Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province

Objective To investigate the effects of family history of hypertension, overweight/obesity and the interaction between the two factors on hypertension in Han and Manchu adults in Hebei Province, so to provide a reference for the prevention and control of hypertension in Hebei province. Methods A cro...

Full description

Bibliographic Details
Main Author: JIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang
Format: Article
Language:zho
Published: Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College. 2023-07-01
Series:Jichu yixue yu linchuang
Subjects:
Online Access:http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-43-7-1053.pdf
_version_ 1827386913621803008
author JIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang
author_facet JIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang
author_sort JIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang
collection DOAJ
description Objective To investigate the effects of family history of hypertension, overweight/obesity and the interaction between the two factors on hypertension in Han and Manchu adults in Hebei Province, so to provide a reference for the prevention and control of hypertension in Hebei province. Methods A cross-section survey by questionnaires investigation and physical examination was conducted in Hebei province in July to August 2017, a multistage stratified cluster sampling covering 4 633 Han and Manchu people aged 20-80 years old in Hebei province was performed. A multivariate Logistic regression model was used to analyze the effects of family history of hypertension and overweight/obesity on hypertension. Results After adjusting for ethnicity, sex, age, geographic distribution(urban/rural), economic income,education, smoking, drinking, physical exercise and daily activity, the risk of hypertension was 3.6(95% CI: 2.51-5.18) times higher in those with a family history of hypertension than those without the family history. The risk of hypertension in overweight/obese people was 2.90(95% CI: 1.92-4.37) times higher than non-overweight/obese people. The risk of hypertension was 9.78(95% CI: 6.86-13.95) times higher in population with the factors of overweight plus family history as compared to those with neither factors.The relative excess risk due to interaction (RERI) was 4.28(95% CI: 2.59-5.96), the synergy index (SI) was 1.95(95% CI: 1.54-2.47) and the attributable proportion due to interaction (AP) was 0.44(95% CI: 0.33-0.54). Conclusions Both family history of hypertension and overweight/obesity are associated with an increased risk of hypertension, and there is a positive additive interaction between the two factors.
first_indexed 2024-03-08T15:53:27Z
format Article
id doaj.art-3592569b7bc449b183d5b3f02e614ce4
institution Directory Open Access Journal
issn 1001-6325
language zho
last_indexed 2024-03-08T15:53:27Z
publishDate 2023-07-01
publisher Institute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.
record_format Article
series Jichu yixue yu linchuang
spelling doaj.art-3592569b7bc449b183d5b3f02e614ce42024-01-09T03:11:02ZzhoInstitute of Basic Medical Sciences and Peking Union Medical College Hospital, Chinese Academy of Medical Sciences / Peking Union Medical College.Jichu yixue yu linchuang1001-63252023-07-014371053105910.16352/j.issn.1001-6325.2023.07.1053Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei provinceJIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang01. Department of Epidemiology and Biostatistics,Institute of Basic Medical Sciences CAMS,School of Basic Medicine PUMC, Beijing 100005;;2. Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang 050000, ChinaObjective To investigate the effects of family history of hypertension, overweight/obesity and the interaction between the two factors on hypertension in Han and Manchu adults in Hebei Province, so to provide a reference for the prevention and control of hypertension in Hebei province. Methods A cross-section survey by questionnaires investigation and physical examination was conducted in Hebei province in July to August 2017, a multistage stratified cluster sampling covering 4 633 Han and Manchu people aged 20-80 years old in Hebei province was performed. A multivariate Logistic regression model was used to analyze the effects of family history of hypertension and overweight/obesity on hypertension. Results After adjusting for ethnicity, sex, age, geographic distribution(urban/rural), economic income,education, smoking, drinking, physical exercise and daily activity, the risk of hypertension was 3.6(95% CI: 2.51-5.18) times higher in those with a family history of hypertension than those without the family history. The risk of hypertension in overweight/obese people was 2.90(95% CI: 1.92-4.37) times higher than non-overweight/obese people. The risk of hypertension was 9.78(95% CI: 6.86-13.95) times higher in population with the factors of overweight plus family history as compared to those with neither factors.The relative excess risk due to interaction (RERI) was 4.28(95% CI: 2.59-5.96), the synergy index (SI) was 1.95(95% CI: 1.54-2.47) and the attributable proportion due to interaction (AP) was 0.44(95% CI: 0.33-0.54). Conclusions Both family history of hypertension and overweight/obesity are associated with an increased risk of hypertension, and there is a positive additive interaction between the two factors.http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-43-7-1053.pdfhypertension|family history|overweight/obesity|interaction
spellingShingle JIANG Chenchen, CUI Ze, PAN Li, SUN Jixin, HE Huijing, HU Yaoda, SHAN Guangliang
Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
Jichu yixue yu linchuang
hypertension|family history|overweight/obesity|interaction
title Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
title_full Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
title_fullStr Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
title_full_unstemmed Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
title_short Interaction of family history of hypertension and overweight/obesity on hypertension in Han and Manchu adults in Hebei province
title_sort interaction of family history of hypertension and overweight obesity on hypertension in han and manchu adults in hebei province
topic hypertension|family history|overweight/obesity|interaction
url http://journal11.magtechjournal.com/Jwk_jcyxylc/fileup/1001-6325/PDF/1001-6325-43-7-1053.pdf
work_keys_str_mv AT jiangchenchencuizepanlisunjixinhehuijinghuyaodashanguangliang interactionoffamilyhistoryofhypertensionandoverweightobesityonhypertensioninhanandmanchuadultsinhebeiprovince