乌鲁木齐市天山区维吾尔族青中年人各肥胖指标与高血压易感性的关联研究

发布时间：2018-07-10 16:30

本文选题：青中年 + 高血压　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨新疆乌鲁木齐市天山区维吾尔族青中年人体质量指数(BMI)、腰围(WC)、腰臀比(WHR)、体脂百分比(PBF)与高血压的相关性,为制定青中年高血压防治措施提供科学依据。方法:本研究采用整群随机抽样的方法,从乌鲁木齐市天山区二道桥片区(包括跃进街社区、双庆巷社区、二道桥社区、新市路南社区、福寿巷社区、固原巷社区、油库巷社区),抽取了18~59岁的1145人维吾尔族青中年人进行横断面调查,对其进行身高、体重、体质量、腰围、腰臀比、体脂百分比、血压、心率的测定,并进行问卷调查。采用多元逐步回归分析及ROC曲线分析各肥胖指标与高血压水平的关系。结果:乌鲁木齐市维吾尔族青中年居民中,不同BMI、WC、WHR、PBF男女收缩压(SBP)和舒张压(DBP)水平间差异均有统计学意义(P0.05),无论是根据BMI或PBF划分肥胖,肥胖组居民高血压及高血压前期患病率均高于超重居民和体脂量正常居民。无论是以WC或WHR划分腹型肥胖,腹型肥胖组居民高血压及高血压前期患病率均高于正常体型组,差异均有统计学意义(P0.05)。Logistic逐步回归分析显示:BMI、WC、WHR、PBF均是高血压发生的危险因素,其中PBF的OR值在男性和女性中均最高(2.747/2.935)。ROC曲线表明,男女两性中均以BPF的曲线下面积最大(0.783/0.813),与BMI、WC、WHR比较有统计学意义(P0.05)。结论:乌鲁木齐市维吾尔族青中年人体质量指数(BMI)、腰围(WC)、腰臀比(WHR)、体脂百分比(PBF)与高血压的发生密切相关,其中体脂百分比(PBF)预测高血压的诊断效能最佳,是预测高血压较敏感的肥胖测量指标。
[Abstract]:Objective: to investigate the correlation between body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), body fat percentage (PBF) and hypertension in Uygur nationality of Tianshan District, Urumqi, Xinjiang. Methods: cluster random sampling was used in this study from Erdaoqiao District of Tianshan District of Urumqi (including Yuejin Street Community, Shuangqing Xiang Community, Erdaqiao Community, Lunan Community of Xinshi City, Fushou Xiang Community, Guyuan Lane Community). A cross-sectional survey was conducted among 1145 young and middle-aged Uygur people aged 1859 years. Height, weight, body mass, waist circumference, waist-to-hip ratio, percentage of body fat, blood pressure and heart rate were measured, and questionnaires were conducted to investigate their height, weight, body mass, waist circumference, waist-to-hip ratio, body fat percentage, blood pressure and heart rate. Multiple stepwise regression analysis and ROC curve were used to analyze the relationship between obesity and hypertension. Results: there were statistically significant differences in systolic blood pressure (SBP) and diastolic blood pressure (DBP) between men and women with different BMI-WCCW-WHRF PBF levels among Uygur young and middle-aged residents in Urumqi (P0.05), regardless of whether they were obese according to BMI or PBF. The prevalence of hypertension and prehypertension in obese group was higher than that in overweight and normal population. The prevalence of hypertension and prehypertension in abdominal obesity group was significantly higher than that in normal body type group (P0.05). Logistic stepwise regression analysis showed that BMIWCWHRPBF was the risk factor of hypertension. The OR value of PBF was the highest in both male and female (2.747 / 2.935) .ROC curve showed that the area under the curve of BPF was the largest (0.783 / 0.813), which was statistically significant compared with BMIWCU WHR (P0.05). Conclusion: the body mass index (BMI), waist circumference (WC), waist hip ratio (WHR) and body fat percentage (PBF) of Uygur people in Urumqi are closely related to the occurrence of hypertension, and the body fat percentage (PBF) is the best in the diagnosis of hypertension. It is a sensitive index to predict hypertension.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R544.1

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