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Gender-Specific Association between Tobacco Smoking and Central Obesity among 0.5 Million Chinese People: The China Kadoorie Biobank Study

Author

Listed:
  • Jun Lv
  • Wei Chen
  • Dianjianyi Sun
  • Shengxu Li
  • Iona Y Millwood
  • Margaret Smith
  • Yu Guo
  • Zheng Bian
  • Canqing Yu
  • Huiyan Zhou
  • Yunlong Tan
  • Junshi Chen
  • Zhengming Chen
  • Liming Li
  • China Kadoorie Biobank collaborative group

Abstract

Objectives: Lifestyle factors are well-known important modifiable risk factors for obesity; the association between tobacco smoking and central obesity, however, is largely unknown in the Chinese population. This study examined the relationship between smoking and central obesity in 0.5 million Chinese adults, a population with a low prevalence of general obesity, but a high prevalence of central obesity. Subjects: A total of 487,527 adults (200,564 males and 286,963 females), aged 30-79 years, were enrolled in the baseline survey of the China Kadoorie Biobank (CKB) Study conducted during 2004-2008. Waist circumference (WC) and WC/height ratio (WHtR) were used as measures of central obesity. Results: The prevalence of regular smokers was significantly higher among males (60.6%) than among females (2.2%). The prevalence of central obesity increased with age and BMI levels, with a significant gender difference (females>males). Of note, almost all obese adults (99.4%) were centrally obese regardless of gender. In multivariable regression analyses, adjusting for age, education, physical activity, alcohol use and survey site, regular smoking was inversely associated with BMI in males (standardized regression coefficients, β= -0.093, p

Suggested Citation

  • Jun Lv & Wei Chen & Dianjianyi Sun & Shengxu Li & Iona Y Millwood & Margaret Smith & Yu Guo & Zheng Bian & Canqing Yu & Huiyan Zhou & Yunlong Tan & Junshi Chen & Zhengming Chen & Liming Li & China Kad, 2015. "Gender-Specific Association between Tobacco Smoking and Central Obesity among 0.5 Million Chinese People: The China Kadoorie Biobank Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-15, April.
    • Handle: RePEc:plo:pone00:0124586
    DOI: 10.1371/journal.pone.0124586
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    Cited by:

    1. Xinge Zhang & Yueqiao Wang & Jason S. Brinkley & Theresa M. Oniffrey & Rui Zhang & Guoxun Chen & Rui Li & Justin B. Moore, 2018. "Eating Frequency Is Not Associated with Obesity in Chinese Adults," IJERPH, MDPI, vol. 15(11), pages 1-10, November.
    2. Mengying Wang & Wenyong Li & Ren Zhou & Siyue Wang & Hongchen Zheng & Jin Jiang & Shengfeng Wang & Canqing Yu & Wenjing Gao & Jun Lv & Tao Wu & Weihua Cao & Yonghua Hu & Liming Li & John S. Ji, 2020. "The Paradox Association between Smoking and Blood Pressure among Half Million Chinese People," IJERPH, MDPI, vol. 17(8), pages 1-11, April.
    3. Callison, Kevin & Schiman, Cuiping & Schiman, Jeffrey C., 2021. "Smoking cessation and weight gain: Evidence from China," Economics & Human Biology, Elsevier, vol. 43(C).
    4. Im-Seok Koh & Yang-Ki Minn & Seung-Han Suk, 2019. "Body Fat Mass and Risk of Cerebrovascular Lesions: The PRESENT (Prevention of Stroke and Dementia) Project," IJERPH, MDPI, vol. 16(16), pages 1-8, August.

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