CAJ | 학술논문

目的探讨北京东城区和石景山区≥50岁非脑卒中人群体质量指数(BMI)与血压的关系.方法采用分层整群随机抽样法,在北京东城区和石景山区抽取9 524名≥50岁非脑卒中人群为研究对象,对其进行问卷调查及体格检查,采用SPSS 17.0软件对数据进行分析.结果无论男女,其血压水平及高血压患病率均随着年龄增长而升高,不同性别各年龄组高血压患病情况不同(Z=-50.47,P＜0.001);50 ～59岁年龄组,男性患病率高于女性(x2=14.74,P＜0.001),60～69岁及≥70岁年龄组,女性患病率均明显高于男性(x2=12.39,P＜0.001;x2=10.36,P=0.001);总体患病率性别间差异无统计学意义(男37.9％,女37.3％,x2=0.31,P=0.578);从总体来看,血压水平及高血压患病率均随着BMI增大而升高(P＜0.001),以BMI＜ 18.5 kg/m2组高血压患病率为参照,BMI为18.5～24.0 kg/m2组、24.0～28.0 kg/m2组、≥28.0 kg/m2组,男性高血压患病风险(OR值)分别为1.622(95％ CI0.653～4.029),2.405(95％ CI0.940～5.940),4.248(95％ CI1.709～10.559);女性高血压患病风险(OR值)分别为2.212(95％ CI1.193～4.104),3.870(95％ CI2.092～7.157),6.603(95％CI3.557～12.258).结论超重和肥胖是高血压重要的危险因素,在中老年人群中积极控制体质量有助于防治高血压.
목적 탐토북경동성구화석경산구≥50세비뇌졸중인군체질량지수(BMI)여혈압적관계.방법 채용분층정군수궤추양법,재북경동성구화석경산구추취9 524명≥50세비뇌졸중인군위연구대상,대기진행문권조사급체격검사,채용SPSS 17.0연건대수거진행분석.결과 무론남녀,기혈압수평급고혈압환병솔균수착년령증장이승고,불동성별각년령조고혈압환병정황불동(Z=-50.47,P＜0.001);50 ～59세년령조,남성환병솔고우녀성(x2=14.74,P＜0.001),60～69세급≥70세년령조,녀성환병솔균명현고우남성(x2=12.39,P＜0.001;x2=10.36,P=0.001);총체환병솔성별간차이무통계학의의(남37.9％,녀37.3％,x2=0.31,P=0.578);종총체래간,혈압수평급고혈압환병솔균수착BMI증대이승고(P＜0.001),이BMI＜ 18.5 kg/m2조고혈압환병솔위삼조,BMI위18.5～24.0 kg/m2조、24.0～28.0 kg/m2조、≥28.0 kg/m2조,남성고혈압환병풍험(OR치)분별위1.622(95％ CI0.653～4.029),2.405(95％ CI0.940～5.940),4.248(95％ CI1.709～10.559);녀성고혈압환병풍험(OR치)분별위2.212(95％ CI1.193～4.104),3.870(95％ CI2.092～7.157),6.603(95％CI3.557～12.258).결론 초중화비반시고혈압중요적위험인소,재중노년인군중적겁공제체질량유조우방치고혈압.
Objective To investigate the relationship between body mass index (BMI) and blood pressure in non-stroke population with over 50 years old from Dongcheng District and Shijingshan District of Beijing.Methods A total of 9 524 of non-stroke population with over 50 years old were selected as our subject,which were sampled from Dongcheng District and Shijingshan District of Beijing by using stratified cluster random sampling method.Investigation and physical inventory check were conducted on all subbjects conduct,and the results was statistical analyzed by using SPSS 17.0 software.Results Systolic blood pressure and diastolic blood pressure of all subjects increased with the increasing of BML The prevalence of hypertension of three age groups were significant different between male and female (Z =-50.47,P ＜ 0.001).The prevalence of hypertension in males with 50-59 years old was considerably higher than that of females (x2 =14.74,P ＜0.001).However,the prevalence of hypertension in females with 60-69 years old and ≥70 years old group were higher than that of males (x2 =12.39,P ＜ 0.001 ; x2 =10.36,P =0.001).Overall,the prevalence of hypertension between males and females was no significant (male for 37.9％,female 37.3％,x2 =0.31,P =0.578).BMI increased with the increasing blood pressure levels and prevalence of hypertension,taking the people with BMI ＜ 18.5 kg/m2 as reference,OR values of the risk for male people with BMI 18.5-24.0kg/m2,24.0-28.0 kg/m2,and ≥ 28.0 kg/m2 to get hypertension people were 1.622 (95％ CI:0.653 -4.029),2.405 (95％ CI:0.940-5.940),4.248 (95％ CI:1.709-10.559) respectively,while for female people were 2.212 (95％ CI:1.193-4.104),3.870 (95％ CI:2.092-7.157),6.603 (95％ CI:3.557 -12.258) respectively.Conclusion Overweight and obesity are risk factors of hypertension.Obesity control contributes to the prevention and treatment of hypertension in middle-aged and elderly population.