CAJ | 학술논문

目的探讨辽宁西部地区农村人群体质指数(BMI)和腰围(WC)对血压均值及高血压患病率的影响.方法采用分层整群随机抽样的方法,于2004-2006年对辽宁省阜新县35～74岁常住居民43 692人进行流行病学调查.采用Epidata3.1软件建立数据库,使用SPSS 12.0统计软件包对数据进行统计分析.结果共调查43 692人,男性21 680人(49.6%),女性22 012人(50.4%).平均BMI为(23.31±3.08)kg/m2,平均WC为(80.87±9.40)cm.不论男性还是女性以20 kg/m2起始,收缩压随着BMI的增加而逐渐增加;舒张压随BMI的增加而逐渐升高.多因素logistic回归分析显示,男性中以BMI<18 kg/m2组为对照,其他各组患病危险OR值均有显著统计学意义,28～30 kg/m2组OR及95%CI为6.285(4.612～8.566),在20～30 kg/m2范围内,OR值随着等级的增高而逐渐增高;女性从20～22 kg/m2组起始OR值随着BMI等级的增高而逐渐增高,在≥30kg/m2组OR及95%CI为7.764(6.009～10.032).男性和女性收缩压和舒张压及高血压患病率均随着WC的增加而逐渐增加(P<0.001).不论是在男性还是女性,当BMI<24 kg/m2,或WC男性<85cm、女性WC<80 cm时,其平均血压水平、高血压患病率最低;当BMI达到超重或肥胖标准时或WC超标时,血压均值和高血压患病率均明显增高;调整年龄等危险因素后,男性超重和肥胖对高血压的患病危险OR分别为1.704(1.592～1.825)及3.710(3.148～4.371),女性为1.527(1.428～1.632)和3.014(2.668～3.405);WC超标时,男女性高血压患病危险OR及95%CI分别为1.231(1.153～1.314)和1.353(1.269～1.442).结论 BMI和WC均与高血压患病明显相关.有效预防和控制超重和肥胖等高血压发病危险因素,是我国目前急需解决的公共卫生问题.
목적 탐토료녕서부지구농촌인군체질지수(BMI)화요위(WC)대혈압균치급고혈압환병솔적영향.방법 채용분층정군수궤추양적방법,우2004-2006년대요녕성부신현35～74세상주거민43 692인진행류행병학조사.채용Epidata3.1연건건립수거고,사용SPSS 12.0통계연건포대수거진행통계분석.결과 공조사43 692인,남성21 680인(49.6%),녀성22 012인(50.4%).평균BMI위(23.31±3.08)kg/m2,평균WC위(80.87±9.40)cm.불론남성환시녀성이20 kg/m2기시,수축압수착BMI적증가이축점증가;서장압수BMI적증가이축점승고.다인소logistic회귀분석현시,남성중이BMI<18 kg/m2조위대조,기타각조환병위험OR치균유현저통계학의의,28～30 kg/m2조OR급95%CI위6.285(4.612～8.566),재20～30 kg/m2범위내,OR치수착등급적증고이축점증고;녀성종20～22 kg/m2조기시OR치수착BMI등급적증고이축점증고,재≥30kg/m2조OR급95%CI위7.764(6.009～10.032).남성화녀성수축압화서장압급고혈압환병솔균수착WC적증가이축점증가(P<0.001).불론시재남성환시녀성,당BMI<24 kg/m2,혹WC남성<85cm、녀성WC<80 cm시,기평균혈압수평、고혈압환병솔최저;당BMI체도초중혹비반표준시혹WC초표시,혈압균치화고혈압환병솔균명현증고;조정년령등위험인소후,남성초중화비반대고혈압적환병위험OR분별위1.704(1.592～1.825)급3.710(3.148～4.371),녀성위1.527(1.428～1.632)화3.014(2.668～3.405);WC초표시,남녀성고혈압환병위험OR급95%CI분별위1.231(1.153～1.314)화1.353(1.269～1.442).결론 BMI화WC균여고혈압환병명현상관.유효예방화공제초중화비반등고혈압발병위험인소,시아국목전급수해결적공공위생문제.
Objective This study observed the association between body mass index(BMI),waist circumference(WC)and blood pressure level in ratal residents from west Liarming province.Methotis This epidemiological study using stratified cluster random sampling was conducted from 2004 to 2006 in Fuxin County,Liaoning Province,43 692 rural residents(21 680 males)aged 35-74 years old[(49.8 ±10.2)years ] were surveyed.Database was established with the help of Epidata 3.1 software.Results In total 43 692 persons were surveyed,including 21 680 male(49.6%)and 22 012 female(50.4%).The average BMI and WC was(23.31±3.08)kg/m2and(80.87 ±9.40)cm,respectively.No matter male or female,SBP started from 20 kg/m2,increased with the increase of BMI;DBP increased gradually with the increase of BMI:the prevalence of hypertension were significant differences among different BMI groups (P<0.001).Multiple logistic regression show that in male,using the group with BMI,<18 kg/m2 as control,28 -30 kg/m2 group OR and 95% CI was 6. 285(4. 612 -8. 566) ; in female, when BMI >22 kg/m2 OR increased with the increasing of BMI. In male and female, both SBP and DBP, also the prevalence rate of hypertension increased gradually with the increase of WC (P <0. 001 ). No matter in male or female,when BMI < 24 kg/m2, and WC male < 85 cm, female WC < 80 cm, the average blood pressure levels and prevalence of hypertension are the lowest; after adjusting for age and other risk factors, the prevalence rate of overweight and obesity for male with hypertension OR are 1.704 ( 1. 592 - 1. 825) and 3. 710 (3. 148 -4. 371 ), respectively, for female is 1. 527 ( 1. 428 - 1. 632 ) and 3.014 ( 2. 668 - 3. 405 ), respectively.When the WC is higher than the standard, male and female hypertension risk OR and 95% CI are 1. 231( 1. 153 - 1. 314) and 1. 353 ( 1. 269 - 1. 442), respectively. Conclusion Both BMI and WC are risk factors of hypertension.