Nutrition
Volume 25, Issue 11 , Pages 1143-1149 , November 2009

Obesity and its associations with hypertension and type 2 diabetes among Chinese adults age 40 years and over

  • Yan-Hong He, M.S.

      Affiliations

    • School of Public Health, Shanghai Jiao Tong University, Shanghai, China
  • ,
  • Guo-Xin Jiang, M.D., Ph.D.

      Affiliations

    • School of Public Health, Shanghai Jiao Tong University, Shanghai, China
    • Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden
  • ,
  • Yan Yang, M.S.

      Affiliations

    • School of Public Health, Shanghai Jiao Tong University, Shanghai, China
  • ,
  • Hong-Er Huang, M.D.

      Affiliations

    • Baoshan District Center for Disease Control and Prevention, Shanghai, China
  • ,
  • Rui Li, M.D.

      Affiliations

    • Shanghai Municipal Center of Disease Control and Prevention, Shanghai, China
  • ,
  • Xiao-Ying Li, M.D., Ph.D.

      Affiliations

    • Shanghai Clinical Center for Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
  • ,
  • Guang Ning, M.D., Ph.D.

      Affiliations

    • Shanghai Clinical Center for Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai, China
    • Corresponding Author InformationCorresponding author. Tel.: +86-21-53061167; fax: +86-21-53061167.
  • ,
  • Qi Cheng, Ph.D.

      Affiliations

    • School of Public Health, Shanghai Jiao Tong University, Shanghai, China
    • Corresponding Author InformationCorresponding author. Tel.: +86-21-53061167; fax: +86-21-53061167.

Received 26 September 2008 ,Accepted 8 April 2009.

References 

  1. Sharma AM, Chetty VT. Obesity, hypertension and insulin resistance. Acta Diabetol. 2005;42:S3–S8
  2. Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr. 2002;75:971–977
  3. Carey VJ, Walters EE, Colditz GA, et al. Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women. The Nurses' Health Study. Am J Epidemiol. 1997;145:614–619
  4. Pouliot MC, Després JP, Lemieux S, et al. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol. 1994;73:460–468
  5. Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB. Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr. 2005;81:555–563
  6. Cornier MA, Tate CW, Grunwald GK, Bessesen DH. Relationship between waist circumference, body mass index, and medical care costs. Obes Res. 2002;10:1167–1172
  7. Abate N, Garg A, Peshock RM, Stray-Gundersen J, Grundy SM. Relationships of generalized and regional adiposity to insulin sensitivity in men. J Clin Invest. 1995;96:88–98
  8. Huang KC, Lin WY, Lee LT, et al. Four anthropometric indices and cardiovascular risk factors in Taiwan. Int J Obes Relat Metab Disord. 2002;26:1060–1068
  9. Onat A, Sari I, Hergenç G, et al. Predictors of abdominal obesity and high susceptibility of cardiometabolic risk to its increments among Turkish women: a prospective population-based study. Metabolism. 2007;56:348–356
  10. World Health Organization. Obesity . Preventing and Managing the Global Epidemic Report of a WHO Consultation on Obesity. Geneva: World Health Organization; 1998;
  11. Deurenberg P, Yap M, van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord. 1998;22:1164–1171
  12. Yoshiike N, Matsumura Y, Zaman MM, Yamaguchi M. Descriptive epidemiology of body mass index in Japanese adults in a representative sample from the National Nutrition Survey 1990–1994. Int J Obes Relat Metab Disord. 1998;22:684–687
  13. James PT, Leach R, Kalamara E, Shayeghi M. The worldwide obesity epidemic. Obes Res. 2001;9:228–233
  14. Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass index/body fat percent relationship. Obes Rev. 2002;3:141–146
  15. Deurenberg-Yap M, Yian TB, Kai CS, Deurenberg P, van Staveren WA. Manifestation of cardiovascular risk factors at low levels of body mass index and waist-to-hip ratio in Singaporean Chinese. Asia Pac J Clin Nutr. 1999;8:177–183
  16. Ko GT, Chan JC, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes Relat Metab Disord. 1999;23:1136–1142
  17. World Health Organization Western Pacific Region . International Association for the Study of Obesity and the International Obesity Task Force. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications Australia Pty Limited; 2000;
  18. World Health Organization. Obesity . preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:1–253
  19. Asia Pacific Cohort Studies Collaboration. The burden of overweight and obesity in the Asia–Pacific region. Obes Rev. 2007;8:191–196
  20. National High Blood Pressure Education Program . The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1997;157:2413–2446
  21. World Health Organization . Definition, Diagnosis and Classification of Diabetes Mellitus and its Complication. Report of a WHO Consultation, Part 1. Diagnosis and Classification of Diabetes Mellitus. Geneva, Switzerland: WHO; 1999;
  22. Oqden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Fleqal KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–1555
  23. Aoyagi K, Kusano Y, Takamura N, Abe Y, Osaki M, Une H. Obesity and cardiovascular risk factors among men and women age 40 years and older in a rural area of Japan. J Physiol Anthropol. 2006;25:371–375
  24. Reynolds K, Gu D, Whelton PK, et al. Prevalence and risk factors of overweight and obesity in China. Obesity (Silver Spring). 2007;15:10–18
  25. The InterASIA Collaborative Group. Cardiovascular risk factor levels in urban and rural Thailand—The International Collaborative Study of Cardiovascular Disease in Asia (InterASIA). Eur J Cardiovasc Prev Rehabil. 2003;10:249–257
  26. Sabanayagam C, Shankar A, Wong TY, Saw SM, Foster PJ. Socioeconomic status and overweight/obesity in an adult Chinese population in Singapore. J Epidemiol. 2007;17:161–168
  27. Yoshiike N, Seino F, Tajima S, et al. Twenty-year changes in the prevalence of overweight in Japanese adults: The National Nutrition Survey 1976–95. Obes Rev. 2002;3:183–190
  28. Wang Y, Mi J, Shan XY, Wang QJ, Ge KY. Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes. 2007;31:177–188
  29. Jia WP, Xiang KS, Chen L, Lu JX, Wu YM. Epidemiological study on obesity and its comorbidities in urban Chinese older than 20 years of age in Shanghai, China. Obes Rev. 2002;3:157–165
  30. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes. 1998;22:39–47
  31. Li C, Ford ES, McGuire LC, Mokdad AH. Increasing trends in waist circumference and abdominal obesity among US adults. Obesity (Silver Spring). 2007;15:216–224
  32. Liao EY, Wu XP, Deng XG, et al. Age-related bone mineral density, accumulated bone loss rate and prevalence of osteoporosis at multiple skeletal sites in Chinese women. Osteoporos Int. 2002;13:669–676
  33. Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr. 2008;87:801–809

 This study was supported by funds from Shanghai Science and Technology Commission (04DZ19502), (07DJ14005), Natural Science Foundation of School of Medicine, Shanghai Jiao Tong University (06XJ21202), Shanghai, China.

PII: S0899-9007(09)00176-2

doi: 10.1016/j.nut.2009.04.003

Nutrition
Volume 25, Issue 11 , Pages 1143-1149 , November 2009