吉林省农村地区居民膳食模式与高血压关系的调查分析  

Survey analysis on relationship between dietary patterns and hypertension of residents in rural areas of Jilin Province

作　　者：赵桐荫 褚运松 赵惠子[1] 刘志明[1] 曹宁[1] 李忠民[1] 

机构地区：[1]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021

出　　处：《吉林大学学报（医学版）》2016年第2期400-404,共5页Journal of Jilin University：Medicine Edition

基　　金：韩国疾病预防控制中心科研基金资助课题(ICDC);国际协作慢性病前瞻性队列研究项目资助课题(3B6058583427)

摘　　要：目的：研究不同的膳食模式对高血压患病的影响,为建立健康的膳食模式、从膳食方面改善血压异常、早期预防和控制高血压提供参考依据。方法：采取随机整群抽样的方法于2010—2011年抽取吉林省8个自然村的40～80岁朝鲜族和汉族常住人口1 394名进行膳食调查、体格检查和血压测量。采用因子分析方法建立膳食模式,分析不同膳食模式对高血压患病的影响。结果：吉林省农村地区中老年人高血压患病率为35.3%。因子分析得到腌制品类膳食模式、酒类膳食模式、调味品类膳食模式和高蛋白类膳食模式4种膳食模式,经多因素Logistic回归分析,调整年龄、性别、民族、学历和职业后,饮酒模式与高血压的发生呈正相关关系（OR=1.43,95%CI 1.07～1.90）。结论：酒类膳食模式与高血压的发生关系密切,长期大量饮酒是高血压的危险因素;减少饮酒、养成健康的饮食习惯有利于预防高血压。Objective： To study the influence of different dietary patterns in hypertension, and to provide references for establishing a healthy dietary pattern, improving the abnormal blood pressure, preventing the early hypertension and controlling the high blood pressure. Methods： Random cluster sampling was adopted to analyze the dietary, examine the physical situations, and measure the blood pressures among 1 394 residents of Han nationality and Korean nationality aged from 40 to 80 years old from 8 villages in Jinlin Province from 2010 to 2011. Factor analysis was used to establish the dietary patterns and to analyze the effects of different dietary patterns on the prevalence of hypertension. Results： The prevalence of hypertension of middle aged and elderly people in the rural areas of Jilin Province was 35.3%. 4 dietary patterns were obtained through factor analysis, including salted product dietary pattern, alcohol dietary pattern, condiments dietary pattern and high protein dietary pattern. By multivariate Logistic regression analysis and adjustment of the age, the gender, the nationality, the education and the career background, alcohol dietary pattern was positively correlated with the occurrence of the hypertension （OR= 1.43, 95% CI 1.07- 1.90）. Conclusion： Alcohol dietary pattern is closely related to the hypertension. Long-time large amount of alcohol is a risk cause for high blood pressure. Reducing alcohol consumption and developing healthy diet habits can help to prevent hypertension.

关 键 词：农村人群 膳食模式 高血压 中老年人 

分 类 号：R544.1[医药卫生—心血管疾病]