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重庆地区人群体重指数腰围与血压水平及高血压关系的分析

Relationship between body mass index,waist circumference and blood pressure among 5246 residents in Chongqing area

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【作者】 黄晓波胡蓉刘金莲侯永兰乐庆荣罗开良卢仙娥佘强殷跃辉兰先彬

【Author】 HUANG Xiao-bo~* HU Rong LIU Jin-lian HOU Yong-lan LE Qing-rong LUO Kai-liang LU Xian-e SHE Qiang YIN Yue-hui LAN Xian-bin. *Department of Cardiology,Second Affiliated Hospital,Chongqing University of Medical Sciences,Chongqing 400010,China

【机构】 重庆医科大学附属第二医院心内科重庆医科大学公共卫生学院医学统计教研室重庆医科大学流行病学教研室

【摘要】 目的探讨重庆地区人群体重指数(BMI)、腰围(WC)与血压水平及高血压的关系。方法采用分层整群抽样的方法,抽取重庆地区15岁以上城乡人口5246人进行血压、脉搏、身高、体重、腰围、臀围的测量,并问卷调查。结果重庆地区人群收缩压、舒张压水平及高血压患病率均随着BMI 的增加呈明显的线性上升趋势(线性趋势检验 P<0.01)。腹型肥胖的人群收缩压、舒张压水平及高血压患病率均高于腰围正常的人群,差异均有统计学意义(线性趋势检验 P<0.01)。按 BMI 分组[<18.5、18.5~23.9、24.0~27.9、≥28.0(kg/m~2)]的高血压患病率分别为9.39%、13.51%、26.23%、32.21%;按 WC 分组(男<85cm 或女<80cm,男≥85cm 或女≥80cm)的高血压患病率分别为12.39%、28.81%。结论重庆地区人群血压水平及高血压患病率均与 BMI、WC 密切相关。BMI、WC 是高血压的重要危险因素,对于高血压的发生有着重要的预测作用。

【Abstract】 Objective To explore the relationship between body mass index,waist circumference and blood pressure among residents in Chongqing area.Methods A total of 5246 residents aged 15 and over in Chongqing area were enrolled in this study by use of stratified sampling and cluster sampling methods. Data on blood pressure(SBP,DBP),pulse,height,body weight,waist and hip circumferences as well as questionnaire survey were analyzed.Results The level of SBP and DBP and hypertension prevalence rate were significantly positively correlated with BMI(all P<0.01).SBP,DBP levels and hypertension prevalence rate were significantly higher in people with abdomen obesity than people with normal waist circumference(all P<0.01).BMI,waist circumference in hypertensive residents were significantly higher than non-hypertensive residents(all P<0.01).Conclusion Blood pressure level and hypertension prevalence rate were closely related with BMI and waist circumference among residents in Chongqing area.

【关键词】 高血压人体质量指数腰围
【Key words】 HypertensionBody mass indexWaist circumference
【基金】 重庆市卫生局资助项目(2004-2008)
  • 【文献出处】 中华心血管病杂志 ,Chinese Journal of Cardiology , 编辑部邮箱 ,2007年07期
  • 【分类号】R544.1
  • 【被引频次】27
  • 【下载频次】50
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