中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2015年
11期
989-993
,共5页
王历%张春芳%夏昆%丁荣晶%李建超%陆凯%李芝峰%胡大一
王歷%張春芳%夏昆%丁榮晶%李建超%陸凱%李芝峰%鬍大一
왕력%장춘방%하곤%정영정%리건초%륙개%리지봉%호대일
高血压%发病率%危险因素
高血壓%髮病率%危險因素
고혈압%발병솔%위험인소
Hypertension%Incidence%Risk factors
目的 分析北京社区居民新发高血压与代谢性危险因素及生活方式的关系.方法 采用分层整群随机抽样法,分别于2007年6-8月和2009年6-8月对7222名北京市社区居民进行心血管危险因素现场调查.探讨2年间新发高血压累积发病率与代谢性危险因素的关系.结果 基线时血压正常人数为4034名,2年后该人群新发高血压人数为978例,患病率为24.2％.多因素logistic回归分析示基线时处于高血压前期(OR=3.512,95％CI2.965～4.168)、超重(OR=1.654,95％CI1.423～1.918)、肥胖(OR=2.264,95％CI1.633～2.951)、经常饮酒(OR=1.493,95％CI1.231～1.775)、代谢综合征(OR=1.329,95％CI1.227～1.414)、年龄(每增长5年,OR=1.226,95％CI1.115～1.335)和男性(OR=1.135,95％CI1.018～1.221)为新发高血压的危险因素,大学及以上教育水平是新发高血压的保护性因素(OR=0.692,95％CI0.476～0.897).结论 北京社区居民新发高血压与高血压前期、超重、肥胖、经常饮酒、代谢综合征以及教育程度较低等密切相关.
目的 分析北京社區居民新髮高血壓與代謝性危險因素及生活方式的關繫.方法 採用分層整群隨機抽樣法,分彆于2007年6-8月和2009年6-8月對7222名北京市社區居民進行心血管危險因素現場調查.探討2年間新髮高血壓纍積髮病率與代謝性危險因素的關繫.結果 基線時血壓正常人數為4034名,2年後該人群新髮高血壓人數為978例,患病率為24.2％.多因素logistic迴歸分析示基線時處于高血壓前期(OR=3.512,95％CI2.965～4.168)、超重(OR=1.654,95％CI1.423～1.918)、肥胖(OR=2.264,95％CI1.633～2.951)、經常飲酒(OR=1.493,95％CI1.231～1.775)、代謝綜閤徵(OR=1.329,95％CI1.227～1.414)、年齡(每增長5年,OR=1.226,95％CI1.115～1.335)和男性(OR=1.135,95％CI1.018～1.221)為新髮高血壓的危險因素,大學及以上教育水平是新髮高血壓的保護性因素(OR=0.692,95％CI0.476～0.897).結論 北京社區居民新髮高血壓與高血壓前期、超重、肥胖、經常飲酒、代謝綜閤徵以及教育程度較低等密切相關.
목적 분석북경사구거민신발고혈압여대사성위험인소급생활방식적관계.방법 채용분층정군수궤추양법,분별우2007년6-8월화2009년6-8월대7222명북경시사구거민진행심혈관위험인소현장조사.탐토2년간신발고혈압루적발병솔여대사성위험인소적관계.결과 기선시혈압정상인수위4034명,2년후해인군신발고혈압인수위978례,환병솔위24.2％.다인소logistic회귀분석시기선시처우고혈압전기(OR=3.512,95％CI2.965～4.168)、초중(OR=1.654,95％CI1.423～1.918)、비반(OR=2.264,95％CI1.633～2.951)、경상음주(OR=1.493,95％CI1.231～1.775)、대사종합정(OR=1.329,95％CI1.227～1.414)、년령(매증장5년,OR=1.226,95％CI1.115～1.335)화남성(OR=1.135,95％CI1.018～1.221)위신발고혈압적위험인소,대학급이상교육수평시신발고혈압적보호성인소(OR=0.692,95％CI0.476～0.897).결론 북경사구거민신발고혈압여고혈압전기、초중、비반、경상음주、대사종합정이급교육정도교저등밀절상관.
Objective To explore if the new onset hypertension was related with metabolic risk factors and lifestyle in Beijing community residents to guide the targeted prevention of hypertension.Methods A population-based survey with a randomly cluster sampling was made to observe the relationship between metabolic risk factors and lifestyle with new onset hypertension by multivariate and logistic regression.Results A total of 4034 subjects with normal blood pressure at baseline were included and 978(24.2％) residents developed hypertension two years later.Multiple logistic analysis demonstrated that risk factors that contributed to new onset hypertension were prehypertension,overweight,obesity,frequent alcohol drinking,metabolic syndrome (MS),age and male gender,the respective Odds Ratios(OR) and 95％ confidence interval (95％CI) are as follows:3.512 (2.965-4.168),1.654 (1.423-1.918),2.264 (1.633-2.951),1.493 (1.231-1.775),1.329(1.227-1.414),1.226(1.115-1.335),1.135(1.018-1.221).College education serves as the protective factor,and the OR(95％CI) was 0.692(0.476,0.897).Conclusions New onset hypertension in Beijing community residents is mainly related with prehypertension,overweight or obesity,MS,frequent alcohol drinking and low education level.We should pay more attention to modulating metabolic risk factors and lifestyle to reduce the new onset hypertension in China.
