摘要
目的:了解河南省农村居民不同肥胖指标与血压及高血压的关系。方法:2007年7月至2008年7月,采用随机整群抽样的方法抽取河南省某地区68个自然村18岁以上的常住居民共计20152人,进行肥胖和血压水平的横断面调查。结果:随着WHtR和BMI的增加,收缩压、舒张压、脉压和高血压患病率呈升高趋势;中心性肥胖者以上指标高于正常者(P<0.001)。BMI、WC和WHtR与收缩压、舒张压和脉压呈正相关关系(P均<0.001)。相对于BMI<18.5kg.m-2组,18.5kg.m-2～、24.0kg.m-2～和≥28.0kg.m-2组高血压患病的OR分别为1.6(95%CI:1.2～2.0)、2.2(95%CI:1.7～2.9)和3.6(95%CI:2.7～4.8);相对于正常者,中心性肥胖的OR为1.3(95%CI:1.1～1.4);相对于WHtR<0.47组,0.47～、0.52～和≥0.57组的OR分别为1.4(95%CI:1.3～1.6)、1.6(95%CI:1.3～1.8)和2.0(95%CI:1.7～2.4),P均<0.001。结论:河南省某地区农村居民肥胖指标与血压、脉压及高血压患病率之间存在密切联系,应控制全身性肥胖和中心性肥胖,从而防治高血压。
Aim：To investigate the relationship between different obesity indices and blood pressure and hypertension among rural residents in Henan province.Methods：Data of 20 152 participants aged ≥18 years in a rural district of Henan in 2007 to 2008 were collected and analyzed.Results：The systolic pressure（SBP）,diastolic pressure（DBP）,pulse pressure（PP） and the prevalence of hypertension increased along with BMI and WHtR,and the above parameters in people with central obesity were higher than the normal people（P〈0.001）.All the indices were positively correlated with SBP,DBP and PP（P〈0.001）.Compared with the BMI18.5 kg·m-2 group,the odds ratios of 18.5 kg·m-2～,24.0 kg·m-2～,and ≥28.0 kg·m-2 groups for hypertension were 1.6（95%CI：1.2～2.0）,2.2（95%CI：1.7～2.9）,and 3.6（95%CI：2.7～4.8）.Compared with the non-obesity group,the odds ratios of central obesity for hypertension was 1.3（95%CI：1.1～1.4）.Compared with the WHtR0.47 group,the odds ratios of 0.47～,0.52～ and ≥0.57 groups for hypertension were 1.4（95%CI：1.3～1.6）,1.6（95%CI：1.3～1.8）,and 2.0（95%CI：1.7～2.4）,P〈0.001.Conclusion：The obesity indices are positively correlated with blood pressure,PP,and the prevalence of hypertension among rural residents in Henan province;general obesity and central obesity should be controlled in order to prevent and treat hypertension.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2012年第1期91-94,共4页
Journal of Zhengzhou University(Medical Sciences)
关键词
肥胖
血压
脉压
高血压
体质指数
腰围
腰身比
obesity
blood pressure
pulse pressure
hypertension
BMI
WC
WhtR
