摘要
目的研究新疆哈萨克族牧民血清K+对高血压合并超重肥胖的影响。方法依托2018年新疆乌鲁木齐县卫生院健康体检资料,采用分层随机整群抽样法,对南山牧区年龄≥18岁的5327名牧民行问卷调查、血标本检测;按有无高血压分组,分析高血压合并超重肥胖牧民的影响因素。结果该牧区高血压合并超重肥胖率为26.43%。非高血压合并超重肥胖组与高血压合并超重肥胖组的体重指数、身高、体重、腰围、腰臀比、收缩压、舒张压、脉压差、血K+、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇比较,差异有统计学意义(P<0.05)。以血清K+4.57~5.50 mmol/L为参照,血清K+4.11~<4.57、3.90~<4.11、3.50~<3.90 mmol/L人群高血压合并超重肥胖患病OR值分别为1.369(95%CI:1.106,1.695)、1.489(95%CI:1.206,1.838)和1.594(95%CI:1.301,1.953)。结论哈萨克族牧民低血清K+水平是高血压合并超重肥胖的危险因素。
Objective To study the effect of serum K+on hypertension combined with overweight/obesity in Kazak herdsmen.Methods Based on the physical examination conducted by the Health Hospital of Urumqi County in 2018,5327 herdsmen aged≥18 years in Nanshan pastoral area were selected by stratified random cluster sampling method for questionnaire survey and blood specimen detection.According to the presence or absence of hypertension,the influencing factors of hypertension and overweight/obesity were analyzed.Results The prevalence rate of hypertension combined with overweight/obesity in the pastoral area was 26.43%.There were significant differences in body mass index,height,weight,waist circumference,waist-to-hip ratio,systolic blood pressure,diastolic blood pressure,pulse pressure difference,serum K+,total cholesterol,triacylglycerol,high-density lipoprotein cholesterol,low-density lipoprotein cholesterol between the non-hypertension combined with overweight/obesity group and the hypertension combined with overweight and obesity group(P<0.05).Serum K+4.57-5.50 mmol/L was taken as reference,the OR values of hypertension and overweight/obesity in the level of 4.11-<4.57,3.90-<4.11 mmol/L and 3.50-<3.90 mmol/L were 1.369(95%CI:1.106,1.695),1.489(95%CI:1.206,1.838)and 1.594(95%CI:1.301,1.953),respectively.Conclusion Low serum K+level of Kazak herdsmen is a risk factor for hypertension complicated with overweight/obesity.
作者
由淑萍
王家威
樊琼玲
徐月贞
詹怀峰
陶宁
YOU Shuping;WANG Jiawei;FAN Qiongling;XU Yuezhen;ZHAN Huaifeng;TAO Ning(School of Nursing,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830011,China;Physical Examination Center,Shuixigou Health Hospital,Xinjiang Uygur Autonomous Region,Urumqi830000,China;School of Public Health,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830011,China)
出处
《中国医药导报》
CAS
2021年第11期45-49,共5页
China Medical Herald
基金
国家教育部人文社会科学研究青年基金资助项目(17YJCZH230)。
关键词
哈萨克族
牧民
血清钾
高血压合并超重肥胖
Kazak
Herdsmen
Serum potassium
Hypertension complicated with overweight/obesity
