广东省顺德地区成人生活行为因素、超重、肥胖与高血压的相关性分析  

Correlation analysis among living behavior factors,overweight,obesity and hypertension for adults in Shunde region of Guangdong Province

作　　者：祁永芬 周成宇 林子博 周新凤 陈舸 王辉 于新发 贾卫东[3] 刘丽 陈思东 QI Yongfen;ZHOU Chengyu;LIN Zibo;ZHOU Xinfeng;CHEN Ge;WANG Hui;YU Xinfa;JIA Weidong;Liu Li1;CHEN Sidong(Public Health College,Guangdong Pharmaceutical University,Guangzhou,Guangdong510310,China;Shunde Hospital of Southern Medical University,Foshan,Guangdong 528300,China;Eighth People′ s Hospital, Guangzhou, Guangdong 510060, China)

机构地区：[1]广东药科大学公共卫生学院,广东广州510310 [2]南方医科大学顺德医院,广东佛山528300 [3]广州市第八人民医院,广东510060

出　　处：《现代医药卫生》2018年第6期823-827,共5页Journal of Modern Medicine & Health

基　　金：2015年广东省高等学校优秀青年教师培养计划(YQ2015098);广东药科大学"创新强校工程"项目(特色创新类)(2014KTSCX115)

摘　　要：目的了解广东省顺德地区成人高血压流行情况,探讨生活行为因素和超重、肥胖对高血压的影响。方法基于2015年顺德地区健康筛查项目,采用问卷调查和体格检查收集相关信息。应用单因素Log-binomial模型计算患病率比(PR)指标,准确评价超重、肥胖和生活行为因素对高血压的影响。结果共纳入研究对象6 246例。顺德地区18岁以上常住居民自报高血压患病率为20.91%(95%CI 19.90%~21.92%)。单因素分析显示,食用腌制食品、超重、肥胖与高血压患病存在相关性。调整性别、年龄、职业、文化程度等因素后,仅超重、肥胖仍与高血压存在相关性,与正常体重者比较,超重和肥胖者患高血压的PR值分别为1.75(95%CI 1.58~1.94)、2.36(95%CI 2.09~2.66)。结论顺德地区成人高血压流行水平较高,超重、肥胖是高血压的重要危险因素;社区高血压防治应重点关注超重肥胖人群。Objective To understand the prevalence situation of hypertension in adults of Shunde region of Guangdong Province and to explore the influence of living behavior factors,overweight and obesity on hypertension.Methods Base on the health screening program in Shunde region during2015,the relevant information was collected by adopting the questionnaire survey and health physical examination.The univariate Log?binomial model was applied to calculate the prevalence ratio(PR)and accurately evaluate the influence of living behavior factors,overweight and obesity on hypertension.Results A total of6246cases were included as the research subjects.The prevalence rate of self?reported hypertension in the inhabitants aged over18years old in Shunde region was20.91%(95%CI19.90%-21.92%).The univariate analysis showed that eating pickle food,overweight and obesity had the correlation with hypertension.After adjusting the gender,age,occupation and education level,only overweight and obesity still had the correlation with hypertension,compared with the normal body weight,the PR values of the persons with overweight and obesity were1.75(95%CI1.58-1.94)and2.36(95%CI2.09-2.66)respectively.Conclusion The adults in Shunde region have the higher hypertension prevalence level.Overweight and obesity are the important risk factors for hypertension.Therefore the prevention and treatment of community hypertension should pay attention to the population of overweight and obesity.

关 键 词：高血压 生活行为因素 超重 肥胖 患病率比 

分 类 号：R544.1[医药卫生—心血管疾病]