摘要
目的探讨德昂族老年人高血压检出率及其相关影响因素。方法选择2016年7~9月德昂族老年人939例,根据血压水平分为高血压组353例,正常高值血压组377例,正常血压者为对照组209例,收集调查问卷、体格检查及血压检测结果。结果与我国年龄≥60岁人群高血压患病率比较,德昂族老年人高血压检出率明显降低(37.6%vs 49.0%P<0.05)。高血压、单纯收缩期高血压和正常高值血压的检出率均随年龄增长而增加(P<0.05)。多因素logistic回归分析显示,经济发展水平与饮酒之间有跨层交互作用(P<0.05),个体水平协变量中,体质量指数(OR=1.192,P=0.00)、年龄(OR=1.194,P=0.04)、性别(OR=2.079,P=0.01)、离婚或丧偶(OR=1.829,P=0.02)、吸烟指数≥200(OR=2.176,P=0.01)、高盐膳食(OR=2.266,P=0.01)和高脂膳食(OR=1.817,P=0.01)与高血压呈正相关,而经常食用蔬菜与高血压呈负相关(OR=0.479,P=0.02)。结论德昂族老年人高血压检出率低于全国水平,主要危险因素包括经济发展水平、饮酒、体质量指数、年龄、性别、离婚或丧偶、吸烟、高盐、高脂膳食,而经常食用蔬菜可能降低风险。
Objective To study the influencing factors of primary hypertension by investigating its prevalence in elderly patients of Deang nationality.Methods Nine hundred and thirty-nine elderly patients of Deang nationality were divided into hypertension group（n=353）,prehypertension group（n=377）and control group（n=209）.Their physical examination data were recorded and their blood pressure was measured.Results The detection rate of hypertension was significantly lower in elderly patients of Deang nationality than in those of the other nationalities in our country with their age≥60 years（37.6% vs 49.0%,P〈0.05）.The detection rate of hypertension,isolated systolic hypertension and prehypertension increased with the increasing age（P〈0.05）.Multivariate logistic regression analysis showed a cross interaction between economic level and alcohol drinking（P〈0.05）and a positive correlation of BMI,age,gender,divorce or widow,smonking,high salt diet with hypertension（P〈0.05）.Conclusion The detection rate of hypertension is lower in elderly patients of Deang nationality than in those of the other nationalities in our country.Economic level,alcohol drinking,BMI,age,gender,divorce or widow,smoking,high salt and fat diet are the major risk factors for hypertension.However,regular eating of vegetables can reduce the risk of hypertension.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2018年第1期16-19,共4页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
云南省科技计划项目(2013FB115)
