摘要
目的探讨辽宁省阜新农村地区老年高血压人群体重指数(BMI)与血脂及血压的关系。方法采用分层随机整群抽样方法,对辽宁省阜新农村地区≥65岁的1 637例老年高血压患者按不同BMI分为Ⅰ组(1 155例,BMI<24 kg/m2)、Ⅱ组(397例,24 kg/m2≤BMI<28 kg/m2)、Ⅲ组(85例,BMI≥28 kg/m2),进行流行病学调查和血脂及血压检测。结果Ⅱ、Ⅲ组收缩压、舒张压、TC、TG、LDL-C较Ⅰ组显著升高(P<0.05),血脂异常发生率显著升高(P<0.05),HDL-C异常率组间比较无显著差异,随BMI升高,高血压分级逐渐升高。结论积极控制BMI对预防血脂异常、高血压的发生发展,降低心脑血管事件的发病率有重要意义。
Objective To study the relationship between body mass index （BMI） and the blood lipids and blood pressure in rural hypertensive population over 65 years in Fuxin of Liaoning Province. Methods Using cluster multistage sampling,epidemiological survey and laboratory examination were carried out in 1 637 country people with hypertension over 65 years old. Their blood samples were analyzed in a central laboratory. Based on Guideline of Prevention and Control of Chinese Adult Overweight and Obesity, they were divided into three groups according to their BMI levels：BMI〈24 kg/m^2 group（1 155 cases）, 24 kg/m^2≤BMI〈28 kg/m^2 group（397 cases） and BMI≥28 kg/m^2 group（85 cases）. SPSS 11.5 statistical software was used for data analysis. Results （1）SBP,DBP,TC,TG and LDL-C increased with increasing BMI level. （2）The prevalence rates of abnormal TC, TG and LDL-C increased with increasing BMI level. There was no significant difference in prevalence rates of abnormal HDL-C between different groups. （3）The grade of hypertension increased with increasing BMI level. Conclusion Overweight and obese old patients with hypertension should reduce weight, control BMI below 24（kg/m^2）, which has important significance in prevention of blood lipid disorder occurrence and development of hypertension,reduction of the occurrence of cardiac and cerebral vascular events.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2008年第6期403-405,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
高血压
体重
高脂血症
血压
hypertension
body weight
hyperlipidemia
blood pressure
