北京市房山区张坊村中老年人原发性高血压病危险因素研究  

Risk Factors of Primary Hypertension for Middle Aged and Elderly People in Zhangfang Village of Fangshan District in Beijing

作　　者：王佳[1] 洪忠新[1] 武力[1] 顾中一[1] 毕研霞[1] 丁冰杰[1] 李伟[1] 张立红[1] 

机构地区：[1]首都医科大学附属北京友谊医院营养科,北京市100050

出　　处：《中国全科医学》2013年第28期3341-3345,共5页Chinese General Practice

摘　　要：目的探讨北京市房山区张坊村中老年人原发性高血压病的生活方式、人体指标和膳食方面的危险因素。方法于2011年7月选取北京市房山区张坊村中老年村民150例,测量血压和人体指标,并对村民的生活习惯和膳食摄入量进行调查,按照纳入和排除标准入选132例作为本研究对象。对调查数据进行统计学分析,将血压情况作为因变量,人体测量指标、生活习惯情况和膳食摄入量各项指标作为自变量,进行多重线性相关和回归分析。结果该村中老年人原发性高血压病患病率较高,为59.1%(78/132)。多重线性相关分析显示:在生活习惯方面,收缩压与每日活动情况之间存在简单相关性;在回归分析中,每日活动情况无统计学意义。在人体测量指标方面,收缩压与体质指数、体脂含量和三头肌皮褶厚度存在简单相关性;在回归分析中,只有体质指数和体脂含量有统计学意义,且体质指数的变化对收缩压影响更大。在膳食摄入量方面,收缩压与食盐摄入量、每日碳水化合物摄入比例和总能量摄入存在相关性,且碳水化合物摄入比例比食盐摄入量和高能量摄入对收缩压的影响大。综合所有指标进行回归分析,收缩压与体质指数、碳水化合物摄入比例、总能量摄入存在相关性,且碳水化合物能量摄入比例比体质指数和总能量摄入对收缩压的影响大。结论北京市房山区张坊村中老年人原发性高血压病与体质指数、碳水化合物能量摄入比例、总能量摄入有关;与吸烟、饮酒、运动等生活方式,腰臀比等人体测量指标,蛋白质、脂肪、食盐和食用油摄入量等无相关。Objective To investigate the risk factors of the primary hypertension related to the life style, parameters of anthropometry and dietary condition in middle aged and elderly people in Zhangfang village, Fangshan District of Bei- jing. Methods Totally 150 middle aged and elderly villagers were selected randomly in the Zhangfang village in July 2011. The villagers＇ blood pressure and parameters of anthropometry were measured and their life style and dietary intake were investiga- ted. According to the criteria of inclusion and exclusion 132 of the villagers were enrolled as the subjects. The multiple linear corre- lation and regression analyses were conducted taking the blood pressure as dependent variable, and the parameters of anthropome- try, life style and dietary intake as independent variables. Results The morbidity of hypertension in this village in aged and eld- erly people was 59.1% （78/132） . The multiple linear correlation analysis showed that there was a simple correlation between systolic blood pressure （SBP） and daily activity, but regression analysis revealed no statistical significance. There was a simple correlation of SBP with body mass index （BMI）, body fat and triceps skin fold thickness, however, the multiple linear regres- sion revealed statistical significance only with BMI and blood fat, and the impact of BMI on SBP being more evident. In dietary in- take, there was a correlation of SBP with intakes of salt, proportion of carbohydrate and total energy significantly, with the influ- ence of the proportion of carbohydrate intake being more evident. The multiple linear regression analysis on the total parameters showed a correlation of SBP with BMI, proportion of carbohydrate intake and total energy intake significantly, and the influence of proportion of carbohydrate intake was greater than those of BMI and total energy intake. Conclusion For middle aged and eld- erly people in Zhangfang village of Fangshan District in Beijing, the primary hypertension is correlated with BMI, pro

关 键 词：高血压 生活方式 人体测量术 碳水化合物 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]