蔬菜水果摄入量对我国成人高血压发病率影响的队列研究

发布时间：2018-04-16 05:31

  本文选题：高血压 + 蔬菜　； 参考：《重庆医学》2017年14期

【摘要】：目的旨在我国华北地区成人中探讨膳食结构中蔬菜水果摄入量和高血压发病率的关系。方法采用前瞻性队列研究设计,于2012年4至6月在河北省唐山市开滦社区和北京市京煤社区抽取10 635人(男5 864人)作为观察队列,平均随访47.2个月后,比较蔬果摄入量不同的人群的高血压发病率的差异,并采用Cox回归分析蔬菜和水果摄入量对成人高血压发病率的影响。结果共有10 104人完成随访(95.0%)。随访期间,共有新发高血压患者576人,按蔬果摄入量分为小于或等于2.0份/天,2.0~4.1份/天,4.1~5.0份/天,≥5.0份/天的各组,高血压新发病率分比为6.2%、6.0%、5.1%、4.6%,比较差异有统计学意义(P0.05)。与蔬菜和(或)水果摄入量最少的人群相比,增加蔬菜水果摄入量能显著降低该地区人群的高血压发病率,单纯增加蔬菜、水果,以及增加蔬菜水果总摄入量对降低高血压风险所能达到的最大危险比(HR)及95%CI分别为0.62(0.46~0.83),0.87(0.78~0.97)和0.69(0.54~0.80)(P0.05)。结论在我国华北地区成人增加蔬菜水果的摄入量能显著降低高血压的发病率。
[Abstract]:Objective to explore the relationship between the intake of fruits and vegetables and the incidence of hypertension in adults in North China.Methods A prospective cohort study was used to select 10 635 men (5 864 men) from April to June 2012 in Kailuan community and Jingmei community of Tangshan City, Hebei Province. The average follow-up period was 47.2 months.Cox regression analysis was used to analyze the effect of intake of fruits and vegetables on the incidence of hypertension in adults.Results A total of 10 104 patients were followed up.During the follow-up period, a total of 576 new hypertensive patients were divided into two groups according to their intake of fruits and vegetables, which were less than 2.0 / day or equal to 2.0 / day / day, 4.1 / day / day / 4.1g / day, and 鈮，

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