ArticleJournal of hypertension2015
Associations between age, cohort, and urbanization with SBP and DBP in China: a population-based study across 18 years.
Article in Journal of hypertension, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Prevalence of CVD Among Indian Adult Population: Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2025Pooled it
- Secular trends in society-, school-, and individual-level factors related to physical activity and their associations with elevated blood pressure among 0.6 million children and adolescents.Chinese medical journal · 2026Article
- Prognostic nutritional index as a predictor of cardiovascular and all-cause mortality in American adults with hypertension: results from the NHANES database.Frontiers in cardiovascular medicine · 2024Article
- Association between napping and 24-hour blood pressure variability among university students: A pilot study.Frontiers in pediatrics · 2023Article
- Article
- Gender differences in association of urbanization with psychological stress in Chinese adults: A population-based study.Frontiers in public health · 2022Article
- Circulating ERBB3 levels are inversely associated with the risk of overweight-related hypertension: a cross-sectional study.BMC endocrine disorders · 2021Article
- Association of the Geriatric Nutritional Risk Index with incident hypertension in the older Chinese population: a 6-year cohort study.The Journal of international medical research · 2021Article
- Article
- Association of a Province-Wide Intervention With Salt Intake and Hypertension in Shandong Province, China, 2011-2016.JAMA internal medicine · 2020Article
- Dietary Potassium Intake Remains Low and Sodium Intake Remains High, and Most Sodium is Derived from Home Food Preparation for Chinese Adults, 1991-2015 Trends.The Journal of nutrition · 2020Article
- BMI modified the association of current smoking with the incidence of hypertension in Chinese population: a 22-year cohort study.BMC public health · 2020Article
- Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China.International journal of public health · 2019Article
- Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18-65 years.BMC public health · 2019Article
- Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.Lancet (London, England) · 2018Article
- Association of Body Fat Mass and Fat Distribution With the Incidence of Hypertension in a Population-Based Chinese Cohort: A 22-Year Follow-Up.Journal of the American Heart Association · 2018Article
- Effect of BMI and Its Optimal Cut-Off Value in Identifying Hypertension in Uyghur and Han Chinese: A Biethnic Study from the China National Health Survey (CNHS).International journal of hypertension · 2018Article
- Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.Lancet (London, England) · 2017Article
- A population-based national estimate of the prevalence and risk factors associated with hypertension in Rwanda: implications for prevention and control.BMC public health · 2017Article
- Life-course and Cohort Trajectories of Chronic Non-communicable Diseases Risk Factors in China.Iranian journal of public health · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveLittle is known about whether large-scale environmental changes, such as those seen with urbanization, are differentially associated with SBP versus DBP, and whether those changes vary by birth cohort.
methodsWe used data from the China Health and Nutrition Survey, a population-based cohort study of Chinese adults (n = 18 754 aged 18-70 years), seen a maximum of seven times from 1991 to 2009. We used hierarchical multivariable linear models to simultaneously estimate SBP and DBP as correlated outcomes over time, accounting for their physiologic, time-varying correlation. Main exposure variables were urbanicity, age, and birth cohort. Over 18 years of modernization, median SBP and DBP increased by 10 and 7 mmHg, respectively.
resultsOur hierarchical model results suggest greater temporal increases in SBP and particularly DBP at lower versus higher urbanicity. At the same chronological age, for a 10-year difference in birth cohort (i.e. born in 1980s versus 1970s), the adjusted mean DBP was approximately 3 mmHg higher for the later birth cohort (P < 0.001). Pulse pressure (calculated as model-predicted SBP minus DBP) was also higher at low versus high urbanicity.
conclusionsThese results suggest increased susceptibility of DBP (and thus peripheral vascular resistance) to environmental change, particularly in younger Chinese adults. Because DBP more strongly predicts cardiovascular disease risk in younger adulthood, hypertension-related health burden in China may increase over time.
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