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Prevalence of hypertension and associated risk factors in Chinese Jing compared with Mulao populations
Rui-Bin Xie1, Pei-Juan Liao1, Rui-Xing Yin2
1Department of Cardiology, Institute of Cardiovascular Diseases, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Insights
Hypertension prevalence and risk factors differ between Chinese Jing and Mulao populations. Jing people had lower overall hypertension but higher isolated systolic hypertension, influenced by lifestyle and genetics.
Area of Science:
- Cardiovascular Epidemiology
- Medical Anthropology
- Public Health
Background:
- Hypertension is a significant global health concern.
- Understanding ethnic variations in hypertension prevalence and risk factors is crucial for targeted public health interventions.
Purpose of the Study:
- To compare the prevalence of hypertension and associated risk factors between the Chinese Jing and Mulao ethnic populations.
- To identify demographic, dietary, and lifestyle factors contributing to hypertension disparities.
Main Methods:
- Retrospective study involving stratified randomized sampling of Jing and Mulao subjects (aged ≥ 35 years).
- Data collection included questionnaires on demography, diet, and lifestyle, alongside anthropometric measurements, blood pressure, and serum lipid levels.
Main Results:
- Lower diastolic blood pressure and overall hypertension prevalence were observed in the Jing population compared to the Mulao population.
- The Jing population exhibited a higher prevalence of isolated systolic hypertension.
- Hypertension prevalence correlated with age, smoking, BMI, triglyceride levels, waist circumference, sodium intake, and dietary fiber, with variations between the two groups.
Conclusions:
- Significant differences in hypertension prevalence and risk factors exist between the Jing and Mulao ethnic minorities.
- These disparities may stem from combined influences of geographic, dietary, lifestyle, and genetic backgrounds.
Objective:
*These authors contributed equally to this work. At present, they work at the Hezhou People's Hospital, Hezhou, China.To retrospectively compare differences in the prevalence of hypertension and associated risk factors between the Chinese Jing and Mulao populations.
Methods:
Subjects of Jing and Mulao ethnicities were surveyed using stratified randomized sampling. Demography, diet and lifestyle data were collected using standardized questionnaires. Several anthropometric parameters, blood pressure (BP) levels and serum lipid concentrations were obtained.
Results:
Data from 915 Jing and 911 Mulao subjects aged ≥ 35 years were included. Diastolic BP levels and prevalence of hypertension were lower, but prevalence of isolated systolic hypertension was higher, in the Jing compared with the Mulao population. Prevalence of hypertension in the age 60-69 years, body mass index (BMI) > 24 kg/m(2), and smoker subgroups was lower in the Jing compared with the Mulao populations. Prevalence of hypertension correlated with age, cigarette smoking, triglyceride level, waist circumference, sodium intake and total dietary fibre in the Jing population; hypertension prevalence also correlated with age, triglyceride level, BMI, total fat, sodium intake and total dietary fibre in the Mulao population (unconditional logistic regression analyses).
Conclusions:
Prevalence of hypertension and associated risk factors were different between the two ethnic minorities, which might result from the combined effects of differences in their geographic, dietary, lifestyle, and genetic backgrounds.
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