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目的探讨山东省沿海地区20～59岁中青年人群高血压前期的流行病特点、危险因素及与其他心血管危险因素之间的关系。方法以横断面调查性研究2004年山东沿海地区年龄20～59岁的常住人口共4186人,分析高血压前期的流行特点,比较高血压前期人群与正常血压、高血压人群心血管病危险因素水平及发生率的差别,logistic回归分析高血压前期的危险因素。结果①高血压前期发生率为43.9%,男性明显高于女性(47.9%比41.6%,P<0.05)。随年龄的增加,男性和女性高血压发生率大致呈下降趋势;②高血压前期人群空腹血糖、总胆固醇、三酰甘油、尿酸、肌酐、体质量指数、腰围及代谢综合征、腹型肥胖、糖调节受损、吸烟、饮酒的发生率均高于正常血压人群;③男性、吸烟、饮酒、腹型肥胖、超重是高血压前期的危险因素,腹型肥胖在男性和女性都是最强的危险因素,发病风险分别是非肥胖者的1.61倍(OR1.61,95%CI1.03～2.52)和1.65倍(OR1.65,95%CI1.23～2.22)。结论高血压前期在山东沿海中青年人群中所占比例最高,它与其他心血管危险因素密切相关,腹型肥胖是高血压前期最强的危险因素,推荐通过生活方式的改变对高血压前期进行早期干预治疗。
Objective To explore the prehypertensive characteristics of epidemics, risk factors and their relationship with other cardiovascular risk factors in young people aged 20 ~ 59 in Shandong coastal areas. Methods A cross-sectional investigation was conducted to investigate the prevalence of prehypertension in the coastal areas of Shandong Province in 2004. The prevalence of cardiovascular disease among the population of prehypertension and normal blood pressure and hypertension was compared. And the incidence of differences, logistic regression analysis of risk factors for prehypertension. Results ① The incidence of prehypertension was 43.9%, significantly higher in males than in females (47.9% vs. 41.6%, P <0.05). With the increase of age, the prevalence of hypertension in both men and women showed a general downward trend; ②The fasting blood glucose, total cholesterol, triglyceride, uric acid, creatinine, body mass index, waist circumference and metabolic syndrome, abdominal obesity, The incidence of smoking and alcohol consumption were higher than those of normal blood pressure; ③Men smoking, alcohol consumption, abdominal obesity and overweight were risk factors of prehypertension, and abdominal obesity was the strongest in both men and women Risk factors, the risk of developing were 1.61 times (OR1.61,95% CI 1.03 ~ 2.52) and 1.65 times (OR1.65,95% CI 1.23 ~ 2.22), respectively, in non-obese people. Conclusions Prehypertension is the highest proportion of middle-aged and young people living in Shandong coastal areas. It is closely related to other cardiovascular risk factors. Abdominal obesity is the strongest risk factor in prehypertension. It is recommended that prehypertension should be carried out through lifestyle changes Early intervention treatment.