【摘要】 目的:了解广西巴马地区壮族长寿家系血压水平和高血压患病率状况。方法:对巴马地区壮族长寿家系1 362位家庭成员进行血压水平、体重、身高、体重指数等测定,并统计高血压患病率,然后与当地非长寿家系597人、其它地区长寿家系282人及非长寿家系725人的结果分别按家系、年龄段和性别进行比较。结果:巴马地区长寿家系的收缩压(SBP)、舒张压(DBP)和高血压患病率与本地区非长寿家系无明显差异(P>0.05),但均高于对照地区的长寿家系和非长寿家系人群(均P<0.01),而且其男性和女性的SBP、DBP水平和高血压患病率均明显高于对照地区(均P<0.01);男性的DBP水平和患病率均明显高于同家系女性(均P<0.01),但SBP无明显区别(P>0.05)。年龄段比较显示,两地区长寿家系和非长寿家系的SBP水平、DBP水平和高血压患病率均随年龄增高而呈现升高的趋势;除80～岁等少数年龄段外,巴马地区长寿家系其它年龄段的SBP水平和高血压患病率均明显高于对照地区。结论:巴马地区壮族长寿家系的血压水平和高血压患病率较高,可能与饮食习惯和饮食结构的改变有关,其深层的机制有待进一步研究。更多还原

【Abstract】 Objective:To understand the blood pressure levels and the prevalence of hypertension in the Zhuang long-lived families inhabiting in Guangxi Bama area.Methods:Blood pressure level,height,weight,body mass index were measured in 1 362 subjects from Bama Zhuang long-living families,and the incidence of hypertension was calculated.All these indices were compared with 597 individuals from Bama non-long-living families and non-Bama controls(282 from long-living families and 725 from non-long-living families,respectively) according to families,age range and gender.Results:No difference of systolic blood pressure(SBP),diastolic blood pressure(DBP) and hypertension rate was found between the Bama long-living families and the Bama non-long-living families.However,the SBP,DBP levels,and hypertension rate of the Bama long-living families,whatever male or female group when gender was taken into account,were all significantly higher than those of the control groups including long-living and non-long-living families from other region(P<0.01 for all);the male DBP,and hypertension rate were all higher than those of the female in Bama long-living families(P<0.01 for all).SBP,DBP,and hypertension incidence showed an increased trend with age in long-living and non-long-living families from both areas.In addition,except fewer age groups such as 80～,the SBP level and hypertensive rate in other age groups of Bama long-living families were all greater than those of the corresponding age group in the control area.Conclusion:The blood pressure level and hypertension rate were high in Bama Zhuang long-living families.Great changes of diet habit and dietary structure may be some of its contributors.But detail mechanism needs further investigation.更多还原