不同性别和体重指数老年人群的腰围与高血压患病率和控制率关系的研究

吴蕾; 何耀; 姜斌; 刘淼; 杨姗姗; 曾静; 王义艳; 王建华; 张迪

Abstract

吴蕾,何耀,姜斌,刘淼,杨姗姗,曾静,王义艳,王建华,张迪.不同性别和体重指数老年人群的腰围与高血压患病率和控制率关系的研究[J].Chinese journal of Epidemiology,2015,36(12):1357-1360

不同性别和体重指数老年人群的腰围与高血压患病率和控制率关系的研究

Association between waist circumference and the prevalence/control of hypertension by gender and different body mass index classification in an urban elderly population

Received:April 10, 2015

DOI：10.3760/cma.j.issn.0254-6450.2015.12.007

KeyWord: 高血压体重指数腰围中心性肥胖老年人群

English Key Word: Hypertension Body mass index Waist circumference Central obesity Elderly population

FundProject:国家自然科学基金(81072355); 北京市科委项目(D121100004912003); 军事医学创新专项(13CXZ029)

Author Name	Affiliation	E-mail
Wu Lei	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
He Yao	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China State Key Laboratory of Kidney Disease, PLA General Hospital, Beijing 100853, China	yhe301@sina.com
Jiang Bin	Department of Chinese Traditional Medicine and Acupuncture, PLA General Hospital, Beijing 100853, China
Liu Miao	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
Yang Shanshan	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
Zeng Jing	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
Wang Yiyan	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
Wang Jianhua	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China
Zhang Di	Department of Epidemiology, Institute of Geriatrics, PLA General Hospital, Beijing 100853, China Beijing Key Laboratory of research on aging and related diseases, PLA General Hospital, Beijing 100853, China

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Abstract:

目的探讨不同性别和BMI水平社区老年人群的腰围与高血压患病率和控制率关系。方法 2009年9月至2010年6月采用二阶段整群随机抽样,对北京市万寿路地区≥60岁老年人群进行横断面调查。结果分析样本人群2 035人(男性828人,女性1 207人)。腰围增加可提高体重正常老年女性高血压患病率,且高血压控制率下降,调整OR(aOR)值(95%CI)分别为1.04(1.01～1.08)和0.96(0.92～1.00)。单纯中心性肥胖女性的高血压患病率(64.7%)显著高于腰围、体重均正常女性(52.2%),aOR=1.58(95%CI :1.07～2.32);而高血压控制率(32.9%)低于腰围正常者(43.5%),aOR=0.62(95%CI: 0.37～1.04),P=0.071。结论腰围增加(中心性肥胖)可提高单纯肥胖和体重正常的社区老年女性高血压患病风险及降低高血压控制率。应关注老年女性单纯中心性肥胖者的高血压患病和血压控制情况。

English Abstract:

Objective The aim of the present study was to evaluate the association between waist circumference and the prevalence/control of hypertension in an urban elderly population. Methods From September 2009 to June 2010, a population-based cross-sectional study was conducted in Wanshoulu area of Beijing, China. Results A total of 2 035 elderly (828 male, 1 207 females) participants aged ≥60 years from a community were included in this study for data analysis. We found that the increased waist circumference could significantly increase the risk of prevalence and poor control of hypertension, with the adjusted odds ratios (95%CI) as 1.04 (1.01-1.08) and 0.96 (0.92-1.00), respectively. Among those identified pure central obesity females (64.7%), the prevalence of hypertension was significantly higher than those females with normal body mass index (BMI) or with normal waist circumference (52.2%). The adjusted odds ratio (95%CI) between the above said groups appeared as 1.58 (1.07-2.32). The control rate of hypertension among females (32.9%) with pure central obesity, was lower than that of the females with normal BMI and waist circumference (43.5%), with an adjusted odds ratio (95%CI) as 0.62 (0.37-1.04,P=0.071).Conclusion There appeared significant association between people with pure central obesity and the increased risk of prevalence or with poor control of hypertension. More attention should be paid to both the prevalence and control of hypertension programs among females with pure central obesity.

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