Association of Suboptimal Health Status and Cardiovascular Risk Factors in Urban Chinese Workers |
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Authors: | Yu X Yan Jing Dong You Q Liu Xing H Yang Man Li Gilbert Shia Wei Wang |
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Institution: | (1) Department of Epidemiology and Biostatistics, School of Public Health and Family Medicine, Capital Medical University, Beijing, People’s Republic of China;(2) Physical Examination Center, Beijing Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China;(3) College of Life Sciences, Graduate University, Chinese Academy of Sciences, Beijing, People’s Republic of China; |
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Abstract: | Suboptimal health status (SHS) has become a new public health challenge in urban China. Despite indications that SHS may be
associated with progression or development of chronic diseases such as cardiovascular and metabolic diseases, there are few
reports on SHS investigations. To explore the relationship between SHS and traditional cardiovascular risk factors, a cross-sectional
study was conducted in a sample of 4,881 workers employed in 21 companies in urban Beijing. Blood pressure, glucose, lipid
levels (total cholesterol, high-density lipoprotein HDL] cholesterol, low-density lipoprotein LDL] cholesterol and triglycerides),
cortisol, and body mass index were measured. SHS score was derived from data collection in the SHS questionnaire (SHSQ-25).
Univariate analysis and linear two-level model were used to analyze the association of SHS with the cardiovascular risk factors.
Serum cortisol level was much higher among the SHS high-score group than that among the low SHS score group (204.31 versus
161.33 ng/ml, P < 0.001). In a linear two-level model, we found correlation between SHS and systolic blood pressure, diastolic blood pressure,
plasma glucose, total cholesterol, and HDL cholesterol among men, and correlation between SHS and systolic blood pressure,
diastolic blood pressure, total cholesterol, triglyceride, and HDL cholesterol among women after controlling for age, education
background, occupation, smoking, and physical activity. SHS is associated with cardiovascular risk factors and contributes
to the development of cardiovascular disease. SHS should be recognized in the health care system, especially in primary care. |
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Keywords: | Suboptimal health status Cardiovascular disease Risk factors |
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