期刊
ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
卷 29, 期 4, 页码 278-287出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1010539517704042
关键词
hypertension; noncommunicable disease; obesity; Pacific Islands; Palau; WHO STEPS
资金
- Health and Labour Sciences Research Grants for Research on Global Health Issues from the Ministry of Health, Labour and Welfare, Government of Japan [H24-chikyukibo-ippan-004]
- Grants-in-Aid for Scientific Research [25257505] Funding Source: KAKEN
The rise of noncommunicable diseases is a serious health burden for Palau. This study described the prevalence of hypertension, and assessed its association with obesity. Surveys following the WHO STEPwise approach to surveillance were conducted in 2529 adults. Multivariate prevalence ratios (PR) of hypertension for body mass index (BMI) categories were calculated by logistic regression models using conditional standardization procedure. Age- and sex-specified analyses were performed. Overall prevalence of obesity and hypertension were 40.4% and 46.8%, respectively. Prevalence of hypertension was positively associated with BMI. However, overweight men had as high prevalence of hypertension as the obese (multivariable-adjusted PR was 1.84 for overweight and 1.91 for obese compared with nonoverweight). The association between hypertension and BMI was similar across age groups. The prevalence of hypertension in women increased gradually with the increase of BMI whereas that in men reached a plateau already in the overweight.
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