上海市普陀区正常高值血压人群流行状况调查

钱岳晟; 王彦; 李燕; 朱鼎良; 陆振兴; 应颖

doi:10.13201/j.issn.1001-1439.2015.08.005

上海市普陀区正常高值血压人群流行状况调查

- 1. 上海交通大学医学院附属瑞金医院(上海, 200025);
- 2. 上海市普陀区社区卫生管理中心;
- 3. 上海市普陀区疾病预防控制中心
基金项目:
上海市级医院联合社区开展慢性病综合防治项目（No：SHDC12012304）

详细信息

通讯作者: 朱鼎良,E-mail:zhudingliang@sibs.ac.cn

中图分类号: R544.1

收稿日期: 2014-10-29

修回日期: 2014-12-29

Prevalence survey on normal-high blood pressure in Putuo district of Shanghai

- 1. Ruijin Hospital, Shanghai Jiaotong University School of Msdicine, Shanghai, 200025, China;
- 2. Shanghai Putuo District Center for Community Health Management;
- 3. Shanghai Putuo District Center for Disease Control and prevention

More Information

Corresponding author: ZHU Dingliang, E-mail: zhudingliang@sibs.ac.cn

Received Date: 29 October 2014

Revised Date: 29 December 2014

摘要

摘要: 目的：了解上海地区正常高值血压人群的流行状况并进行相关影响因素分析。方法：在上海市普陀区10个社区采取分层整群抽样方法，对35岁以上的自然人群进行现场调查、体格检查和实验室检查。结果：①共调查9 807人，总应答率为81.7%。纳入统计分析的9 623人，其中男3 757人，女5 866人；②正常高值血压检出率26.6%，其中男性27.6%，女性25.9%；③正常高值血压组平均年龄（62.64±10.71）岁，BMI （23.81±3.32）、腰围（82.58±8.86） cm，介于正常血压组和高血压组之间，3组间差异有统计学意义（P=0.001）；④正常高值血压患病率男性高于女性，单纯收缩压正常偏高占64.6%，45岁以后随年龄增长患病率逐年下降，女性各年龄段下降趋势较平缓，而男性65岁前下降幅度达30.25%；⑤肥胖患病率正常高值血压组（30.5%）高于正常血压组（24.8%）（P=0.001）；⑥Logistic回归分析显示，正常高值血压的患病与性别呈负相关，与年龄、BMI呈正相关，年龄每增加10岁，BMI每增加1 kg/m²，正常高值血压患病风险分别增加29%和8%。结论：60岁之前的中青年男性是正常高值血压重点干预人群，BMI是正常高值血压的主要影响因素，降低BMI可能是防治正常高值血压的主要途径。
- 正常高值血压 /
- 危险因素 /
- 流行病
Abstract: Objective: To estimate the prevalence of high-normal range blood pressure in the Putuo district of Shanghai, and to analyze the risk factors of high-normal range blood pressure.Method: Cluster stratified sampling was performed in natural population over 35 years old in 10 communities of the Putuo district. The demographic information was collected by questionnaires. Physical examination and laboratory test were also undertaken.Result: ①the responds rate was 81.7%, and a total of 9 807 persons were registered. Among the 9 623 that were included in the final statistical analysis, 3 757 were males and 5 866 were females. ②The prevalence of high-normal blood pressure was 26.6%(27.6% for male; 25.9% for female). ③Regarding to the population with high-normal blood pressure:the average age was (62.64±10.71)years, the average body mass index(BMI) was (23.81±3.32) kg/m², and the average waist circumference was (82.58±8.86) cm. These indexes for high-normal range blood pressure group were significantly higher than normal blood pressure group and significantly lower than high blood pressure group(P=0.001).④The morbidity rate of high-normal range blood pressure in men was higher than in women. The prevalence of high-normal range systolic blood pressure was 64.6%. The prevalence of high-normal range blood pressure decreased with age starting from the age of 45. The decreased amplitude of high-normal range blood pressure was similar in woman of all ages. However, the decreased amplitude was 30.25% for men under 65.⑤Comparing with the normal blood pressure group(24.8%), the prevalence of obesity was much higher in the high-normal range blood pressure group(30.5%)(P=0.001).⑥The Logistic regression analysis showed that every ten years increase in age and 1 kg/m² increase in BMI increased the risk of high-normal range blood pressure 29% and 8%.Conclusion: Mid-age men should be aware of high-normal range blood pressure prevention. Controlling obesity might prevent high-normal range blood pressure because high BMI is one of the major risk factors.
- high-normal blood pressure /
- risk factors /
- prevalence

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