PMID- 28368353 OWN - NLM STAT- MEDLINE DCOM- 20170817 LR - 20181202 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 14 IP - 4 DP - 2017 Apr 3 TI - The Prevalence of Hypertension Accompanied by High Homocysteine and its Risk Factors in a Rural Population: A Cross-Sectional Study from Northeast China. LID - 10.3390/ijerph14040376 [doi] LID - 376 AB - Previous studies found that hypertension and high homocysteine (HHcy) exhibited a synergistic effect on the risk of cardiovascular diseases. This study aimed to investigate the prevalence of hypertension accompanied by HHcy and its risk factors in the rural areas of northeast China. This study was conducted using a stratified cluster random sampling method, and included 6529 subjects with complete data. Demographic characteristics were obtained from a questionnaire. Blood pressure and anthropometric indices were measured, and serum indices were analyzed. Hypertension accompanied by HHcy was defined as hypertension plus HHcy [homocysteine (Hcy) > 10 micromol/L]. The mean concentration of Hcy was 17.29 mumol/L in the general population. The prevalence of hypertension accompanied by HHcy was so high that it reached 45.1% of our study population and accounted for 86.8% of the total participants with hypertension. Multiple logistic regression analysis indicated that the modifiable risk factors of hypertension accompanied by HHcy included obesity, diabetes, dyslipidemia, and inactive physical activities. We found that the mean level of Hcy, and the prevalences of HHcy and hypertension accompanied by HHcy were very high among the rural population of northeast China. Obesity, diabetes, dyslipidemia, and inactive physical activities were modifiable risk factors of hypertension accompanied by HHcy. FAU - Chang, Ye AU - Chang Y AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. chang.ye@stu.xjtu.edu.cn. FAU - Li, Yuan AU - Li Y AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. xi.aohan1989@163.com. FAU - Guo, Xiaofan AU - Guo X AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. guoxiaofan1986@foxmail.com. FAU - Chen, Yintao AU - Chen Y AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. chenyintao1990@126.com. FAU - Dai, Dongxue AU - Dai D AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. 18240409506@163.com. FAU - Sun, Yingxian AU - Sun Y AD - Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China. yxsun@mail.cmu.edu.cn. LA - eng PT - Journal Article DEP - 20170403 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Adult MH - Aged MH - China/epidemiology MH - Cross-Sectional Studies MH - Female MH - Homocysteine/blood MH - Humans MH - Hyperhomocysteinemia/complications/*epidemiology MH - Hypertension/complications/*epidemiology MH - Male MH - Middle Aged MH - Prevalence MH - Risk Factors MH - Rural Population PMC - PMC5409577 OTO - NOTNLM OT - cross-sectional study OT - homocysteine OT - hypertension OT - rural population COIS- The authors declare no conflict of interest. EDAT- 2017/04/04 06:00 MHDA- 2017/08/18 06:00 PMCR- 2017/04/01 CRDT- 2017/04/04 06:00 PHST- 2017/01/07 00:00 [received] PHST- 2017/03/29 00:00 [revised] PHST- 2017/04/01 00:00 [accepted] PHST- 2017/04/04 06:00 [entrez] PHST- 2017/04/04 06:00 [pubmed] PHST- 2017/08/18 06:00 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - ijerph14040376 [pii] AID - ijerph-14-00376 [pii] AID - 10.3390/ijerph14040376 [doi] PST - epublish SO - Int J Environ Res Public Health. 2017 Apr 3;14(4):376. doi: 10.3390/ijerph14040376.