The prevalence of isolated systolic hypertension in adult populations from the Han, Uygur and Kazakh ethnic groups in Xinjiang, China. (June 2014)

• Record Type: Journal Article
• Authors: Liu, Fen; Ma, Yi-Tong; Yang, Yi-Ning; Zhen, Yu-Jian; Xie, Xiang; Li, Xiao-Mei; Ma, Xiang; Chen, Bang-Dang; Huang, Ying; Shan, Chun-Fang; Gao, Xiao-Ming
• Is Part Of: Blood pressure. Volume 23:Number 3(2014)
• Page Start: 154
• Page End: 159
• Publication Date: 2014-06
• Subjects: Blood pressure -- Periodicals; Hypertension -- Periodicals; Hypertension -- Periodicals; Blood Pressure -- Periodicals; 612.14
• DOI: 10.3109/08037051.2013.838827
• Languages: English
• ISSNs: 0803-7051

Abstract

<abstract> <title>Abstract</title> <p> <italic>Objectives.</italic> To estimate the current prevalence and epidemiology of isolated systolic hypertension (ISH) among adult populations from different ethnic groups in Xinjiang province and to further establish a theoretical basis for developing personalized therapeutic strategies for hypertensive populations. <italic>Methods</italic>. To analyze the prevalence and risk factors of ISH in different ethnic groups in Xinjiang province, a cluster sampling method was adopted to conduct a cross-sectional study on people aged 35 years and older from the Han, Uygur and Kazakh populations in the Urumqi, Kelamayi, Hetian, Zhaosu, Fukang, Tulufan and Fuhai. <italic>Results</italic>. A total of 14, 618 adults were surveyed with a response rate of 88.80%. The overall prevalence of ISH was 11.95% (men: 10.84% vs women: 12.92%); the prevalence of ISH in women was significantly higher (χ<sup>2</sup> = 15.06, <italic>p = </italic>0.00) than that in men. The prevalence varied significantly with age (χ<sup>2</sup> = 822.71, <italic>p = </italic>0.00) and increased in the elderly (χ<sup>2</sup> = 769.59, <italic>p = </italic>0.00). A logistic regression analysis revealed that age, obesity, diabetes and dyslipidemia are major risk factors for ISH; patients with hypertension combined with obesity or diabetes are at a high risk of ISH. <italic>Conclusions</italic>. The prevalence of ISH in Xinjiang is higher than average and exhibits a gender difference. There is a trend of increased prevalence with increasing age. Populations with obesity, diabetes or dyslipidemia, and patients who have hypertension combined with obesity and/or diabetes, should be aware of early preventive interventions.</p> </abstract>