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中国全科医学 ›› 2018, Vol. 21 ›› Issue (13): 1589-1593.DOI: 10.3969/j.issn.1007-9572.2018.13.016

• 专题研究 • 上一篇    下一篇

河南省常住居民体质指数与血压水平的关系研究

冯石献1，范雷1，戚敏杰1，周刚1，王宝华2*   

  1. 1.450016河南省郑州市，河南省疾病预防控制中心健康教育与慢性非传染性疾病防治研究所　2.100050北京市，中国疾病预防控制中心慢性非传染性疾病预防控制中心
    *通信作者：王宝华，主任医师；E-mail：baohua2000@126.com
  • 出版日期:2018-05-05 发布日期:2018-05-05
  • 基金资助:
    河南省卫生厅卫生政策研究（YWZY201307）

Relationship between Blood Pressure and Body Mass Index in Permanent Residents of Henan Province　

  1. 1.Institute of Health Education and Chronic Non-communication Disease Control Prevention，Henan Provincial Center for Disease Control and Prevention，Zhengzhou 450016，China
    2.Center for the Prevention and Control of Chronic Non-communicable Diseases，Chinese Center for Disease Control and Prevention，Beijing 100050，China
    *Corresponding author：WANG Bao-hua，Chief physician；E-mail：baohua2000@126.com
  • Published:2018-05-05 Online:2018-05-05

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摘要： 目的　了解河南省18~74岁常住居民血压水平及高血压患病现况，探讨高血压与体质指数（BMI）的关系。方法　2012年4—7月，采用多阶段分层随机抽样方法，抽取河南省18~74岁居民为研究对象，设计样本量为18 000名。面对面问卷调查的主要内容，包括居民基本特征（性别、年龄、教育程度、职业、家庭人均年收入）、生活习惯（吸烟史、饮酒史），以及身体测量（身高、体质量、腰围、臀围、血压）。结果　本研究实际调查18 842名，获得有效样本为16 801名，有效率89.17%。居民高血压患病率27.63%（4 642/16 801），其中男性患病率29.90%（2 218/7 419），女性25.84%（2 424/9 382）；高血压知晓率和治疗率分别为42.40%（1 968/4 642），35.95%（1 669/4 642），控制率仅11.44%（531/4 642）。绘制线图发现，不同性别居民收缩压、舒张压总体上随BMI增加而升高。相关性分析显示，调整性别、年龄后，BMI与收缩压、舒张压均呈正相关，偏相关系数分别为0.230、0.325（P<0.001）。多元线性回归分析显示，BMI对不同性别、年龄、教育程度、职业、家庭人均年收入、吸烟史、饮酒史、中心性肥胖患者的血压有影响。结论　河南省高血压患病率较高，患者血压控制率较低，BMI水平与血压密切相关，应重点加强超重、肥胖人群的高血压防控。

关键词: 高血压, 人体质量指数, 患病率, 横断面研究

Abstract: Objective　To examine the relationship between high blood pressure and body mass index（BMI）among 18-74 years old residents in Henan Province.Methods　Cross-sectional survey was conducted by using multi stage stratified random sampling method in all counties of Henan Province from April to July in 2012.The total number of designed respondents was 18 000.The face-to-face investigation mainly included basic characteristics （gender，age，education level，occupation and income），lifestyles（smoking，drinking history） and physical measurement （height，weight，waist circumference，hip circumference and blood pressure）．Results　18 842 were actually surveyed.The effective sample was 16 801 and the effective rate was 89.17% in this investigation.The hypertension prevalence was 27.63%（4 642/16 801），the incidence of hypertension in male was 29.90%（2 218/7 419）and 25.84% （2 424/9 382） in female.The awareness and treatment rate were 42.40% （1 968/4 642），35.95% （1 669/4 642）respectively，the control rate was only 11.44%（531/4 642）．Drawings fouding，systolic and diastolic blood pressure were increased with the increase of BMI in both genders.The correlation analysis showed that，BMI was positively correlated with systolic and diastolic blood pressure after the gender and age were adjusted，and the corresponding partial correlation coefficient were 0.230 and 0.325 （P<0.001）respectively.Multiple linear regression showed that BMI had influences on blood pressure of residents with different gender，age，education level，occupation，income smoking，drinking history and central obesity.Conclusion　The prevalence rate of hypertension in Henan was high，with a low blood pressure control rate，however.The blood pressure was closely related to BMI，so we should focus on strengthening the prevention and control measures of the overweight and obese people.

Key words: Hypertension, Body mass index, Prevalence, Cross-sectional studies

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