Population-attributable fraction of hypertension associated with obesity, abdominal obesity, and the joint effect of both in the Central Provinces of Iran

Masoud Mohammadi; Masoud Mirzaei

doi:10.1016/j.jegh.2016.11.002

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Volume 7, Issue 1, March 2017, Pages 71 - 79

Population-attributable fraction of hypertension associated with obesity, abdominal obesity, and the joint effect of both in the Central Provinces of Iran

Authors

Masoud Mohammadi^a, Masoud Mirzaei^b^{, *}^,mmirzaei@ssu.ac.ir

^aDepartment of Social Medicine, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

^bYazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

^*Corresponding author. Address: Yazd Cardiovascular Research Centre, Afshar Hospital, Jomhouri Blvd., Yazd, Iran.

Corresponding Author

Masoud Mirzaeimmirzaei@ssu.ac.ir

Received 31 January 2016, Revised 30 May 2016, Accepted 14 November 2016, Available Online 7 December 2016.

DOI: 10.1016/j.jegh.2016.11.002 How 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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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 7 - 1
Pages: 71 - 79
Publication Date: 2016/12/07
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2016.11.002 How to use a DOI?
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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ris enw bib

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  -

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