温州市成人体质量指数、腰围与高血压的关系  

The relationship between body mass index,waist circumference and hypertension in adults in Wenzhou

作　　者：樊丽辉[1] 邵永强[1] 王黎荔[1] 

机构地区：[1]温州市疾病预防控制中心,浙江温州325001

出　　处：《中华高血压杂志》2017年第5期468-472,共5页Chinese Journal of Hypertension

基　　金：温州市科技局项目(Y20130366;Y20140442)

摘　　要：目的了解温州市成年人高血压患病率、超重率、肥胖率、中心性肥胖率,并探讨成人体质量指数(BMI)、腰围与高血压患病危险的关系。方法采用多阶段随机抽样方法,从温州市11个区县随机抽取年龄≥18岁的居民进行调查。调查方法包括问卷调查和身体测量。并采用Logistic回归分析探讨BMI、腰围与高血压的关联。率的标化采用2010年全国第6次人口普查数据。结果共调查42 747人,有效问卷41 054份,有效率96.04%。居民标化超重率、肥胖率、中心性肥胖率分别为25.9%、5.9%、42.3%,标化高血压患病率为25.2%。以无超重/肥胖/中心性肥胖人群为参照,超重+中心性肥胖、肥胖+中心性肥胖者患高血压的风险分别为2.475(95%CI 2.330~2.628)、4.140(95%CI3.751~4.570)倍,糖尿病+肥胖+中心性肥胖及血脂异常+肥胖+中心性肥胖者患高血压的风险分别是无糖尿病或血脂异常,无超重/肥胖/中心性肥胖者的6.298(95%CI 5.086~7.800)和4.159(95%CI3.633~4.763)倍。结论 BMI和腰围的增加均能增加高血压发病风险。超重、肥胖和中心性肥胖对高血压患病存在联合作用。Objective To investigate the prevalence of hypertension, overweight, obesity and central obesity in a- dults in Wenzhou, and to explore the relationship between body mass index{BMI}, waist circumference and the risk of hypertension. Methods Multistage random sampling method was used to investigate the residents aged 18 years and over in 11 districts and counties of Wenzhou city. Questionnaire survey and body measurement were conduc- ted. Logistic regression analysis was used to study the relationship between BMI, waist circumference and hyper- tension. The sixth national population census data in 2010 was used to standardize the rate. Results A total of 41 054 questionnaires （96.04%） were collected from 42 747 adults. The standardized rate of overweight, obesity, central obesity and hypertension were 25.9 %, 5.9 %, 42.3 % and 25.2 % respectively. Compared with subjects with BMI〈24 kg/m2 and norman waist circumference, subjects with overweight＋ central obesity and obesity＋cen- tral obesity had higher hypentension risk （OR= 2. 475, 95% CI 2. 330- 2. 628; OR=4. 140, 95% CI 3. 751- 4. 570）. Compared with subjects with BMI%24 kg/m2 , normal waist circumference and normal blood glucose or blood lipid, subjects with diabetes mellitus or dyslipidemia and obesity had higher hypentension risk （OR= 6. 298, 95 % CI 5. 086- 7. 800 ; OR= 4. 159, 95 % CI 3. 633- 4. 763）. Conclusion The increase of BMI and waist circ- umference can predict the higher risk of the development of hypertension. There is a combination of overweight, obesity and central obesity for the risk of hypertension.

关 键 词：体质量指数 腰围 高血压 成人 

分 类 号：R544.1[医药卫生—心血管疾病]