中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
2期
119-123
,共5页
郭晓雷%马吉祥%颜流霞%毕振强%张啸飞%陈希%张吉玉%蔡小宁%鹿子龙
郭曉雷%馬吉祥%顏流霞%畢振彊%張嘯飛%陳希%張吉玉%蔡小寧%鹿子龍
곽효뢰%마길상%안류하%필진강%장소비%진희%장길옥%채소저%록자룡
氯化钠,膳食%血压%横断面研究%高血压
氯化鈉,膳食%血壓%橫斷麵研究%高血壓
록화납,선식%혈압%횡단면연구%고혈압
Sodium chloride,dietary%Blood pressure%Cross-sectional studies%Hypertension
目的 分析山东省居民食盐摄入量与血压水平的关系,为指导居民减少食盐摄入量以预防高血压提供依据.方法 于2011年6月在山东省采用多阶段分层随机抽样方法抽取2 184名18 ～ 69岁居民作为研究对象,测量其血压值并进行加权处理;通过连续3 d24h膳食回顾法和称重法测量其食盐摄入量,根据食盐摄入量的分布情况,以10、14和18 g/d为分界点进行分组.比较不同特征调查对象和以不同特征分层后各食盐摄入量组间收缩压、舒张压、高血压患病率的差异,并分析食盐摄入量与高血压患病率的关系.结果 2 184名调查对象中,实际完成并数据完整者2 133名,完成率为97.7％.经复杂加权后,调查对象收缩压和舒张压的均值(95％ CI值)分别为121.0(119.5～122.5)和78.5 (77.4 ～ 79.6) mmHg(1 mmHg=0.133 kPa),均随食盐摄入量的增加而升高(F值分别为5.40、12.98,P值均＜0.05),摄入量小于10g/d的调查对象血压最低,分别为119.6(116.9 ～122.4)和77.5(76.2 ～78.7) mmHg;18 g/d以上人群最高,分别为122.3(120.1～124.5)和79.6(78.2 ～80.9) mmHg.食盐摄入量与高血压患病率关系的分析结果显示,调整年龄、BMI等混杂因素后,在腰围正常的人群中,食盐摄入量在18 g/d以上的人群高血压患病率为小于10g/d人群的1.7(95％ CI:1.04 ～2.76)倍.结论 山东省居民高血压患病率较高,且血压水平与食盐摄入量有关.
目的 分析山東省居民食鹽攝入量與血壓水平的關繫,為指導居民減少食鹽攝入量以預防高血壓提供依據.方法 于2011年6月在山東省採用多階段分層隨機抽樣方法抽取2 184名18 ～ 69歲居民作為研究對象,測量其血壓值併進行加權處理;通過連續3 d24h膳食迴顧法和稱重法測量其食鹽攝入量,根據食鹽攝入量的分佈情況,以10、14和18 g/d為分界點進行分組.比較不同特徵調查對象和以不同特徵分層後各食鹽攝入量組間收縮壓、舒張壓、高血壓患病率的差異,併分析食鹽攝入量與高血壓患病率的關繫.結果 2 184名調查對象中,實際完成併數據完整者2 133名,完成率為97.7％.經複雜加權後,調查對象收縮壓和舒張壓的均值(95％ CI值)分彆為121.0(119.5～122.5)和78.5 (77.4 ～ 79.6) mmHg(1 mmHg=0.133 kPa),均隨食鹽攝入量的增加而升高(F值分彆為5.40、12.98,P值均＜0.05),攝入量小于10g/d的調查對象血壓最低,分彆為119.6(116.9 ～122.4)和77.5(76.2 ～78.7) mmHg;18 g/d以上人群最高,分彆為122.3(120.1～124.5)和79.6(78.2 ～80.9) mmHg.食鹽攝入量與高血壓患病率關繫的分析結果顯示,調整年齡、BMI等混雜因素後,在腰圍正常的人群中,食鹽攝入量在18 g/d以上的人群高血壓患病率為小于10g/d人群的1.7(95％ CI:1.04 ～2.76)倍.結論 山東省居民高血壓患病率較高,且血壓水平與食鹽攝入量有關.
목적 분석산동성거민식염섭입량여혈압수평적관계,위지도거민감소식염섭입량이예방고혈압제공의거.방법 우2011년6월재산동성채용다계단분층수궤추양방법추취2 184명18 ～ 69세거민작위연구대상,측량기혈압치병진행가권처리;통과련속3 d24h선식회고법화칭중법측량기식염섭입량,근거식염섭입량적분포정황,이10、14화18 g/d위분계점진행분조.비교불동특정조사대상화이불동특정분층후각식염섭입량조간수축압、서장압、고혈압환병솔적차이,병분석식염섭입량여고혈압환병솔적관계.결과 2 184명조사대상중,실제완성병수거완정자2 133명,완성솔위97.7％.경복잡가권후,조사대상수축압화서장압적균치(95％ CI치)분별위121.0(119.5～122.5)화78.5 (77.4 ～ 79.6) mmHg(1 mmHg=0.133 kPa),균수식염섭입량적증가이승고(F치분별위5.40、12.98,P치균＜0.05),섭입량소우10g/d적조사대상혈압최저,분별위119.6(116.9 ～122.4)화77.5(76.2 ～78.7) mmHg;18 g/d이상인군최고,분별위122.3(120.1～124.5)화79.6(78.2 ～80.9) mmHg.식염섭입량여고혈압환병솔관계적분석결과현시,조정년령、BMI등혼잡인소후,재요위정상적인군중,식염섭입량재18 g/d이상적인군고혈압환병솔위소우10g/d인군적1.7(95％ CI:1.04 ～2.76)배.결론 산동성거민고혈압환병솔교고,차혈압수평여식염섭입량유관.
Objective To study the relationship between salt consumption and blood pressure among residents in Shandong province,and to provide basic information for guiding people to prevent hypertension by reducing salt intake.Methods Using multi-stage stratified cluster random sampling method,2 184 residents aged 18 to 69 were selected as the research subjects,which were extracted randomly from 20 counties in Shandong province in June,2011.The blood pressure of the subjects were measured and weighted.Based on 72 h dietary recalls and weighing measurement,and according to the distribution of salt intake,the grouping cut-off points were 10,14 and 18 g.The difference of subjects with different characteristics and systolic blood pressure,diastolic blood pressure and prevalence of hypertension by grouping salt intake and other characteristics were analyzed,and the relationship between salt intake and prevalence of hypertension were analyzed.Results The total of 2 133 residents were involved finally,the completion rate was 97.7％.After the complex weighted,the systolic and diastolic blood pressure's means (95％ CI value) of the subjects were 121.0 (119.5-122.5) mmHg(1 mmHg =0.133 kPa) and 78.5 (77.4-79.6) mmHg respectively,which were all elevated with increasing of salt consumption.The blood pressure of the subjects with salt intake ＜ 10 g was the lowest,which were 119.6 (116.9-122.4) mmHg and 77.5 (76.2-78.7) mmHg respectively.The blood pressure of the subjects with salt intake ≥ 18 g was the highest,which were 122.3(120.1-124.5) mmHg and 79.6(78.2-80.9) mmHg respectively.The analysis results showed that,among residents with normal waistline,the prevalence of hypertension of people with salt intake ≥ 18 g was 1.70 (95 ％ CI:1.04-2.76) times compared to that of people who consumed less than 10 g salt per day.Conclusion The hypertension prevalence of Shandong province is quite high,and there is a relationship between salt consumption and blood pressure.
