摘要
目的研究中国35～45岁人群高血压前期的检出情况,分析男女人群中高血压前期的影响因素。方法2005-07-2007-12,采取整群抽样的方法在中国7个省市建立抽样人群,对该地常住居民进行问卷调查、体格检查以及血液标本的检测。结果共调查35～45岁中年人群11386名(男性4532人,女性6854人)(正常血压人群3839名;高血压前期人群4892名;高血压人群2655名)。高血压前期(120≤收缩压≤139mmHg,80≤舒张压≤89mmHg)检出率为43.0%,其中男性检出率显著高于女性检出率(47.8%比39.8%,P<0.01)。单因素Logistic回归分析发现性别、心率、高密度脂蛋白胆固醇(HDL-C)、总胆固醇、三酰甘油、糖尿病、教育程度、吸烟、饮酒、腹型肥胖、全身性肥胖各因素与高血压前期发生显著相关。多因素Logistic回归分析显示在男性人群中,心率(OR1.025,95%CI1.016～1.033)、总胆固醇(1.185,1.077～1.303)、三酰甘油(1.129,1.040～1.225)、吸烟(0.740,0.623～0.877)、饮酒(1.195,1.016～1.405)和体质量指数(BMI)分组都是发生高血压前期的影响因素;对于女性人群来讲,主要决定因素为心率(1.030,1.023～1.036)、HDL-C(0.723,0.582～0.899)、总胆固醇(1.230,1.132～1.337)、高血压家族史(1.153,1.021～1.302)、教育程度和BMI分组。结论我国35～45岁中年人群高血压前期检出率较高,而且影响最大的危险因素是超重、肥胖和心率。
Objective The present study aimed to determine the prevalence of prehypertension and the determinants for prehypertension in the Chinese population aged 35 to 45.MethodsA cluster sampling was used from 7 provinces to establish a study population.The baseline data collection period was from July 2005 to December 2007, including a comprehensive questionnaire, physical examination and blood biochemical test.ResultsA cohort of 11 386 middle-aged participants were enrolled in the investigation（males：4532/females：6854）the prevalence of prehypertensive was 43.0%, which was greater in men than in women（47.8% vs 39.8%, P〈0.01）.Univariate logistic analysis showed gender, heart rate, HDL-C, TC, TG, diabetes mellitts, education level, smoking, alcohol intake, central obesity, BMI were significantly associated with prehypertensions.Multivariate logistic analysis revealed that heart rate （OR 1.025,95% CI 1.016-1.033）, TC （1.185, 1.077-1.303）, TG （1.129, 1.040-1.225）, smoking （0.740, 0.623-0.877）, alcohol intake（1.195, 1.016-1.405） and BMI were the determinants of prehypertension in men, while, heart rate（1.030, 1.023-1.036）, HDL-C（0.723, 0.582-0.899）, TC（1.230, 1.132-1.337）, history of hypertension（1.153, 1.021-1.302）, education level and BMI were the determinants of prehypertension in women.ConclusionsThe prevalence of prehypertension is quite high in middle age Chinese people.The most important risk factors are overweight and obesity and heart rate.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2010年第2期187-192,共6页
Chinese Journal of Hypertension
关键词
高血压前期
中年人群
检出率
影响因素
Prehypertension
Middle-aged population
Prevalence
Determinants
