中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2008年
10期
970-974
,共5页
凌梨梨%赵景波%赵玉娟%傅世英%王付曼%杨利婷%董礼行
凌梨梨%趙景波%趙玉娟%傅世英%王付曼%楊利婷%董禮行
릉리리%조경파%조옥연%부세영%왕부만%양리정%동례행
高血压前期%患病率%危险因素
高血壓前期%患病率%危險因素
고혈압전기%환병솔%위험인소
Prehypertension%Prevalence%Risk factors
目的 探讨黑龙江省兰西县农村居民高血压前期的患病率及其危险因素.方法 采用随机整群抽样方法,选择兰西县平山镇15岁以上并在当地居住5年以上的农村居民为研究对象,进行问卷调查并采集年龄≥35岁居民空腹静脉血标本.数据分析采用χ2检验、t检验和logistic回归模型. 结果 共调查农村居民5272人,男性2539人、女性2733人.高血压前期患病率为36.34%,男性高血压前期患病率(39.50%)高于女性(33.41%)(χ2=58.9887,P<0.0001).25岁及以上男性高血压前期患病率随着年龄的增加逐渐减低(χ2=96.0698,P<0.0001),而女性在35岁及以上呈现明显的高血压前期患病率随年龄增加而呈降低趋势(χ2=11.5784,P=0.0208).多因素非条件logistic回归分析提示:男性、年龄(≥55岁)、腰围(男≥85 cm,女≥80 cm)、BMI(≥25.0 kg/m2)、空腹血糖(FPG≥7.0 mmol/L)为高血压前期的危险因素,HDL-C(<0.91 mmol/L)是高血压前期的保护因素(OR=0.740,P=0.0036),且年龄、BMI及FPG对高血压前期的影响均具有计量反应关系. 结论 高血压前期的患病率在农村中较普遍,在青少年中较高;55岁及以后高血压前期人群转化为高血压的危险增加.
目的 探討黑龍江省蘭西縣農村居民高血壓前期的患病率及其危險因素.方法 採用隨機整群抽樣方法,選擇蘭西縣平山鎮15歲以上併在噹地居住5年以上的農村居民為研究對象,進行問捲調查併採集年齡≥35歲居民空腹靜脈血標本.數據分析採用χ2檢驗、t檢驗和logistic迴歸模型. 結果 共調查農村居民5272人,男性2539人、女性2733人.高血壓前期患病率為36.34%,男性高血壓前期患病率(39.50%)高于女性(33.41%)(χ2=58.9887,P<0.0001).25歲及以上男性高血壓前期患病率隨著年齡的增加逐漸減低(χ2=96.0698,P<0.0001),而女性在35歲及以上呈現明顯的高血壓前期患病率隨年齡增加而呈降低趨勢(χ2=11.5784,P=0.0208).多因素非條件logistic迴歸分析提示:男性、年齡(≥55歲)、腰圍(男≥85 cm,女≥80 cm)、BMI(≥25.0 kg/m2)、空腹血糖(FPG≥7.0 mmol/L)為高血壓前期的危險因素,HDL-C(<0.91 mmol/L)是高血壓前期的保護因素(OR=0.740,P=0.0036),且年齡、BMI及FPG對高血壓前期的影響均具有計量反應關繫. 結論 高血壓前期的患病率在農村中較普遍,在青少年中較高;55歲及以後高血壓前期人群轉化為高血壓的危險增加.
목적 탐토흑룡강성란서현농촌거민고혈압전기적환병솔급기위험인소.방법 채용수궤정군추양방법,선택란서현평산진15세이상병재당지거주5년이상적농촌거민위연구대상,진행문권조사병채집년령≥35세거민공복정맥혈표본.수거분석채용χ2검험、t검험화logistic회귀모형. 결과 공조사농촌거민5272인,남성2539인、녀성2733인.고혈압전기환병솔위36.34%,남성고혈압전기환병솔(39.50%)고우녀성(33.41%)(χ2=58.9887,P<0.0001).25세급이상남성고혈압전기환병솔수착년령적증가축점감저(χ2=96.0698,P<0.0001),이녀성재35세급이상정현명현적고혈압전기환병솔수년령증가이정강저추세(χ2=11.5784,P=0.0208).다인소비조건logistic회귀분석제시:남성、년령(≥55세)、요위(남≥85 cm,녀≥80 cm)、BMI(≥25.0 kg/m2)、공복혈당(FPG≥7.0 mmol/L)위고혈압전기적위험인소,HDL-C(<0.91 mmol/L)시고혈압전기적보호인소(OR=0.740,P=0.0036),차년령、BMI급FPG대고혈압전기적영향균구유계량반응관계. 결론 고혈압전기적환병솔재농촌중교보편,재청소년중교고;55세급이후고혈압전기인군전화위고혈압적위험증가.
Objective To access the prevalence of prehypertensive stage and its associated risk factors in rural inhabitants from Lanxi county in Heilongjiang province.Methods Through cluster multistage and random sampling methods,local people aged≥15 years old in Lanxi county were selected.A survey on blood pressure and associated risk factors wasearried out.Overnight fasting blood specimen of people aged≥35 years old Was collected.Chi square test,t-test and logistic regression analyses were then performed.Results 5272 residents were surveyed including 2539 male and 2733 female subjects.The overall prevalence of prehypertension Was 36.34％.The prevalence of prehypertension appeared to be higher in males(39.50％)than in females(33.41％)(X2=58.9887,P<0.0001),The prevalence of prehypertension decreased with increasing age in men≥25 years old(x=96.0698,P<0.0001),and in women≥35 years old(X2=11.5784,p=0.0208).Data from multivariable logistic regression showed that being male.Aged(≥55 years old),with waist circumference As≥85 cm for men and≥80 cm for women.BMI≥25.0 kg/m2 and fasting plasma glucose≥7.0 mmol/L were risk factors of prehypertension while high.Density Iipoprotein cholesterol<0.9 mmol/L was shown as a protective factor(OR=0.740,P=0.0036).Dose-response relationships were seen between prehypertension and age,BMI and FPG.Conclusion Prehypertension Was popular in the rural area,with high prevalence seen in teenagers.Programs on prehypertension prevention should start from teenagers.Risk factors of prehypertension increased when people became age 55 or older.There was a need to monitot BP more often and to eontror BP through non-drug methods.
