Population-attributable fraction of hypertension associated with obesity, abdominal obesity, and the joint effect of both in the Central Provinces of Iran
- DOI
- 10.1016/j.jegh.2016.11.002How to use a DOI?
- Keywords
- Hypertension; Obesity; Odds ratio; Population-attributed fraction; Prevalence
- Abstract
The prevalence of obesity has been increasing in Iran over the past decade. This study aimed to determine the population-attributable fraction (PAF) of hypertension associated with obesity, abdominal obesity, and the joint effect of both in the central provinces of Iran. Prevalence of hypertension was extracted from the Iranian Ministry of Health Non-Communicable Disease Risk Factor InfoBase 2009. Measure of association between obesity and hypertension was extracted from Tehran Lipid and Glucose Study, for males and females, in order to calculate the PAF of hypertension associated with obesity. Age standardization of the reported prevalence of obesity was done using the World Health Organization method. The PAF of hypertension associated with the joint effect of obesity and abdominal obesity in females was highest in Semnan Province: 22.7 [95% confidence interval (CI): 4.2–35.6], followed by Qom 21.09 (95% CI: 3.7–33.1), and Yazd 20.3 (95% CI: 3.5–32.1). In males, the highest PAF was observed in Qom Province 31.07 (95% CI: 16.7–41.1), followed by Semnan 29.6 (95% CI: 15.9–39.3), Qazvin 25.9 (95% CI: 13.7–34.5), Tehran 24.2 (95% CI: 12.7–32.3), and Isfahan 20.4 (95% CI: 3.5–27.4). Prevalence of hypertension is higher in more developed provinces. PAFs suggest that a sizable share of hypertension in these provinces is associated with obesity. It is recommended that health promotion programs focus on obesity in the provinces with a higher share of hypertension due to obesity.
- Copyright
- © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
- Open Access
- This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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TY - JOUR AU - Masoud Mohammadi AU - Masoud Mirzaei PY - 2016 DA - 2016/12/07 TI - Population-attributable fraction of hypertension associated with obesity, abdominal obesity, and the joint effect of both in the Central Provinces of Iran JO - Journal of Epidemiology and Global Health SP - 71 EP - 79 VL - 7 IS - 1 SN - 2210-6014 UR - https://doi.org/10.1016/j.jegh.2016.11.002 DO - 10.1016/j.jegh.2016.11.002 ID - Mohammadi2016 ER -