文章摘要
张仲迎,汤哲,冯明.高血压对北京市老年人健康预期寿命的影响[J].中华流行病学杂志,2010,31(7):733-736
高血压对北京市老年人健康预期寿命的影响
The impact of hypertension on active life expectancy among senior citizens of Beijing
收稿日期:2009-12-10  出版日期:2014-09-10
DOI:
中文关键词: 高血压  健康预期寿命  老年人  日常生活活动能力  多状态寿命表法
英文关键词: Hypertension  Active life expectancy  Elderly  Activities of daily life  Multistate life table method
基金项目:联合国人口基金资助(CTR/91/P23)
作者单位E-mail
张仲迎 首都医科大学宣武医院综合科  
汤哲 首都医科大学宣武医院综合科 tangzhe@medmail.com.cn 
冯明 流行病学和社会医学部, 北京 100053  
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中文摘要:
      目的研究高血压对北京市老年人预期寿命(LE)、健康预期寿命(ALE)和健康预期寿命比值(ALE/LE)的影响。方法样本来自“北京老龄化多维纵向研究”,对象为宣武区(城区)、大兴区(近郊平原)、怀柔区(远郊山区)/>60岁老年人群,2004年基线调查为1847名,2007年对该样本进行随访,调查由经过培训的调访员入户完成,进行高血压病史的调查和现场测量血压,并根据能否独立完成日常生活活动(ADL),认定功能健康与否。应用多状态寿命表IMaCH软件计算各年龄段高血压人群与非高血压人群的LE、ALE和ALE/LE,并进一步按照是否合并心脑血管病进行分层计算上述指标。结果高血压组的LE、ALE和ALE/LE均低于正常血压组,ALE/LE在高血压组与非高血压组均随年龄增长而下降,高血压组该比值下降速度明显快于正常血压组,对于高龄老年人的ALE/LE影响更大,曲线下降更为显著。各年龄组人群高血压合并心脑血管病的LE、ALE及ALE/LE均显著低于未合并心脑血管病人群,ALE/LE尤其是男性高龄老年人差距更大。结论高血压对北京市老年人ALE产生显著影响,特别是高龄者,高血压心脑血管病并发症对老年人ALE产生进一步影响,尤其是男性高龄者。
英文摘要:
      Objective The aim of this study is to explore the influence of hypertension on life expectancy (LE), active life expectancy (ALE) and active life expectancy/life expectancy (ALE/LE) among senior citizens in Beijing.Methods The sample derived from Beijing multidimensional longitudinal study on aging, baseline survey consisted of 1847 elderly people aged 60 years and over dwelling in the communities from one urban district (Xuanwu),one suburban country (Daxing) and one mountainous country (Huairou) in Beijing, 2004. Cluster, stratified and randomly selected sampling technique was used and a follow-up program was carried out in 2007. The subjects were invited to fill in questionnaires at home through well-trained interviewers, together with medical history of hypertension and repeated blood pressure measurements adopted. The state of activity was defined according to whether they could perform activities of daily life (ADL). IMaCH software for multi-state life table method was used to calculate the life expectancy(LE), active life expectancy (ALE) and active life expectancy/life expectancy(ALE/LE) in people with hypertension and normal blood tension, as well as on those people with hypertension with or without cardio-cerebral disease.Results The study manifested that hypertensives were associated with the reduction of LE,ALE and ALE/LE compared to the normotensives. The ALE/LE was descending along with ageing, and the speed of reduction was much faster in the hypertensive group, especially within senile population. LE,ALE and ALE/LE among the hypertensives with cardio-cerebral vascular diseases were shorter than the hypertensives without the disease. Difference in ALE/LE was striking in people with virile senility.Conclusion Hypertension remarkably impacted the active life expectancy on senior citizens living in Beijing, especially for elderly. Hypertensives with cardio-cerebral vascular diseases exerted further influence on active life expectancy, particularly among population of virile senility. The finding underlined the tremendous importance of preventing high blood pressure and its complication.
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