农村世居民族老年人高血压与体质指数、腰臀比及皮褶厚度关系调查  

Investigation on the relationship between hypertension and body mass index,waist-to-hip ratio and skin-fold thickness of the rural ethnic minority elderly

作　　者：林先燕[1] 杨胜文[1] 韦亚丽[1] 宋玉新[2] 韦学团 莫晓刚 杨香秀 

机构地区：[1]黔南民族医学高等专科学校,贵州都匀558000 [2]贵阳职业技术学院,贵州贵阳550001 [3]三都水族自治县塘州水族乡卫生院,贵州三都558100 [4]平塘县苗二河乡卫生院,贵州平塘558300 [5]平塘县者密毛南族镇中心卫生院,贵州平塘558300

出　　处：《中华疾病控制杂志》2015年第4期338-341,共4页Chinese Journal of Disease Control & Prevention

基　　金：贵州省卫生厅科研基金(gzwkj20101067)

摘　　要：目的了解贵州黔南地区3个世居民族农村老年人高血压患病与体质指数(body mass index,BMI)、腰臀比(waist-to-hip ratio,WHR)及上臂皮褶厚度的关系。方法采用整群抽样方法选取2县3个乡镇8个村的布依族、水族、毛南族60岁以上老年人作为调查对象,测定身高、体重、腰围(waist circumference,WC)、臀围、上臂皮褶厚度及血压,计算BMI、WHR。结果 3个世居民族老年人高血压患病率为37.57%,男女间差异有统计学意义(x2=5.76,P=0.018),民族间差异无统计学意义(x2=4.58,P=0.101)。单因素分析显示老年人有无高血压患者中女性的BMI、WHR、WC、臀围及上臂皮褶厚度各指标间差异有统计学意义,男性除臀围外各指标间差异有统计学意义(均有P<0.05)。多因素回归分析显示WC、性别是3个世居民族老年人高血压的独立相关因素,尤以WC对高血压贡献最大。结论 WC、性别是预测该地世居民族老年人高血压病的理想指标,BMI、WHR及上臂皮褶厚度可作为不同民族老年人高血压病预测指标的补充。Objective To explore the relationship between hypertension and body mass index（ BMI）,waist-to-hip ratio（ WHR）,triceps skin-fold thickness of the elderly in rural ethnic minority in Guizhou Qiannan. Methods Cluster sampling method was used to select the elderly over 60 years old in eight villages of three towns and two counties. The height,weight,waist circumference,hip circumference,triceps skin-fold thickness and blood pressure were measured to calculate body mass index and waist-to-hip ratio. Results The hypertension prevalence was 37. 57% among the elderly from the three ethnic minorities. The difference between male and female（χ^2= 5. 76,P = 0. 018） had statistical significance,but there was no statistical significance in ethnics（ χ^2= 4. 58,P = 0. 101）. Univariate analysis showed that female with or without hypertension,their indicator difference between BMI,WHR,WC,hip circumference and triceps skin-fold thickness had statistical significance（ all P〈0. 05）. Additionally,all the indicators also had significant difference in male except the hip circumference. Multiple regression analysis showed that waist circumference and gender were independently associated factors of the elderly hypertension in the three ethnic minorities,especially the WC had greater impact on hypertension.Conclusions Waist circumference and gender were ideal indicators for forecasting the hypertension of the elderly in the three ethnic minorities. BMI,WHR and triceps skin-fold thickness can be used as supplementary predictors for prediction.

关 键 词：少数民族 农村人口 高血压 人体质量指数 腰臀比 

分 类 号：R544.1[医药卫生—心血管疾病] R181.3[医药卫生—内科学]