安徽省六安市成年居民握力与高血压关联的横断面研究  

A cross-sectional study of the association between handgrip strength and hypertension among adults in Lu′an City,Anhui Province,China

作　　者：周志豪 刘梦飞 叶舒 周雨墨 江超 常宏伟[3] 曹洪娟[3] 刘洋 孙自锁 李美玲 张庄 杨万水 ZHOU Zhihao;LIU Mengfei;YE Shu;ZHOU Yumo;JIANG Cao;CHANG Hongwei;CAO Hongjuan;LIU Yang;SUN Zisuo;LI Meiling;ZHANG Zhuang;YANG Wanshui(Department of Nutrition,School of Public Health,Anhui Medical University,Hefei 230032,China;Department of Endemic Diseases and STD/AIDS Prevention and Control,Huoshan County Center for Disease Control and Prevention,Lu′an 237200,China;Department of Chronic Non-communicable Diseases Prevention and Control,Lu′an Municipal Center for Disease Control and Prevention,Lu′an 237000,China)

机构地区：[1]安徽医科大学公共卫生学院营养与食品卫生学系,合肥230032 [2]霍山县疾病预防控制中心地方病与性病艾滋病防治股,六安237200 [3]六安市疾病预防控制中心慢性非传染性疾病防制科,六安237000

出　　处：《中华疾病控制杂志》2025年第2期158-163,共6页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(82373673);国家重点研发计划(2023YFA1800800);安徽医科大学大数据与人口健康研究中心研究基金(JKS2022018);安徽医科大学科研水平提升计划项目(2021xkjT007);安徽医科大学研究生科研与实践创新项目(YJS20230104,YJS20230150)。

摘　　要：目的评估握力与高血压之间的关联,为高血压的预防、筛查与干预提供科学依据。方法依托2020年7月―2021年7月在安徽省六安市开展的一项以人群为基础的横断面研究。采用校准的CAMRY握力仪测定握力。采用多因素logistic回归分析模型分析握力与高血压之间的关联,并根据年龄、性别、BMI等因素进行亚组分析,采用Wald检验分析其交互作用。进行敏感性分析时排除了具有高血压家族史的研究对象。结果共纳入2694名研究对象,其中高血压患者1309名(48.6%)。通过调整年龄、性别、BMI等协变量,与握力最低分位(<P_(25))相比,握力最高分位(≥P_(75))的高血压患病风险降低39%(OR=0.61,95%CI:0.43~0.86,P趋势<0.001)。结论较高的握力水平与较低的高血压患病率相关。提示个体在日常生活中应注重增强肌肉力量,以促进健康,降低高血压的患病风险。Objective This study aimed to investigate the association between handgrip strength and hypertension,providing scientific evidence for the prevention,screening,and intervention of hypertension.Methods This study was based on a population-based cross-sectional study conducted in the Lu′an,Anhui Province,from July 2020 to July 2021.The handgrip strength was measured using a calibrated CAMRY handgrip strength dynamometer.Multivariable logistic regression was used to assess the association between handgrip strength and hypertension.Subgroup analyses were conducted according to factors such as age,gender,and BMI,and their interactions were analyzed using the Wald test.During the sensitivity analysis,participants with a family history of hypertension were excluded.Results Of the 2694 participants,1309(48.6%)were diagnosed with hypertension.After adjusting for age,gender,BMI,and other covariates,participants in the highest quartile of handgrip strength had a 39%lower risk of hypertension compared to those in the lowest quartile(OR=0.61,95%CI:0.43-0.86,P_(trend)<0.001).Conclusions Greater handgrip strength is linked to a lower prevalence of hypertension,indicating that individuals should prioritize improving muscle strength in their daily routines to promote health and reduce the risk of developing hypertension.

关 键 词：握力 高血压 横断面研究 

分 类 号：R181.3[医药卫生—流行病学] R544.1[医药卫生—公共卫生与预防医学]