秦皇岛市北戴河区社区居民高血压、糖尿病与肥胖关系的调查  

Investigation on Relationship between hypertension,diabetes and obesity among residents in Beidaihe District of Qinhuangdao City

作　　者：康凯燕 刘学双 张海滨[2] 王雪欧 孙香云 任力[4] 刘世娟[3] 

机构地区：[1]河北省秦皇岛市北戴河区疾病预防控制中心,066100 [2]秦皇岛市疾病预防控制中心 [3]秦皇岛市北戴河区人民医院 [4]河北医科大学第二医院

出　　处：《职业与健康》2012年第6期702-704,共3页Occupation and Health

基　　金：河北科技支撑项目(项目编号:11276103D-9)

摘　　要：目的了解成人高血压、糖尿病与肥胖的关系,为心脑血管疾病的防治提供依据。方法参照1995年全国糖尿病流行病学调查操作指南,随机抽取城市社区的20～92岁居民进行面对面调查。结果 2010年8—10月对北戴河区3 572人进行调查,其中有效资料为3 569份,有效率99.92%。高血压患病率为15.19%(男21.26%,女9.16%%)。超重、全身性肥胖和腹型肥胖总患病率分别为19.73%、30.38%和16.63%;不同体重指数(BMI)的高血压患病率差异有统计学意义(χ2=178.61,P<0.01)。随着BMI的增大,高血压患病率有逐渐上升的趋势。按照BMI标准,超重、肥胖和腹型肥胖人群血糖异常的患病率分别为19.50%、25.74%和16.01%,不同BMI糖尿病患病率差异有统计学意义(χ2=143.98,P<0.01),均显著高于体重正常人群。结论肥胖与高血压、糖尿病往往共存,是心脑血管疾病的危险因素。控制体重对高血压、糖尿病、心脑血管病的防治有着极其重要的意义。[Objective]To understand the relationship between adult hypertension,diabetes and obesity,and provide evidence for prevention and treatment of cardiovascular and cerebrovascular diseases.[Methods]According to the ＂1995 national diabetes epidemiology investigation operational guidelines＂,the residents aged 20-92 years were randomly selected for face to face investigation..[Results]A total of 3 572 residents from Beidaihe District were investigated during August-October 2010,3 569 copies（99.92%） were valid.Hypertension prevalence rate was 15.19%（21.26% of male,9.16% % of female）.The prevalence rate of overweight,general obese and abdominal obesity were 19.73%,30.38% and 16.63%,that between people with different BMI was significant（χ2= 178.61,P 0.01）.Along with the increase of BMI,the prevalence of hypertension has been on the rise.According to BMI standard,the prevalence rate of pathoglycemia among people with overweight,obesity and abdominal obesity was 19.50%,25.74% and 16.01% respectively,the prevalence of diabetes between them with different BMI was significant（χ2= 143.98,P 0.01）,and they were significantly higher than normal weight population.[Conclusion]Obesity often coexists with hypertension and diabetes which are the risk factors to cardiovascular and cerebrovascular diseases.Weight control plays important role in prevention and treatment of hypertension,diabetes,cardiovascular and cerebrovascular disease.

关 键 词：高血压 糖尿病 肥胖 相关 

分 类 号：R181.3[医药卫生—流行病学]