1. Smoking, heavy drinking, physical inactivity, and obesity among middle-aged and older adults in China: cross-sectional findings from the baseline survey of CHARLS 2011–2012
- Author
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Yanxun Liu, Rui Wang, Ding Lijie, Edwin C.K. Tan, Yajun Liang, Fuzhong Xue, Yin Hu, and Chi Zhang
- Subjects
Male ,Rural Population ,Longitudinal study ,Urban Population ,Health Status ,Disease ,Cardiovascular disease prevention ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Risk Factors ,Surveys and Questionnaires ,Epidemiology ,Prevalence ,Medicine ,Longitudinal Studies ,030212 general & internal medicine ,Public health ,education.field_of_study ,lcsh:Public aspects of medicine ,Smoking ,Diabetes ,Public Health, Global Health, Social Medicine and Epidemiology ,Middle Aged ,Hypertension ,Female ,Research Article ,China ,medicine.medical_specialty ,Alcohol Drinking ,Population ,03 medical and health sciences ,Environmental health ,Diabetes mellitus ,Humans ,Obesity ,education ,Exercise ,Life Style ,Aged ,Behavioral risk factors ,High cholesterol ,business.industry ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,medicine.disease ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,Cross-Sectional Studies ,Logistic Models ,Sedentary Behavior ,Biostatistics ,business - Abstract
Background Prevention and control of cardiometabolic conditions and cardiovascular disease (CVD) in China may contribute to sustainable CVD reduction globally, given the fact that one-fifth of the worldwide population is in China. Knowing the distribution of behavioral risk factors (e.g., smoking and physical inactivity), especially at a national level in China, would be extremely relevant to the field of public health and CVD prevention. The objectives of this study were to investigate the nationwide prevalence of obesity, smoking, heavy drinking, and physical inactivity in Chinese adults, and further explore whether cardiometabolic conditions would modify the distribution of behavioral risk factors. Methods This population-based study is based on the China Health and Retirement Longitudinal Study (2011–2012), including 17,302 adults (≥45 years, mean age 59.67 years, female 51.66%) from 25 provinces in China. Data on demographics, lifestyle factors, health status and history of diseases were collected via structured interviews and laboratory tests. Smoking, heavy drinking, obesity, and physical inactivity were defined following standard guidelines. We performed descriptive analysis and logistic regressions in this study. Results The overall prevalence of heavy drinking, obesity, current smoking, and physical inactivity among middle-aged and older adults was 7.23% (95% confidence interval 6.53—7.29%), 11.53% (10.43—12.62%), 27.46% (26.30—28.62%), and 44.06% (41.19—46.92%), respectively. The prevalence varied between rural and urban areas as well as among geographic areas, with higher prevalence in the Northern and Northeastern regions. Heavy drinking and obesity were significantly associated with incident hypertension, diabetes, and high cholesterol; while current smoking was significantly associated with incident hypertension. Compared with healthy individuals, participants who self-reported a diagnosis of hypertension, high cholesterol, or diabetes were less likely to smoke currently and drink alcohol heavily, but more likely to be physically inactive and obese. Conclusions Among Chinese middle-aged and older adults, the prevalence of behavioral risk factors varies by geographic region. Further effort is required to improve physical activity and fitness for Chinese adults, especially those with cardiometabolic conditions.
- Published
- 2020