湖北省老年高血压前期的患病情况及相关危险因素分析  

Morbidity and related risk factors for pre-hypertension among the elderly in Hubei Province

作　　者：黄锐[1] 黄从新[1] 谢文杰[1] 袁总送 

机构地区：[1]武汉大学人民医院心内科,武汉市430060

出　　处：《广西医学》2015年第9期1249-1252,共4页Guangxi Medical Journal

基　　金："十二五"国家科技支撑计划项目(2011BAI11B01)

摘　　要：目的了解湖北省老年高血压前期的患病情况并分析其相关危险因素。方法采用分层多级随机抽样方法抽取湖北省9个地市(自治州)60岁及以上老年人共5 912例,采用问卷调查及体格检查等方法对高血压前期患病状况进行调查,并进行相关危险因素分析。结果湖北省老年高血压前期的患病率为39.4%,男性及女性患病率分别为38.4%、40.4%。单因素分析结果显示:年龄、性别、血压、体重、体脂水平、月食油量、日食盐量、体质指数(BMI)、文化程度、婚姻状况、体育锻炼、吸烟史对老年高血压前期的发病有影响(P均<0.05)。多因素logistic回归分析结果显示:月食油量、体育锻炼、婚姻状况、年龄、BMI是老年高血压前期的独立危险因素(P<0.05)。结论湖北省老年高血压前期的患病率较高。食油量>1 kg/月、缺乏体育锻炼、在婚、年龄、超重是老年高血压前期的危险因素。建议加强高血压前期相关健康教育,以降低高血压的发病率。Objective To investigate the morbidity and related risk factors for pre-hypertension among the elderly in Hubei Province. Methods 5 912 elderly people aged 60 years and older were selected using a stratified multistage randomized sampling from nine cities / autonomous prefectures in Hubei Province. Physical examinations were applied to a questionnaire investigation on the morbidity of pre-hypertension. And the related risk factors for pre-hypertension were analyzed. Results The morbidity of pre-hypertension among the elderly in Hubei Province was 39. 4%,and the morbidities of the males and the females were 38. 4% and 40. 4%,respectively. Univariate analysis revealed that age,gender,blood pressure,body weight,body fat level,monthly oil consumption,daily salt intake,body mass index（ BMI）,education background,marriage status,exercise and history of smoking had effects on the incidence of pre-hypertension among the elderly（ all P〈0. 05）. Multivariate logistic regression analysis showed that monthly oil consumption,exercise,marriage status,age and BMI were the independent risk factors for pre-hypertension among the elderly（ P〈0. 05）. Conclusion The morbidity of pre-hypertension among the elderly is quite high in Hubei Province. Monthly oil consumption more than 1 kg,lack of exercise,being married,age and overweight are the risk factors for the elderly with pre-hypertension. It is suggested that health education related to pre-hypertension should be enhanced to reduce the incidence of hypertension.

关 键 词：高血压前期 老年人 患病率 危险因素 湖北省 

分 类 号：R544.1[医药卫生—心血管疾病]