摘要
目的比较分析云南省永胜县傈僳族、玉龙县纳西族和德宏州傣族居民肥胖、中心性肥胖和高血压的流行现状,探讨肥胖与高血压患病的关系。方法2014年8月至2016年1月采用多阶段分层随机抽样方法分别抽取云南省永胜县、玉龙县、德宏州4189名年龄大于或等于35岁的傈僳族、纳西族和傣族3个独有少数民族居民进行问卷调查和体格检查,分析肥胖与高血压患病的关系。结果云南省永胜县傈僳族、玉龙县纳西族、德宏州傣族居民标化肥胖率和中心性肥胖率分别为1.9%和16.3%、15.4%和59.8%、16.7%和61.2%,标化高血压患病率分别为18.5%、37.0%、53.2%。3个独有少数民族居民肥胖率、中心性肥胖率、高血压患病率均以德宏州傣族最高,永胜县傈僳族最低,3个民族的中心性肥胖率均是女性高于男性,差异均有统计学意义(P<0.05);3个民族均是肥胖和中心性肥胖者患高血压的风险更高,差异有统计学意义(P<0.05)。结论云南省3个独有少数民族的肥胖率、中心性肥胖率、高血压患病率均存在明显的民族差异,降低肥胖和中心性肥胖率有助于减少高血压的发生。
Objective To comparatively analyze the prevalence status quo of obesity,central obesity and hypertension among Lisu nationality residents of Yongsheng County,Naxi nationality residents of Yulong County and Dai nationality residents of Dehong Prefecture in Yunnan Province,and to investigate the relationship between obesity and hypertensive disease.Methods A total of 4189 Lisu,Naxi and Dai exclusive ethnic minority residents aged≥35 years old were extracted from Yongsheng County,Yulong County and Dehong Prefecture of Yunnan Province by the multistage stratified random sampling method.Each participant received questionnaire survey and physical examination.Results The standardized prevalence rates of obesity and central obesity were 1.9%and 16.3%,15.4%and 59.8%,16.7%and 61.2%for Lisu,Naxi and Dai ethnic minorities in Yongsheng and Yulong counties and Dehong Prefecture,and the standardized prevalence rates of hypertension were 18.5%,37.0%and 53.2%,respectively.The Dai residents in Dehong Prefecture had the highest prevalence rates of obesity,central obesity and hypertension,whereas Lisu minority had the lowest prevalence rates.The prevalence rate of central obesity in females among 3 nationalities was higher than that in males,and the difference was statistically significant(P<0.01).The patients with obesity and central obesity in 3 nationalities had higher risk of suffering from hypertension,and the difference was statistically significant(P<0.05).Conclusion There are obviously ethnic differences in the prevalence rates of obesity,central obesity and hypertension among three unique ethnic minorities in Yunnan Province.Reducing the prevalence rates of obesity and central obesity is helpful to decrease the occurrence of hypertension.
作者
何连菊
蔡乐
赵一
崔文龙
左春梅
刘岚
李锦波
莫怡
HE Lianju;CAI Le;ZHAO Yi;CUI Wenlong;ZUO Chunmei;LIU Lan;LI Jinbo;MO Yi(School of Public Health,Kunming Medical University,Kunming,Yunnan 650500,China;Department of Endocrinology,First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)
出处
《重庆医学》
CAS
2022年第13期2306-2310,共5页
Chongqing medicine
基金
国家自然科学基金项目(72064026)
云南省创新团队培育计划项目(202005AE160002)
云南省高校科技创新团队支持计划项目((2018)134)
云南省教育厅科学研究基金项目(2021Y327、2022Y200)。
关键词
肥胖
中心性肥胖
高血压
患病率
独有少数民族
obesity
central obesity
hypertension
prevalence rate
unique ethnic minority
