1.60 to 3.92; WHtR≥P75—AOR: 3.22, 95% CI: 2.01 to 5.16). Stratified analysis by gender showed that high BMI and WHtR were risk factors of HDC in males and females. However, the odds of HDC prevalence increased only when WHtR≥P75 in males, whereas the probability of HDC increased when WHtR≥ P25 in females.Conclusion High BMI and WHtR can increase the risk of HDC among Chinese adults. Reasonable control of BMI and WHtR may be beneficial in preventing HDC. Females should focus on maintaining an optimal WHtR earlier. |
| format | Article |
| id | doaj-art-4a6deda7de5b4271acf56632499e1e9b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-4a6deda7de5b4271acf56632499e1e9b2025-01-30T18:05:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-052674Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central ChinaLi Li0Ling Li1Ying Wang2Wenwen Wu3Xiaodong Tan4Fen Yang5Jinru Yang6Yifan Wu7Donghan Sun8Ziling Ni9Yaofei Xie10Department of Family Medicine, University of Virginia, Charlottesville, Virginia, USADongfeng Hospital, Hubei University of Medicine, Shiyan, Hubei, China1 Department of Nursing, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin, ChinaRenmin Hospital, Hubei University of Medicine, Shiyan, Hubei, ChinaSchool of Public Health, Wuhan University, Wuhan, Hubei, ChinaSchool of Nursing, Hubei University of Chinese Medicine, Wuhan, ChinaTongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaState Key Laboratory of Traditional Chinese Medicine Syndrome, Chinese Medicine Guangdong Laboratory, Guangdong Provincial Key Laboratory of Chinese Medicine for Prevention and Treatment of Refractory Chronic Diseases, Big Data Research Center of Chinese Medicine, Department of Nephrology, the Second Clinical College of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaRenmin Hospital, Hubei University of Medicine, Shiyan, Hubei, ChinaSchool of Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Wuhan University, Wuhan, Hubei, ChinaObjective To identify the relationship between obesity indicators and hypertension–diabetes comorbidity (HDC) among adults in central China.Design and setting A cross-sectional study was conducted from 1 June 2015 to 30 September 2018 in 11 districts of Hubei Province, China.Participants A total of 29 396 participants aged 18 years or above were enrolled in the study. 2083 subjects with missing data were excluded. Eventually, 25 356 participants were available for the present analysis.Main outcome measures Data were subjected to univariable and multivariable logistic regression to examine the association between obesity indicators (body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR)) and HDC prevalence. Crude odds ratio and adjusted OR (AOR) with associated 95% CI were calculated.Results Overall, 2.8% of the respondents had HDC. The odds of HDC prevalence increased with the BMI of the participants (18.5≤BMI (kg/m2)≤23.9—1; 24≤BMI (kg/m2)≤26.9—AOR: 5.66, 95% CI: 4.25 to 7.55; BMI (kg/m2)≥27—AOR: 7.96, 95% CI: 5.83 to 10.87). The risk of HDC also increased with the WHtR of participants (WHtR≤P25—1; P25≤WHtR≤P50—AOR: 1.73, 95% CI: 1.10 to 2.71; P50 ≤WHtR≤P75—AOR: 2.51, 95% CI: 1.60 to 3.92; WHtR≥P75—AOR: 3.22, 95% CI: 2.01 to 5.16). Stratified analysis by gender showed that high BMI and WHtR were risk factors of HDC in males and females. However, the odds of HDC prevalence increased only when WHtR≥P75 in males, whereas the probability of HDC increased when WHtR≥ P25 in females.Conclusion High BMI and WHtR can increase the risk of HDC among Chinese adults. Reasonable control of BMI and WHtR may be beneficial in preventing HDC. Females should focus on maintaining an optimal WHtR earlier.https://bmjopen.bmj.com/content/12/7/e052674.full |
| spellingShingle | Li Li Ling Li Ying Wang Wenwen Wu Xiaodong Tan Fen Yang Jinru Yang Yifan Wu Donghan Sun Ziling Ni Yaofei Xie Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China BMJ Open |
| title | Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China |
| title_full | Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China |
| title_fullStr | Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China |
| title_full_unstemmed | Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China |
| title_short | Relationship between obesity indicators and hypertension–diabetes comorbidity among adults: a population study from Central China |
| title_sort | relationship between obesity indicators and hypertension diabetes comorbidity among adults a population study from central china |
| url | https://bmjopen.bmj.com/content/12/7/e052674.full |
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