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Cardiovascular health in urban Chinese children and adolescents.

Published on Mar 12, 2019in Annals of Medicine3.049
· DOI :10.1080/07853890.2019.1580383
Yinkun Yan4
Estimated H-index: 4
(Capital Medical University),
Yinkun Yan4
Estimated H-index: 4
(Capital Medical University)
+ 4 AuthorsJie Mi6
Estimated H-index: 6
(Capital Medical University)
Abstract
Introduction: Cardiovascular diseases remain the leading cause of death and disease burden in China and worldwide. We aimed to evaluate the status of cardiovascular health among urban Chinese children and adolescents.Methods: We conducted a cross-sectional study comprising 12,618 children and adolescents aged 6–18 years, who were recruited from Chinese urban areas during 2013–2015. The poor, intermediate, and ideal levels of 7 cardiovascular health metrics, including smoking, body mass index, dietary intake, physical activity, blood pressure, blood glucose, and total cholesterol were defined according to revised American Heart Association criteria.Results: Ideal smoking status was the most prevalent health component (overall, 90.7%; males, 86.3% and females, 95.4%), whereas ideal health diet score (overall, 8.7%; males, 9.1% and females, 8.3%) was the least prevalent among urban Chinese children and adolescents. The majority (overall, 84.9%; males, 82.6% and females, 87.4%) of participants had 3–5...
  • References (27)
  • Citations (3)
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References27
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#1Weili Yan (Fudan University)H-Index: 1
#1Weili YanH-Index: 10
Last. Fang LiuH-Index: 8
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Objective:This study reevaluated the secular trends of blood pressure and hypertension prevalence in Chinese children and adolescents by adjusting for growing body sizes.Methods:The study population was from the China Health and Nutrition Survey (1991–2011) and included 7358 boys and 6881 girls aged
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#1David B Hipgrave (UNICEF)H-Index: 20
#2Suying Chang (UNICEF)H-Index: 8
Last. Yongning WuH-Index: 34
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32 CitationsSource
#1Maigeng Zhou (UW: University of Washington)H-Index: 11
#2Haidong Wang (UW: University of Washington)H-Index: 43
Last. Xiao-feng Liang (CCDC: Chinese Center for Disease Control and Prevention)H-Index: 4
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Summary Background China has experienced a remarkable epidemiological and demographic transition during the past three decades. Far less is known about this transition at the subnational level. Timely and accurate assessment of the provincial burden of disease is needed for evidence-based priority setting at the local level in China. Methods Following the methods of the Global Burden of Disease Study 2013 (GBD 2013), we have systematically analysed all available demographic and epidemiological d...
472 CitationsSource
#1Yufang Bi (SJTU: Shanghai Jiao Tong University)H-Index: 36
#2Yong Jiang (CCDC: Chinese Center for Disease Control and Prevention)H-Index: 18
Last. Guang Ning (SJTU: Shanghai Jiao Tong University)H-Index: 53
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Abstract Background Cardiovascular disease has become the leading cause of death in China. Objectives The goal of this study was to evaluate the current status of cardiovascular health in Chinese adults. Methods Cardiovascular health data were collected from a nationally representative sample of 96,121 Chinese adults age ≥20 years in 2010. Ideal cardiovascular health was defined according to the American Heart Association’s 2020 Strategic Impact Goals as follows: the simultaneous presence of 4 f...
64 CitationsSource
#1Gonghuan Yang (Peking Union Medical College)H-Index: 30
#1Gong-HuanYang (Peking Union Medical College)
Last. Xia Wan (Peking Union Medical College)H-Index: 13
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Summary The non-communicable disease burden in China is enormous, with tobacco use a leading risk factor for the major non-communicable diseases. The prevalence of tobacco use in men is one of the highest in the world, with more than 300 million smokers and 740 million non-smokers exposed to second-hand smoke. In the past decade public awareness of the health hazards of tobacco use and exposure to second-hand smoke has grown, social customs and habits have changed, aggressive tactics used by the...
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#1Hongyan Ning (NU: Northwestern University)H-Index: 30
#2Darwin R. LabartheH-Index: 55
Last. Donald M. Lloyd-JonesH-Index: 96
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Background—The American Heart Association recently defined cardiovascular health (CVH) to monitor it over time for all Americans. Nationally representative prevalence estimates for children under 12 years according to sex and race/ethnicity have not been reported. Methods and Results—The study sample comprised 8961 children aged 2 to 11 years from 2003 to 2010 National Health and Nutrition Examination Surveys. National prevalence of ideal, intermediate, and poor CVH as defined by American Heart ...
