湖北地区老年人腰围及体质量指数与高血压的相关性研究  

Association of waist circumference and BMI with hypertension in the elderly of Hubei Province

作　　者：代雅琪 刘娟[1] 陶晶晶[1] 陈芳[1] 

机构地区：[1]武汉大学人民医院心内二科,430060

出　　处：《中华老年心脑血管病杂志》2016年第4期363-366,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：国家科技支撑计划项目(2011BAI11B01)

摘　　要：目的探讨湖北地区老年人腰围及体质量指数（BMI）与高血压的相关性。方法于2013年2~10月采用分层多阶段随机抽样的方法,对湖北地区5个城区及5个农村年龄60~89岁居民5417例进行调查研究。男性2672例,女性2745例;60~69岁2450例,70~79岁2167例,80~89岁800例。通过问卷调查、体格检查的方式收集调查对象的个人基本情况、腰围、基础代谢等所需要的资料,并进行分析。结果 5417例入选者中,高血压2170例,患病率为40.1%。男性与女性在高血压发病率比较有统计学差异（38.2%%vs 41.8%,χ2=7.199,P〈0.05）。60~69、70~79、80~89岁高血压发病率比较有统计学差异（32.5%vs 44.4%vs 51.4%,χ2=118.437,P=0.000）。性别（OR=7.511,P=0.000）、身体脂肪率（OR=1.035,P=0.000）、内脏脂肪指数（OR=1.925,P=0.000）均为BMI的危险因素,年龄为BMI的保护因素（OR=0.938,95%CI：0.926~0.950,P=0.000）。对于男性,身体脂肪率（OR=1.021,P=0.001）、内脏脂肪指数（OR=1.438,P=0.000）为腰围的危险因素;对于女性,身体脂肪率（OR=1.094,P=0.000）、内脏脂肪指数（OR=1.448,P=0.000）为腰围的危险因素,年龄为腰围的保护因素。结论湖北地区老年人超重及肥胖形势严峻,腰围及BMI与高血压关系密切。Objective To study the association of waist circumference（WC）and body mass index（BMI）with hypertension in the elderly of Hubei Province.Methods The data of basic conditions,WC and basal metabolism were collected from 5417 residents aged 60-89 years from 5cities and 5villages of Hubei Province with questionnaires by multistage stratified random sampling.Results The prevalence of hypertension was significantly lower in males than in females（38.2%%vs 41.8%,χ~2=7.199,P〈0.05）and in persons aged 60-69 years,70-79 years and 80-89years（32.5% vs 44.4% vs 51.4%,χ~2=118.437,P=0.000）.Gender（OR=7.511,P=0.000）,body fat percentage（OR=1.035,P=0.000）and visceral fat index（OR=1.925,P=0.000）were the risk factors for BMI whereas age（OR=0.938,95%CI：0.926-0.950,P=0.000）was the protective factor for BMI.Body fat percentage and visceral fat index were the risk factors for WC whereas age was the protective factor for WC both in males and females.Conclusion Overweight and obesity are quite common in the elderly of Hubei Province.WC and BMI are closely associated with hypertension.

关 键 词：高血压 人体质量指数 肥胖症 超重 发病率 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]