吉林省部分农村地区中老年人群部分体质指标与血压关系的研究

发布时间：2018-05-21 16:05

  本文选题：体质指标 + 肥胖　； 参考：《吉林大学》2017年硕士论文

【摘要】：目的:探讨吉林省部分农村地区中老年人群腰围(WC)、腰臀比(WHR)、腰围身高比(WHt R)、体重指数(BMI)与血压的关系。方法:应用整群随机抽样的方法于2013年7月至2013年9月在吉林省部分农村地区(东丰县和靖宇县)抽取年龄在35岁以上人群中2608人作为调查对象。本调查采用Epidata3.1建立数据库,数据录入采用双录入。采用SPSS23.0软件包对研究数据进行统计学分析,计量资料采用x?±s指标表示,计数资料采用率和构成比指标表示,率的比较采用χ2检验,等级分组的3组及3组以上的比较采用趋势性χ2检验;血压与各体质指标的相关分析采用线性相关的方法分析。确定显著性水平α=0.05,其中以P0.05为差异具有统计学意义。结果:1、调查对象相关指标的一般情况本研究中,符合调查标准的对象共计2608人,平均年龄为(54.80±10.36)岁,其中,男性1180人(45.2%),女性1428人(54.8%)。2、人口学特征及体质指标与血压的关系2.1不同血压人群的人口学特征本文纳入的人群中符合高血压诊断的共有998例(38.3%),其中,男性467例(44.3%),女性531例(55.7%),女性高血压患病率(39.6%)高于男性(37.2%),男女高血压患病率之比为1:1.1,男女高血压患病率无明显差异(P=0.211)。在本次调查的不同年龄组中,高血压组和非高血压组的构成比不同(P0.001),各年龄段人口数所占的比例分别为17.5%,32.3%,32.3%,14.4%和3.3%,高血压的患病率随年龄的增高呈上升趋势(χ2trend=172.01,P0.001)。2.2不同WC、WHR和WHt R组高血压患病率的比较向心性肥胖组(男性WC≥85cm,女性WC≥80cm;男性WHR≥0.9,女性WHR≥0.8;WHt R≥0.5)高血压患病率明显高于正常组,差异具有显著的统计学意义(P0.001)。2.3不同BMI组间高血压患病率的比较不同BMI[营养不良组(BMI18.5)、正常体重组(18.5≤BMI24)、超重组(BMI≥24)和肥胖组(BMI≥28)]组间高血压患病率随着BMI值的增加不断增加(χ2trend=112.83,P0.001)。3、血压与相关体质指标的线性相关分析线性相关分析显示,血压与WC、WHR、WHt R、BMI均呈正相关性;其中收缩压和舒张压与WC的关系最为密切(P0.001)。结论:1、吉林省部分农村地区中老年人群中超重、肥胖、向心性肥胖者高血压患病率高于正常者。2、吉林省部分农村地区中老年人群WC、WHR、WHt R、BMI与收缩压和舒张压均呈正相关,其中WC与血压的相关度最高。
[Abstract]:Objective: to investigate the relationship between blood pressure and waist circumference (WCC), waist hip ratio (WHR), waist height ratio (WHT RV) and body mass index (BMI) in middle and old people in rural areas of Jilin Province. Methods: from July 2013 to September 2013, 2608 people aged over 35 years were selected from some rural areas of Jilin Province (Dongfeng County and Jingyu County) by cluster random sampling. This investigation adopts Epidata3.1 to establish the database, and the data input adopts double input. The statistical analysis of the research data was carried out by SPSS23.0 software package. The measurement data were expressed by x? 卤s index, the counting data were expressed by the index of rate and composition ratio, and the rate was compared by 蠂 2 test. Trend 蠂 2 test was used for comparison of 3 groups and more than 3 groups, and linear correlation method was used to analyze the correlation between blood pressure and physical indexes. To determine the significant level of 伪 -0.05, in which P0.05 as the difference was statistically significant. Results in this study, 2608 subjects met the survey criteria, with an average age of 54.80 卤10.36 years. 1180 males and 1428 females 54.80.The demographic characteristics and the relationship between physique and blood pressure 2.1.The demographic characteristics of different blood pressure groups included in this paper are 998 cases which accord with the diagnosis of hypertension, of which, The prevalence rate of hypertension in female was 39.6% higher than that in male 37.20.The ratio of male to female was 1: 1.1, and there was no significant difference between male and female in the prevalence of hypertension. Among the different age groups in this survey, The constituent ratios of hypertension group and non-hypertension group were different (P 0.001). The proportion of population of different age groups were 17.532. 3% and 3. 3%, respectively. The prevalence of hypertension increased with age (蠂 2 trendd 172.01g P 0.001 .2.2). 2 the prevalence rate of hypertension in different WCWHR and WHt R groups was higher than that in control group (蠂 2 trendd, 172.01g, P 0.001n. 2.2). The prevalence rate of hypertension in different WCWHR and WHt R groups was higher than that in WCWHR and WHt R groups. The prevalence of hypertension in patients with concentric obesity (WC 鈮，

本文编号：1919870