摘要
目的 调查江苏省苏州、无锡和常州地区（苏锡常地区）中青年健康体检人群理想心血管健康行为和因素（吸烟情况、体质量指数、体育锻炼、食盐摄入、总胆固醇、血压和空腹血糖）的分布情况。方法 采用横断面研究方法,抽取2013年3-10月在江苏省太湖康复医院健康体检的江苏省苏锡常地区20~64岁中青年11 062人作为研究对象,分析该人群理想心血管健康行为和因素的分布及影响因素。结果 中青年11 062人中,仅129人具有全部7项理想心血管健康行为和因素,占1.2%。具有5~7项理想心血管健康行为和因素者占28.4%,女性具有5~7项理想心血管健康行为和因素的比例为48.5%,高于男性（16.9%）。随着年龄的增加,具有5~7项理想心血管健康行为和因素的比例呈下降趋势。理想心血管健康行为和因素≤3项的比例为46.4%。处于理想状态比例最高的指标是总胆固醇（74.3%）,最低的是食盐摄入（19.4%）。吸烟主要集中在男性（53.2%）,而女性吸烟率极低（0.4%）。55~〈65岁人群血压处于差状态的比例明显高于〈55岁人群。城市人群平均理想心血管健康行为和因素数高于农村人群（3.63±1.46比3.47±1.50;P〈0.01）。年轻、女性、居住地为城市是心血管健康的保护因素[OR（95%CI）分别为0.980（0.975~0.984）,0.225（0.206~0.246）,0.865（0.787~0.950）;均P〈0.01]。结论 苏锡常地区中青年健康体检人群心血管健康行为和因素处于理想状态的比例较低,不同性别和年龄人群心血管健康行为和因素的分布存在差异,应采取针对性的健康促进和干预措施以提高国人心血管健康水平。
Objective To investigate the distributions of ideal cardiovascular health behaviors and factors （including smoking, body mass index, physical activity, salt intake, total cholesterol, blood pressure and fasting blood glu- cose） among young and middle-aged healthy populations in Suzhou, Wuxi and Changzhou cities （the Su-Xi Chang ar ea） of Jiangsu province. Methods This was a cross-sectional study. A total of 11 062 participants aged from 20 to 64 years old who are living in the Su-Xi-Chang area and underwent health examination in the Taihu Rehabilitation Hospital from March 2013 to October 2013 were enrolled. The distributions of ideal cardiovascular health behav- iors and factors, as well as the influential factors were analyzed. Results Only 129 participants （1.2% ）met all 7 ideal cardiovascular health behaviors and factors, and 28.4% participants met 5 to 7 ideal cardiovascular health be- haviors and factors, with a higher percentage noted in women than in men （48.5 % vs 16.9 % ; P〈0.01 ）. The percentage of participants who met 5 to 7 ideal cardiovascular health behaviors and factors, regardless of genders, decreased with the increase of age. 46.4% of participants met ≤3 ideal cardiovascular health metrics. Among all 7 ideal cardiovascular health metrics, the prevalence of total cholesterol was the highest （74.3 % ） , whereas that of salt intake was the lowest （19.4%）. 53.2% male participants smoked, and only 0.4% female participants were smokers.The prevalence of ideal blood pressure was significantly higher in participants under 55 years than that in participants of 55-〈65 years old. The mean number of ideal cardiovascular health behaviors and factors was higher in urban participants than in rural partizipants [（3.63±1.46） vs （3.47±1.50} ; P〈0.01]. Young age, female gender and residency in urban areas were identified as significant protective factors for cardiovascular health [odds ratio （95 % CI） ： 0. 980 （0. 975-0. 984）, 0. 225 （0. 206-0. 246） and 0. 865 （0. 787-0. 950）, respectively]. Conclusion The prevalence of ideal cardiovascular health behaviors and factors is extremely low among young and middle-aged healthy populations in the Su-Xi-Chang area of Jiangsu province. The distributions of ideal cardiovascular health behaviors and factors differ by gender and age. Specific promotion and interventions are needed to improve residents＇ cardio- vascular health conditions.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2015年第10期964-973,共10页
Chinese Journal of Hypertension
基金
江苏省自然基金课题(BK2011162)
江苏省卫生厅科研课题(Z201228
Y2012021
B2013073)
无锡市科技研发资助项目(CMB21S1301)
关键词
理想心血管健康行为和因素
中青年
苏州
无锡
常州
Ideal cardiovasculsr health behaviors and factors
Young and middle-aged
Suzhou
Wuxi
Changzhou
