CAJ | 학술논문

目的：探讨理想心血管健康行为和因素对新发高血压的影响。方法采用前瞻性队列研究，以参加2006-2007年度健康查体的开滦集团职工为研究对象，排除既往高血压病、心肌梗死、脑梗死以及资料不全者，最终52133人纳入队列，观察队列人群中高血压发病情况。依据美国心脏协会定义的理想心血管健康行为和因素，采用寿命表法计算高血压累积发病率，利用Cox风险比例回归模型比较不同理想心血管健康行为和因素个数人群间高血压发病风险。结果具备0～1和5～7项理想心血管健康行为和因素者高血压患病率分别为65.72%、59.14%、54.59%、50.24%、34.22%。校正年龄、高血压家族史、文化程度及家庭经济状况等因素后，与具有0～1项心血管健康行为和因素的人群相比，具备2、3、4、5～7项者高血压患病风险分别为0.75、0.69、0.63和0.36倍，其中男性人群分别为0.77、0.76、0.65和0.45倍，女性人群分别为0.83、0.50、0.73和0.36倍。结论随理想心血管健康行为和因素个数增加，高血压患病率及发病风险降低。
목적：탐토이상심혈관건강행위화인소대신발고혈압적영향。방법채용전첨성대렬연구，이삼가2006-2007년도건강사체적개란집단직공위연구대상，배제기왕고혈압병、심기경사、뇌경사이급자료불전자，최종52133인납입대렬，관찰대렬인군중고혈압발병정황。의거미국심장협회정의적이상심혈관건강행위화인소，채용수명표법계산고혈압루적발병솔，이용Cox풍험비례회귀모형비교불동이상심혈관건강행위화인소개수인군간고혈압발병풍험。결과구비0～1화5～7항이상심혈관건강행위화인소자고혈압환병솔분별위65.72%、59.14%、54.59%、50.24%、34.22%。교정년령、고혈압가족사、문화정도급가정경제상황등인소후，여구유0～1항심혈관건강행위화인소적인군상비，구비2、3、4、5～7항자고혈압환병풍험분별위0.75、0.69、0.63화0.36배，기중남성인군분별위0.77、0.76、0.65화0.45배，녀성인군분별위0.83、0.50、0.73화0.36배。결론수이상심혈관건강행위화인소개수증가，고혈압환병솔급발병풍험강저。
Objective To explore the relationship between‘ideal’cardiovascular behaviors and factors and the incidence of hypertension. Methods A prospective cohort study including 52 133 workers who had participated in the 2006-2007 Kailuan health examination without history of cerebral infraction,myocardial infarction or hypertension but with complete data,was carried out. All workers were followed on their occurrence of hypertension. According to the AHA definition of‘ideal’ cardiovascular health behaviors and factors,the cumulative incidence rates of hypertension in different groups were calculated under the life table method,and compared by Log-rank test,Cox proportional hazards regression was used to calculate the hazard rations and 95% confidence intervals for baseline behaviors and factors. Results The cumulative incidence rates of hypertension according 0-1,2,3,4, 5-7 ideal cardiovascular health behaviors and factors were 65.72%,59.14%,54.59%,50.24% and 34.22%,respectively in the 0-1,2,3,4,5-7 groups. Data from the Cox proportional hazards model showed that after adjusting for age,education level and family history of hypertension,the ones who had 2,3,4,5-7 ideal cardiovascular behaviors/factors were 0.75,0.69,0.63,0.36 times more than those who had 0-1 ideal behaviors. Conclusion The incidence of hypertension and risk reduced along with the increase of ideal cardiovascular health behaviors and factors.