体质指数、腰围、腰臀比与社区中老年居民高血压关系研究

肖瑛琦; 刘娅; 郑思琳; 杨艳; 范颂; 杨超; 张俊辉; 叶运莉

Abstract

肖瑛琦,刘娅,郑思琳,杨艳,范颂,杨超,张俊辉,叶运莉.体质指数、腰围、腰臀比与社区中老年居民高血压关系研究[J].Chinese journal of Epidemiology,2016,37(9):1223-1227

体质指数、腰围、腰臀比与社区中老年居民高血压关系研究

Relationship between hypertension and body mass index, waist circumference and waist-hip ratio in middle-aged and elderly residents

Received:February 03, 2016

DOI：10.3760/cma.j.issn.0254-6450.2016.09.008

KeyWord: 高血压体质指数腰围腰臀比患病率

English Key Word: Hypertension Body mass index Waist circumference Waist-hip ratio Prevalence

FundProject:四川省科技厅-泸州市人民政府-泸州医学院2014年联合科研项目（201410161）

Author Name	Affiliation	E-mail
Xiao Yingqi	Southwest Medical University, Luzhou 646000, China Nursing Department, Affiliated Hospital, Southwest Medical University, Luzhou 646000, China
Liu Ya	Epidemiology and Statistics Department, Southwest Medical University, Luzhou 646000, China
Zheng Silin	Nursing Department, Affiliated Hospital, Southwest Medical University, Luzhou 646000, China
Yang Yan	Nutrition and Food Hygiene Department, Southwest Medical University, Luzhou 646000, China
Fan Song	Epidemiology and Statistics Department, Southwest Medical University, Luzhou 646000, China
Yang Chao	Epidemiology and Statistics Department, Southwest Medical University, Luzhou 646000, China
Zhang Junhui	Epidemiology and Statistics Department, Southwest Medical University, Luzhou 646000, China
Ye Yunli	Epidemiology and Statistics Department, Southwest Medical University, Luzhou 646000, China	wushuangyewu@163.com

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Abstract:

目的探讨四川省泸州地区社区中老年居民BMI、腰围和腰臀比与高血压的关系。方法 2015年3月27日至4月20日采用分层整群随机抽样的方法，由统一培训的调查员对泸州市35～69岁中老年人2 033人进行面对面问卷调查和体格检查。结果泸州市社区中老年居民高血压患病率为43.48%，超重率、肥胖率及以腰围、腰臀比计算的向心性肥胖率分别为42.5%、14.6%和48.4%、74.0%。多元非条件logistic回归分析结果显示，性别、年龄与高血压患病有关，45～60和≥60岁与<40岁相比，OR值分别为2.066和4.756。控制性别、年龄的混杂作用后，在BMI与腰围和腰臀比这3个指标中，BMI超重/肥胖和向心性肥胖（按腰围计算）对高血压患病有影响，腰臀比没有引入回归方程；BMI与腰围或腰臀比联合对高血压患病均有影响，从超重到肥胖者较两项指标正常人群患高血压的患病风险均逐渐增加，OR值（95% CI）分别从1.524（1.044～2.226）增加至4.641（3.405～6.326），从1.569（1.134～2.171）增至5.468（3.797～7.876）。结论 BMI、腰围和腰臀比均与人群高血压患病率有关联，腰围较腰臀比的关联更大，提示保持体重相关指标在正常范围可能是预防高血压的有效措施之一。

English Abstract:

Objective To assess the relationship between hypertension and BMI, waist circumference and waist-hip ratio in middle-aged and elderly residents in Luzhou, Sichuan province. Methods A total of 2 033 middle-aged and elderly local residents aged 35-69 years were enrolled from Luzhou through stratified cluster sampling from March 27 to April 20, 2015. A face-to-face questionnaire survey and physical examination were conducted by trained investigators. Results The overall prevalence rate of hypertension was 43.48%. The overweight rate, obesity rate, centrality obesity (calculated according to waist circumference) and centrality obesity (calculated according to waist-hip ratio) were 42.5%, 14.6%, 48.4% and 74.0%, respectively. The multivariate logistic analysis showed that gender and age were related to the prevalence of hypertension. Compared with age group <40 years, the OR values were 2.066 and 4.756 respectively in age groups 45-60 and ≥60 years. After control the confounding effect of gender and age, overweight, obesity and centrality obesity (calculated according to waist circumference) were risk factors for hypertension, waist-hip ratio was not used in the regression equation. BMI and waist circumference or waist-hip ratio had combined effect on the prevalence of hypertension. Compared with the normal adults, the risk for hypertension increased as the increase of the level of overweight and obesity[OR from 1.524 (95%CI:1.044-2.226) to 4.461 (95%CI:3.405-6.326) and OR from 1.569 (95%CI:1.134-2.171) to 5.468 (95%CI:3.797-7.876)]. Conclusions The influences of BMI, waist circumference and waist-hip ratio on the prevalence of hypertension were significant, but the influence of waist circumference on hypertension was greater than waist-hip ratio. Keeping normal bodyweight might be one of the effective hypertension prevention measures.

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