PMID- 24165029
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20131029
LR  - 20211021
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 3
IP  - 10
DP  - 2013 Oct 28
TI  - Increased waist circumference and prevalence of type 2 diabetes and hypertension 
      in Chinese adults: two population-based cross-sectional surveys in Shanghai, 
      China.
PG  - e003408
LID - 10.1136/bmjopen-2013-003408 [doi]
LID - e003408
AB  - OBJECTIVE: To evaluate the changes in body mass index (BMI) and waist 
      circumference (WC) and their associations with the prevalence of hypertension and 
      type 2 diabetes mellitus (T2DM) in Chinese adults. DESIGN: 2 consecutive 
      population-based cross-sectional surveys. SETTING: A total of 12 districts and 
      seven counties in Shanghai, China. PARTICIPANTS: 12 329 randomly selected 
      participants of the survey in 2002-2003, and 7423 randomly selected participants 
      of the survey in 2009. All participants were residents of Shanghai aged 35-74 
      years. OUTCOME MEASURES: Measured BMI and WC. Previously diagnosed and newly 
      identified hypertension and T2DM by measured blood pressure, fasting and postload 
      glucose. RESULTS: While the participants of the two surveys were comparable in 
      BMI in each age group, the participants of the 2009 survey had significantly 
      larger WC than those of the 2002-2003 survey, with an annual percentage change 
      being higher among participants aged 45-49 years in men and women. The increase 
      in prevalence of T2DM was observed in all age groups and also appeared more 
      evident in participants aged 45-49 years. The prevalence of hypertension was 
      observed to increase more rapidly in elderly men and middle-aged women. Obesity, 
      both overt and central, was associated with the risk of the two diseases, but BMI 
      was more strongly linked to hypertension while WC appeared more evidently related 
      with T2DM. CONCLUSIONS: The prevalence of central obesity and related chronic 
      diseases has been increasing in Shanghai, China. Our findings provide useful 
      information for the projection of the growing burden of T2DM and hypertension in 
      Chinese adults.
FAU - Ruan, Ye
AU  - Ruan Y
AD  - Department of Diabetes Prevention and Control, Shanghai Municipal Center for 
      Disease Control and Prevention, Shanghai, People's Republic of China.
FAU - Mo, Miao
AU  - Mo M
FAU - Joss-Moore, Lisa
AU  - Joss-Moore L
FAU - Li, Yan Yun
AU  - Li YY
FAU - Yang, Qun Di
AU  - Yang QD
FAU - Shi, Liang
AU  - Shi L
FAU - Zhang, Hua
AU  - Zhang H
FAU - Li, Rui
AU  - Li R
FAU - Xu, Wang Hong
AU  - Xu WH
LA  - eng
GR  - D43 TW008313/TW/FIC NIH HHS/United States
PT  - Journal Article
DEP - 20131028
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
PMC - PMC3816232
OTO - NOTNLM
OT  - Epidemiology
OT  - Public Health
EDAT- 2013/10/30 06:00
MHDA- 2013/10/30 06:01
PMCR- 2013/10/28
CRDT- 2013/10/30 06:00
PHST- 2013/10/30 06:00 [entrez]
PHST- 2013/10/30 06:00 [pubmed]
PHST- 2013/10/30 06:01 [medline]
PHST- 2013/10/28 00:00 [pmc-release]
AID - bmjopen-2013-003408 [pii]
AID - 10.1136/bmjopen-2013-003408 [doi]
PST - epublish
SO  - BMJ Open. 2013 Oct 28;3(10):e003408. doi: 10.1136/bmjopen-2013-003408.