文献类型：期刊文献

中文题名：Abdominal Obesity and Its Attribution to All-cause Mortality in the General Population with 14 Years Follow-up:Findings from Shanxi Cohort in China

英文题名：Abdominal Obesity and Its Attribution to All-cause Mortality in the General Population with 14 Years Follow-up: Findings from Shanxi Cohort in China

作者：Zhai Yi[1];Ren Ze Ping[2];Zhang Mei;Zhang Jian[4];Jiang Yong[1];Mi Sheng Quan[3,5];Wang Zhuo Qun[3];Zhao Yan Fang[3];Song Peng Kun[4];Yin Zhao Xue[6];Zhao Wen Hua[4]

第一作者：Zhai Yi

通讯作者：Zhao, WH[1]

机构：[1]Capital Med Univ, Beijing Tian Tan Hosp, China Natl Clin Res Ctr Neurol Dis, Beijing 100070, Peoples R China;[2]Shanxi Prov Ctr Dis Control & Prevent, Div Noncommunicable Dis Control, Taiyuan 030012, Shanxi, Peoples R China;[3]Chinese Ctr Dis Control & Prevent, Natl Ctr Chron & Noncommunicable Dis Control & Pr, Beijing 100050, Peoples R China;[4]Chinese Ctr Dis Control & Prevent, Natl Inst Nutr & Hlth, Beijing 100050, Peoples R China;[5]Beijing Union Univ, Coll Biochem Engn, Dept Food Sci, Beijing 100023, Peoples R China;[6]Chinese Ctr Dis Control & Prevent, Div Noncommunicable Dis Control & Ageing Hlth, Beijing 102206, Peoples R China

第一机构：Capital Med Univ, Beijing Tian Tan Hosp, China Natl Clin Res Ctr Neurol Dis, Beijing 100070, Peoples R China

通讯机构：[1]corresponding author), Chinese Ctr Dis Control & Prevent, Natl Inst Nutr & Hlth, Beijing 100050, Peoples R China.

年份：2020

卷号：33

期号：4

起止页码：227-237

中文期刊名：生物医学与环境科学：英文版

外文期刊名：BIOMEDICAL AND ENVIRONMENTAL SCIENCES

收录：;Scopus(收录号：2-s2.0-85085157332);WOS:【SCI-EXPANDED(收录号:WOS:000539379000002)】；CSCD:【CSCD2019_2020】；PubMed;

基金：This work was supported by National Key R&D Program of China [2016YFC0901001]; National Key Technology R&D Program in China [No. 2008BAI56B04].

语种：英文

中文关键词：Waist circumference;All-cause mortality;Cohort study

外文关键词：Waist circumference; All-cause mortality; Cohort study

摘要：Objective This study aimed to assess the association of waist circumference(WC)with all-cause mortality among Chinese adults.Methods The baseline data were from Shanxi Province of 2002 China Nutrition and Health Survey.The death investigation and follow-up visit were conducted from December 2015 to March 2016.The visits covered up to 5,360 of 7,007 participants,representing a response rate of 76.5%.The Cox regression model and floating absolute risk were used to estimate hazard ratio and 95%floating CI of death by gender and age groups(≥60 and<60 years old).Sensitivity analysis was performed by excluding current smokers;participants with stroke,hypertension,and diabetes;participants who accidentally died;and participants who died during the first 2 years of follow-up.Results This study followed 67,129 person-years for 12.5 years on average,including 615 deaths.The mortality density was 916 per 100,000 person-years.Low WC was associated with all-cause mortality among men.Multifactor-adjusted hazard ratios(HR)were 1.60(1.35–1.90)for WC<75.0 cm and 1.40(1.11–1.76)for WC ranging from 75.0 cm to 79.9 cm.Low WC(<70.0 cm and 70.0–74.9 cm)and high WC(≥95.0 cm)groups had a high risk of mortality among women.The adjusted HRs of death were 1.43(1.11–1.83),1.39(1.05–1.84),and 1.91(1.13–3.22).Conclusion WC was an important predictor of death independent of body mass index(BMI).WC should be used as a simple rapid screening and predictive indicator of the risk of death.
Objective This study aimed to assess the association of waist circumference (WC) with all-cause mortality among Chinese adults. Methods The baseline data were from Shanxi Province of 2002 China Nutrition and Health Survey. The death investigation and follow-up visit were conducted from December 2015 to March 2016. The visits covered up to 5,360 of 7,007 participants, representing a response rate of 76.5%. The Cox regression model and floating absolute risk were used to estimate hazard ratio and 95% floating CI of death by gender and age groups (>= 60 and < 60 years old). Sensitivity analysis was performed by excluding current smokers; participants with stroke, hypertension, and diabetes; participants who accidentally died; and participants who died during the first 2 years of follow-up. Results This study followed 67,129 person-years for 12.5 years on average, including 615 deaths. The mortality density was 916 per 100,000 person-years. Low WC was associated with all-cause mortality among men. Multifactor-adjusted hazard ratios (HR) were 1.60 (1.35-1.90) for WC < 75.0 cm and 1.40 (1.11-1.76) for WC ranging from 75.0 cm to 79.9 cm. Low WC (< 70.0 cm and 70.0-74.9 cm) and high WC (>= 95.0 cm) groups had a high risk of mortality among women. The adjusted HRs of death were 1.43 (1.11-1.83), 1.39 (1.05-1.84), and 1.91 (1.13-3.22). Conclusion WC was an important predictor of death independent of body mass index (BMI). WC should be used as a simple rapid screening and predictive indicator of the risk of death.