July 3, 2002Obesity Reviews
Obesity, coronary heart disease risk factors and diabetes in Chinese: an approach to the criteria of obesity in the Chinese population
Key result
Increasing waist circumference predicted a 10-fold increase in hypertension and a 3-to-5-fold increased risk of diabetes, proving a stronger predictor than BMI in Chinese adults.
Why the study?
Does excess body weight increase the risk of hypertension and Type 2 diabetes in Chinese adults?
Population
2856 adults in a cross-sectional survey and 629 non-diabetic subjects in a 6-year prospective study from Da…
Comparison
Higher body mass index and waist circumference vs Lower body mass index and waist circumference
Design
Cohort
Follow-up
6 years (for the prospective cohort)
Authors
Discussion
Loading...
Member takes
Implication
May inform ethnicity-specific risk models in Chinese adults; extends BMI observations but remains hypothesis-generating.
Study Design
Type
Observational (n=2,856)
Structured PICO
Does excess body weight increase the risk of hypertension and Type 2 diabetes in Chinese adults?
P
Population
2856 adults (25-70 years of age) in a cross-sectional survey and 629 non-diabetic subjects in a 6-year prospective study from Da Qing City, northeastern China.
I
Intervention
Higher body mass index (BMI) and waist circumference
C
Comparator
Lower body mass index (BMI) and waist circumference
O
Outcome
Risk of hypertension and Type 2 diabetes
Small increases in BMI and waist circumference strongly predict substantial increases in the risk of diabetes and hypertension in Chinese adults, suggesting lower obesity cut-offs for this population.
Cite This Study
Li et al. (2002) conducted an observational in Obesity, coronary heart disease risk factors, and diabetes (n=2,856). Excess body weight (BMI and waist circumference) vs. Baseline BMI of 21.0 or normal waist circumference was evaluated on Development of hypertension, hypertriglyceridaemia, and Type 2 diabetes. Increasing waist circumference predicted a 10-fold increase in hypertension and a 3-to-5-fold increased risk of diabetes, proving a stronger predictor than BMI in Chinese adults.