CAJ | 학술논문

目的：探讨沧州农村地区老年人群体质量指数和腰围与高血压患病率的关系。方法按照整体随机抽样方法，对沧州某农村地区年龄60～89岁1560例居民进行问卷调查、医学体检，根据高血压诊断标准分为高血压组868例和非高血压组692例。以不同体质量指数及腰围分层，比较高血压患病率及相关危险因素。结果高血压组超重（33．6％vs10．8％）、肥胖（38．8％vs9．7％）、腹型肥胖（36．6％vs19．4％）、超重伴腹型肥胖（23．3％vs6.1％）检出率明显高于非高血压组（P＜0．01）。而腰围异常老年人群患高血压风险度是腰围正常者的2．41倍（95％CI：1.906～3．042，P＝0．000）。相关因素分析发现，不良饮食习惯、吸烟、饮酒为该地区老年人群超重或肥胖的高危因素。结论沧州农村地区老年人群超重和肥胖形势严峻，体质量指数和腰围与高血压关系密切，不良生活习惯为其高危因素，改善不良饮食结构是高血压等慢性疾病防治的根本。
목적：탐토창주농촌지구노년인군체질량지수화요위여고혈압환병솔적관계。방법안조정체수궤추양방법，대창주모농촌지구년령60～89세1560례거민진행문권조사、의학체검，근거고혈압진단표준분위고혈압조868례화비고혈압조692례。이불동체질량지수급요위분층，비교고혈압환병솔급상관위험인소。결과고혈압조초중（33．6％vs10．8％）、비반（38．8％vs9．7％）、복형비반（36．6％vs19．4％）、초중반복형비반（23．3％vs6.1％）검출솔명현고우비고혈압조（P＜0．01）。이요위이상노년인군환고혈압풍험도시요위정상자적2．41배（95％CI：1.906～3．042，P＝0．000）。상관인소분석발현，불량음식습관、흡연、음주위해지구노년인군초중혹비반적고위인소。결론창주농촌지구노년인군초중화비반형세엄준，체질량지수화요위여고혈압관계밀절，불량생활습관위기고위인소，개선불량음식결구시고혈압등만성질병방치적근본。
Objective To study the association of body mass index (BMI) and waist circumference (WC) with hypertension in Cangzhou rural elderly people .Methods A total of 1560 Cangzhou residends aged 60 -89 years undergoing medical examination were investigated with question-naire .The 1560 elderly people were divided into hypertension group (n=868) and non-hyperten-sion group (692) .The prevalence of hypertension in these people and its relevant risk factors such as BMI and WC were compared .Results The prevalence of overweight ,obesity ,abdominal obesi-ty ,and overweight plus abdominal obesity was significantly higher in hypertension group than in non-hypertension group (33 .6% vs 10 .8% ,38 .8% vs 9 .7% ,36 .6% vs 19 .4% ,23 .3% vs 6 .1% , P<0 .01) .The risk of hypertension was 2 .41-fold higher in elderly people with an abnormal WC than in those with a normal WC (95% CI:1 .906 -3 .042 ,P=0 .000) .Correlation factor analysis showed that bad diatary habit ,smoking and alcohol drinking were the high risk factors for over-weight or obesity in Cangzhou rural elderly people .Conclusion The prevalence of overweight and obesity is rather high in Cangzhou rural elderly people .The BMI and WC are closely related with hypertension .Bad dietary habit is the risk factor for overweight or obesity ,it is thus essential to improve their bad dietary habit in prevention of chronic diseases such as hypertension .