摘要
目的 探讨生活方式与血压之间的关系。方法 采用流行病学现况研究的方法 ,对重庆市某厂 5个车间所有 45～ 5 5岁的男性进行调查。结果 该人群平均年龄 5 1岁 ,平均收缩压 (SBP)与舒张压 (DBP)分别为 12 0 2 1mmHg( 15 99kPa) ,79 89mmHg( 10 6 3kPa)。高血压现患率为 2 0 3%,高胆固醇血症现患率为 16 7%,超重率为2 3 4%。单因素分析显示 ,体重指数 (BMI)与SBP和DBP均呈正相关 (r=0 33 ,r=0 41,P <0 0 1)。超重的人 (BMI≥ 2 5kg/m2 )其SBP、DBP、血清总胆固醇 (TC)、TC/HDL值均较体重指数正常者高。Logistic回归分析显示 ,超重是高血压患病的危险因素 ,OR值为 4 92 ( 2 43～ 9 95 )。 2 4h尿钠排出量与血压呈弱的相关 (r =0 2 3 ,r =0 2 2 ,P <0 0 5 ) ,钠 /钾均值为 6 77,钠 /钾高于建议值范围 (比值 <3)的比例占 98 5 5 %。文化程度高 (受教育年数≥ 10年 )有低的高血压现患 ( 5 6 5 %) ,其血压水平、尿钠排出量、钠 /钾均较中、低文化程度的低。结论 超重、膳食高盐为重庆地区抽样人群高血压患病的危险因素 ,教育在中国人群血压控制中扮演着重要的角色。
Objective To explore the relationship between life style and blood pressure.Methods To investigate males aged 45-55 in five workshops of a Chongqing plant.Results Mean age was 51,and mean SBP and DBP were 120.21?mmHg(15.99?kPa) and 79.89?mmHg(10.63?kPa).Prevalence of hypertension was 20.3%;prevalence of hypercholesterolemia was 16.7%;rate of overweight (BMI≥25?kg/m2) was 23.4%.SBP and DBP were positively associated positively with BMI(partial correlation coefficient:0.33 and 0.41 P<0.01).Logistic regression analysis indicated that relative risks(95%CI) of overweight for the risk of HT was 4.92(2.43-9.95).Sodium excretion of 24 hours showed a weak positive correlation with blood pressure(r=0.23,r=0.22,P<0.05).Means of sodium/potassium ratio was 6.77,and the percent of sodium/potassium ratio higher than recommendation (ratio<3) was 98.55%.Males with higher educational level(receiving education year ≥10 years) had lower blood pressure,lower sodium excretion,and lower ratio of sodium/potassium.Conclusion Overweight and higher dieted sodium was the risk factor for prevalence of hypertension.Education played an important role in public health for controlling high BP in Chinese population.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2003年第5期532-533,共2页
Chinese Journal of Public Health
基金
日本京都大学WHO循环系疾病预防研究基金资助课题
关键词
高血压
生活方式
现况调查
危险因素
hypertension
life style
cross-sectional study
risk factors
