ArticleFrontiers in public health2026
Labour-type physical activity, alcohol use and hypertension in rural older adults in Northeast China.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Association Between Physical Activity and Anxiety in A Rural Chinese Middle-Aged and Older Cohort.Journal of multidisciplinary healthcare · 2026Article
- Diabetes-related exposure and screening-derived abnormality burden among older rural women in Northeast China: a secondary analysis with contextual labour-type physical activity assessment.Frontiers in public health · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Hypertension is highly prevalent in older adults, yet evidence from resource-limited rural settings remains limited. In Northeast China, older residents are chronically exposed to cold-climate stress, labour-intensive agricultural routines, and entrenched social drinking norms, which may shape blood pressure risk profiles differently from urban cohorts. Methods: We analysed data from the 2025 Rural Elderly Health Examination Programme in Wangkui County, Heilongjiang, using a community-based cross-sectional design. Participants aged ≥65 years ( Results: Higher OPA frequency and alcohol drinking frequency were independently associated with greater odds of hypertension. Each additional OPA session per week was associated with a 23% higher odds of hypertension (adjusted OR [aOR] = 1.23, 95% CI: 1.16-1.32), and each additional drinking occasion per week was associated with a 20% higher odds (aOR = 1.20, 95% CI: 1.04-1.40). Estimated population-attributable fractions suggested a substantial potential burden associated with high-frequency OPA (≥3 sessions/week; 34.8%) and a smaller burden associated with any weekly drinking (>0/week; 4.7%); these estimates were interpreted cautiously given the cross-sectional design and the use of odds ratios for a common outcome. Sensitivity analyses using alternative hypertension definitions and continuous SBP/DBP models yielded directionally consistent findings, with steeper OPA gradients at older ages. Conclusion: In this rural older-adult cohort, workload-related physical activity-reflecting largely non-volitional labour rather than leisure-time exercise-and alcohol use were associated with higher hypertension likelihood. Prevention strategies in cold-climate rural communities may benefit from workload-modification and recovery-protection approaches, safer organisation of labour tasks, and targeted reduction of weekly alcohol use.
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