母乳喂养时间与女性高血压的关系  

The correlation between the duration of breast-feeding and the prevalence of female hypertension

作　　者：陈斌[1] 陆宇[1] 宋予苹 刘娜[1] 

机构地区：[1]北京市健宫医院心内科,北京100054

出　　处：《中华高血压杂志》2016年第9期841-844,共4页Chinese Journal of Hypertension

摘　　要：目的研究母乳喂养时间与女性高血压患病风险的相关性。方法2015年4月至2015年6月，在北京市丰台3个社区卫生服务中心（卢沟桥、大红门和蒲黄榆社区卫生服务中心）的辖区内，随机整群抽取3477名40岁以上经产妇女。收集研究对象的基本信息、疾病史、生活方式、母乳喂养情况等信息，并进行人体学测量（血压、腰围、臀围）。采用多因素Logistic回归和Cox比例风险回归分析母乳喂养时间与女性高血压患病的关系。结果高血压1059例，患病率为30．4％。随着母乳喂养时间的增加，高血压患病率呈降低趋势（P=0．003）。Cox比例风险回归模型分析结果显示，调整年龄、体质量指数、文化程度、吸烟、高血压家族史、初潮年龄、生育年龄和绝经年龄等因素后，母乳喂养0个月的高血压发生风险是母乳喂养时间〉12个月的1．46倍（95％CI1．2441．71）。结论母乳喂养可能降低女性患高血压的风险。Objective To assess the association between the duration of breast-feeding and the prevalence of female hypertension. Methods A cross-sectional study was conducted in 3 community health service centers （Lugouqiao, Dahongmen and Puhuangyu） in Fengtai district of Beijing between April 2015 and June 2015. A total of 3477 par- ous women aged≥40 years old were enrolled by cluster random sampling method. The information on demographic data, history of diseases, lifestyle and breast-feeding was collected, and anthropometric measurements （blood pres- sure, waist circumference and hip circumference） were recorded. Multivariate logistic regression and Cox＇s propor- tional hazard regression model were used to analyze the relationship between the duration of breast feeding and the prevalence of female hypertension. Results There were 1059 patients with hypertension, and the prevalence rate of hypertension was 30.4%. With an increase in the duration of breast-feeding, the prevalence rate of hypertension was decreased （P=0. 003）. Cox＇s proportional hazard regression model showed that after adjusting for age, body mass index, educational level, smoking, family history of hypertension, age of menarche, age of child-bearing and age of menopause, the hazard ratio of hypertension in the subjects with 0 month breast-feeding was 1.46 （95% CI 1.24-1.71） compared to the subjects with 〉12 months breast-feeding. Conclusion Breast-feeding may decrease the risk of hypertension in female.

关 键 词：母乳喂养时间 高血压 女性 

分 类 号：R544.1[医药卫生—心血管疾病]