摘要
目的了解中国中老年人高血压亚型患病现状,探讨不同肥胖测量指标与高血压亚型患病的关系,为制定中老年人高血压的防治策略提供理论依据。方法利用2015年中国健康与养老追踪调查数据,描述≥45岁中老年人群中3种高血压亚型的分布情况。采用SPSS 22.0软件进行χ^2检验、趋势χ^2检验,采用多因素无序多分类logistic回归分析腰围(WC)、腰高比(WHtR)、体质指数(BMI)对高血压亚型发生风险的影响。结果14848名中老年人群中,高血压患病率为28.25%,单纯收缩期高血压(ISH)患病率为17.44%,单纯舒张期高血压(IDH)患病率为1.80%,收缩期舒张期高血压(SDH)患病率为9.01%。ISH患病率随年龄增长呈上升趋势;随着BMI增长,3种高血压亚型的患病率均逐渐上升;超重、肥胖、中心性肥胖人群中ISH、IDH、SDH患病率均高于正常人群,均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,3种肥胖测量指标与高血压亚型显著相关,肥胖人群与ISH、IDH、SDH高风险相关[OR值分别为1.95(95%CI:1.69~2.24)、3.04(95%CI:2.18~4.23)和3.28(95%CI:2.80~3.86)];高WC中心性肥胖人群与ISH、IDH和SDH高患病风险相关,OR值分别为1.85、2.20和2.20;高WHtR中心性肥胖人群与ISH、IDH、SDH高患病风险相关,OR值分别为2.02、1.89和2.22。结论各亚型高血压患病均与肥胖密切相关,且患病风险随肥胖程度增加而升高。
Objective To understand the prevalence of hypertension subtypes in middle-aged and elderly residents,to explore the relationship between different obesity measurement indexes and the prevalence of hypertension subtypes,and to provide the theoretical basis for the formulation of strategies of the preventing and treating hypertension in middle-aged and elderly residents.Methods The data of China Health and Retirement Longitudinal Study(CHARLS)in 2015 were used to describe the distribution differences of three hypertension subtypes in the middle-aged and elderly residents(≥45 years old).Theχ^2 test and trendχ^2 test was utilized to analyze the data,the logistic regression analysis of the multiple factor disorded multiple classification response variables was used to analyze the effects of waist circumference(WC),waist-to-height ratio(WHt R),body mass index(BMI)on the risk of hypertension subtypes.Results In14848 middle-aged and elderly residents,the morbidity of hypertension was 28.25%,the morbidities of isolated systolic hypertension(ISH),isolated diastolic hypertension(IDH)and systolic diastolic hypertension(SDH)were 17.44%,1.80%and 9.01%,respectively.The morbidity of ISH increased with age,morbidities of the three hypertension subtypes increased with BMI;the morbidities of ISH,IDH and SDH in residents with overweight,obesity and central obesity were significantly higher than those in normal residents(P<0.05).Multivariate logistic regression analysis showed that the three obesity measurement indexes were significantly associated with prevalence of hypertension subtypes,the obesity was associated with high risk of ISH,IDH,and SDH(OR=1.95,95%CI:1.69-2.24;OR=3.04,95%CI:2.18-4.23;OR=3.28,95%CI:2.80-3.86);the central obesity(high WC)was associated with high risk of ISH,IDH and SDH,OR values were 1.85,2.20 and 2.20,respectively;the central obesity(high WHtR)was associated with high risk of ISH,IDH and SDH,OR values were 2.02,1.89 and 2.22,respectively.Conclusion The prevalence of all subtypes of hypertension are closely related to obesity,and the risk of disease increases with the obesity.
作者
程杨杨
曹志
李书
蒋云雯
孙俐
王耀刚
CHENG Yang-yang;CAO Zhi;LI Shu;JIANG Yun-wen;SUN Li;WANG Yao-gang(School of Public Health,Tianjin Medical University,Tianjin 300070,China;不详)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2020年第1期24-27,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
国家自然科学基金项目(91746205,71673199).
关键词
肥胖
高血压亚型
中老年人
Obesity
Hypertension subtypes
Middle-aged and elderly people
作者简介
程杨杨,硕士研究生在读,从事慢病防控与疾病关联分析研究,E-mail:chengyangyang@tmu.edu.cn;通讯作者:王耀刚,E-mail:wangyg@tmu.edu.cn