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#1Abstr Act (Harvard University)H-Index: 65
#2Dariush Mozaffarian (Harvard University)H-Index: 122
Last. John Powles (University of Cambridge)H-Index: 32
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BACKGROUND High sodium intake increases blood pressure, a risk factor for cardiovascular disease, but the effects of sodium intake on global cardiovascular mortality are uncertain. METHODS We collected data from surveys on sodium intake as determined by urinary excretion and diet in persons from 66 countries (accounting for 74.1% of adults throughout the world), and we used these data to quantify the global consumption of sodium according to age, sex, and country. The effects of sodium on blood ...
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#1You Chen (CSU: Central South University)H-Index: 1
#2Zhonghui Zheng (CSU: Central South University)H-Index: 1
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Background Studies in western countries have revealed that excessive sedentary behavior is a major risk factor for physical inactivity in adolescents. This study was performed to investigate the association between sedentary behavior and physical inactivity in Chinese adolescents using a large-scale cross-sectional survey design.
20 CitationsSource
#1Hai-Yun Wu (Chinese PLA General Hospital)H-Index: 3
#2Zhonghua Sun (Curtin University)H-Index: 16
Last. Qiang Zeng (Chinese PLA General Hospital)H-Index: 2
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Abstract Background The American Heart Association (AHA) recently developed definitions of cardiovascular health for adults and children based on 7 cardiovascular disease risk factors or health behaviors. We applied this new construct to examine the cardiovascular health status in adult Chinese urban residents. Methods Data of 1,012,418 subjects aged 20–65years (55% were men; mean age, 42.4years) who received health examination at 58 health examination centers across China was analyzed. The AHA ...
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#1Qiang Zeng (Chinese PLA General Hospital)H-Index: 2
#1Qiang Zeng (Chinese PLA General Hospital)H-Index: 3
Last. Ling-Na Mao (ZJU: Zhejiang University)H-Index: 1
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Abstract Background The American Heart Association's 2020 Strategic Goals define a new concept of cardiovascular health. However, the prevalence of ideal cardiovascular health outside of the United States is unclear, and its relationship with psychological status has not been reported. Method We included 9962 participants (mean age 47.1years; 44.2% women) from the survey of the Disease Risk Evaluation and Health Management study from October 2009 to Feb 2012. The prevalence of poor, intermediate...
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#1Peijie Chen (SUS: Shanghai University of Sport)H-Index: 16
Last. Yong Zhang (Tianjin University of Sport)
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China is experiencing significant public health challenges related to social and demographic transitions and lifestyle transformations following unprecedented economic reforms four decades ago. Of particular public health concern is the fourfold increase in overweight and obesity rates in the nation’s youth population, coupled with the low prevalence of adolescents meeting recommended levels of physical activity. Improving the overall health of China’s more than 170 million children and adolesce...
Source
#1Pei XiaoH-Index: 2
#2Hongbo Dong (Capital Medical University)H-Index: 1
Last. Jie Mi (Capital Medical University)H-Index: 6
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Objective Vitamin D deficiency has recently evolved as a major public health issue worldwide. But the relationship between vitamin D and cardiovascular health in children remains unclear. Accordingly, we aimed to examine the associations between 25-hydroxyvitamin D (25(OH)D) concentrations and cardiometabolic risk factors, and to assess the possible effect modification of obesity on the associations in a Chinese pediatric population. Research design and methods A cross-sectional sample of 6091 c...
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#1Yinkun Yan (Capital Medical University)H-Index: 4
#1Yinkun Yan (Capital Medical University)H-Index: 4
Last. Leina JiaH-Index: 1
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Abstract Objective To investigate the associations of fat mass in specific regions with cardiometabolic risk factors in Chinese children and adolescents. Patients and Methods This cross-sectional study consisted of 8460 children and adolescents aged 6 to 18 years from Chinese urban areas who underwent dual-energy x-ray absorptiometry for regional fat masses and had cardiometabolic risk factors measured between January 1, 2013, and December 31, 2015. Results In the multivariate model containing a...
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