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河南农村成年人身体脂肪率与高血压的关系

发布时间:2018-03-07 17:29

  本文选题:身体脂肪率 切入点:高血压 出处:《郑州大学学报(医学版)》2017年05期  论文类型:期刊论文


【摘要】:目的:探讨河南省农村地区成年人身体脂肪率与高血压的关系。方法:采用整群随机抽样的方法选择河南农村35~74岁成年人9 980人,问卷调查收集研究对象的人口学特征、生活习惯及高血压家族史等信息,采用电子血压计测量坐位上臂血压,生物电阻抗法测量身体脂肪率。结果:河南农村地区成年人群高血压患病率(标化率)为33.99%(29.13%),其中男性为35.45%(31.96%),女性为33.19%(27.85%),男性高于女性(P=0.023)。总人群身体脂肪率中位数(P25~P75)为31.8%(26.6%~35.7%),男性为25.1%(21.8%~28.0%),女性为34.5%(31.7%~37.1%);女性大于男性(Z=71.700,P0.001)。按照身体脂肪率四分位数将研究对象分为4组:Q1组(P_(25))、Q2组(P_(25)~)、Q3组(P_(50)~)、Q4组(≥P_(75))。与Q1组相比,Q2、Q3、Q4组人群高血压患病率均增加(P0.001)。Logistic回归分析结果显示,总人群中身体脂肪率与高血压存在关联,Q2、Q3、Q4组调整后的OR(95%CI)分别为1.71(1.48~1.97)、2.69(2.25~3.22)和4.34(3.60~5.23)(P趋势0.001)。男性和女性人群中两者关联性表现与总人群一致。结论:河南农村成年人群高血压患病率较高,身体脂肪率增加与高血压患病存在关联。
[Abstract]:Objective: to explore the relationship between body fat rate and hypertension among adults in rural areas of Henan Province. Methods: 9 980 adults aged 35 to 74 years old in rural areas of Henan province were selected by cluster random sampling. The demographic characteristics of the subjects were collected by questionnaire. Using electronic sphygmomanometer to measure the blood pressure of the upper arm in the sitting position and other information such as living habits and family history of hypertension. Results: the prevalence rate of hypertension (standardized rate) in the rural population of Henan province was 33.9999 / 29.13, with 35.4545 / 31.96 / kg for male, 33.197.85for female and 27.85for male / female, respectively. The median body fat rate of total population (P25P75) was higher than that of female (P < 0.05). The total body fat rate of the adult population in Henan Province was higher than that of the female population (P < 0.05), and that of the male population was higher than that of the female population (P < 0.05). 31.826.63.775. The subjects were divided into four groups according to the four-digit number of body fat. According to the four-digit number of body fat, the subjects of the study were divided into four groups, P0. 25: 1, P0. 25, 0. 8 for males, 28. 0 for males, 34. 5 for females and 37. 001 for females, respectively. The results of logistic regression analysis showed that compared with Q1, the prevalence of hypertension in Q2Q3Q4 groups increased P0. 001. Logistic regression analysis showed that the incidence of hypertension in the Q2Q3Q4 group was higher than that in the Q1 group, and the logistic regression analysis showed that the incidence rate of hypertension in the Q2Q3Q4 group was higher than that in the Q1 group. There was a correlation between body fat rate and hypertension in the total population. The ORQ95CIs of Q2Q3 Q4 adjusted group were 1.71 ~ 1.48 ~ 1.97 ~ 2.69 ~ 2.25 ~ 3.22) and 4.34 ~ 3.605.23 ~ (3) P trend respectively. The correlation between male and female population was consistent with the total population. Conclusion: the prevalence rate of hypertension is higher in rural population of Henan Province, the prevalence rate of hypertension is higher in rural population in Henan Province, and the prevalence rate of hypertension is higher in rural population in Henan Province. Increased body fat is associated with high blood pressure.
【作者单位】: 郑州大学公共卫生学院流行病学教研室;河南省军区直属医院体检中心;
【基金】:国家重点研发计划“精准医学研究”重点专项2016YFC0900803 国家自然科学基金资助项目81573243,81602925 河南省科技创新人才支持计划项目164100510021 河南省高校科技创新人才支持计划项目14HASTIT035 河南省医学科技攻关计划项目201401002,201403002 郑州大学高端人才支持计划项目ZDGD13001
【分类号】:R544.1

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