ABSTRACT
This study was designed to survey the prevalence and risk factors of hypertension in Uygur adults in Tushala Township, Hetian area of Xinjiang Uygur Autonomous Region. Cross-sectional study of possible risk factors for hypertension was conducted in Tushala and in 28 surrounding villages using a stratified random sampling method. A modified version of the WHO STEP wise approach for risk factor survey was employed. Data collection on these relevant risk factors was performed using the WHO STEPS approach. Physical and body parameters were collected and used for analysis of variance. In addition, risk factors for hypertension were screened using a multifactor logistic regression analysis. The prevalence of hypertension in Hetian Township was 25.6%. The incidence of hypertension was positively correlated with body mass index and triglyceride cholesterol. There was also a positive correlation between risk of hypertension and levels of waist-to-hip ratio as well as abdominal circumference (AC). Logistic regression analysis exhibited AC as the predominant risk factor while high-density lipoprotein as the main protective factor for hypertension. In conclusion, our results indicated that high caloric food intake may trigger hyperlipidemia and subsequently elevated blood pressure, with elevated BMI and cholesterol levels being the major risk factors for hypertension.
Subject(s)
Hypertension/ethnology , Hypertension/etiology , Adult , Body Mass Index , China/epidemiology , Cross-Sectional Studies , Female , Humans , Hyperlipidemias/complications , Hyperlipidemias/ethnology , Hypertension/therapy , Incidence , Lipids/blood , Logistic Models , Male , Middle Aged , Obesity/complications , Obesity/ethnology , Odds Ratio , Practice Guidelines as Topic , Prevalence , Principal Component Analysis , Risk Assessment , Risk Factors , Waist-Hip RatioABSTRACT
1. The aim of the present study was to determine whether the peroxisome proliferator-activated receptor (PPAR)-g Pro12Ala polymorphism affects susceptibility to diabetes in Uygur, Kazak and Han subjects in Xinjiang, China. 2. Uygur, Kazak and Han subjects from Kashi, Yili and Shawan (Xinjiang, China) were enrolled in the present study. The PPAR-g Pro12Ala polymorphism was determined using restriction fragment length polymorphism. Anthropometric and serum biological indices were monitored among different genotype carriers to examine the PPAR-g Pro12Ala gene polymorphism and the prevalence of type 2 diabetes. 3. The distribution frequency of the Pro12Ala genotype did not differ between diabetic and non-diabetic Uygur, Kazak and Han subjects. However, the frequency of the A allele of Pro12Ala was significant different among non-diabetics, with frequencies of 11, 9 and 5% in Uygur, Kazak and Han groups, respectively. Using the c(2) test, it was shown that the frequency of the A allele in Uygurs (11%) was significantly higher than that in Han subjects (5%). To compare the wild-type (Pro/Pro) carriers in diabetics from each ethnic group, Ugyur subjects, who carry PPAR-g Pro12Ala (Pro/Ala), had a larger waist circumference and lower low-density lipoprotein-cholesterol level, Kazaks subjects showed larger waist circumference and higher high-density lipoprotein levels and Han subjects exhibited a high waist-to-hip ratio and body mass index. 4. The present study revealed that the allele and genotype frequency did not differ in diabetics and non-diabetics of each ethnic group. However, the frequency of the A allele was significantly different in non-diabetics from various ethnic groups. These data suggest that PPAR-g Pro12Ala may affect blood lipid levels and the abdominal fat storage of diabetic Ugyurs and Kazaks and may be associated with fat storage and insulin resistance in Hans.