论文部分内容阅读
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。
Objective To explore the relationship between body mass index (BMI), waist circumference (WC), blood pressure and hypertension in Chongqing area. Methods A stratified cluster sampling method was used to measure the blood pressure, pulse rate, height, weight, waist circumference and hip circumference of 5246 urban and rural residents over the age of 15 in Chongqing and questionnaire survey. Results The prevalence of systolic blood pressure, diastolic blood pressure and the prevalence of hypertension in Chongqing population were significantly increased with the increase of BMI (linear trend test P <0.01). Systolic blood pressure, diastolic blood pressure and the prevalence of hypertension were higher in abdominal obesity than in those with normal waist circumference (P <0.01 by linear trend test). The prevalence rates of hypertension according to BMI were 9.39%, 13.51%, 26.23% and 32.21% respectively according to WC group (<18.5,18.5-23.9,24.0-27.9, ≥28.0 (kg / m 2) <85cm or female <80cm, male ≥85cm or female≥80cm) were 12.39% and 28.81% respectively. Conclusion The prevalence of hypertension and blood pressure in Chongqing population are closely related to BMI and WC. BMI, WC is an important risk factor for hypertension and plays an important role in predicting the occurrence of hypertension.