2015—2017年中国成人肥胖评价指标与高血压的关联  

Association between obesity indicators and hypertension among Chinese adults,2015-2017

作　　者：南晶 陈慕磊[2] 苑弘弢 唐增煦 蔡姝雅 朴玮 李福胜 杨宇祥 于冬梅 曹秋野 NAN Jing;CHEN Mulei;YUAN Hongtao;TANG Zengxu;CAI Shuya;PIAO Wei;LI Fusheng;YANG Yuxiang;YU Dongmei;CAO Qiuye(Institute of Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心营养与健康所,100050 [2]中国疾病预防控制中心 [3]国家卫生健康委公共营养与健康重点实验室

出　　处：《首都公共卫生》2025年第1期5-11,共7页Capital Journal of Public Health

基　　金：国家财政项目[公共卫生应急-营养健康与合理膳食行动(编号:102393220020070000012)]。

摘　　要：目的探讨中国成人肥胖评价指标与高血压之间的关联,以及不同指标预测高血压患病风险的效果。方法本研究基于具有全国代表性的2015—2017年中国居民营养与健康状况监测数据,采用分层多阶段随机抽样的方法,选取18岁及以上中国居民且肥胖评价指标数据完整者共111196人。采用二元logistic回归分析身体质量指数(body mass index,BMI)、腰围(waist circumference,WC)、腰围身高比(waist-to-height ratio,WHtR)与高血压的关系,应用受试者工作特征曲线(receiver operating characteristic,ROC)分析和比较肥胖评价指标预测高血压患病风险的效果。结果logistic回归分析显示,3种肥胖评价指标均与高血压患病有关,且高血压患病率随着指标数值升高而增加(P<0.001)。女性的BMI、WC和WHtR预测高血压患病风险的ROC曲线下面积(area under the curve,AUC)均高于男性。女性BMI、WC和WHtR预测高血压患病风险的截断值分别为24.502 kg/m2、82.325 cm和0.524,男性的分别为24.643 kg/m2、85.375 cm和0.517。结论BMI、WC、WHtR均与高血压患病有关,且随着BMI、WC、WHtR的升高,中国成人的高血压患病风险逐渐增加。在高血压患病风险的判定方面,WHtR相比于BMI和WC更有优越性。Objective To explore the relationship between adult obesity indexes and hypertension in China and the effect of different indexes in predicting the prevalence of hypertension.Methods Based on the nationally representative adult data of the China Nutrition and Health Surveillance(2015-2017),a total of 111196 Chinese residents aged 18 years and above with complete obesity evaluation index data were selected by stratified multi-stage random sampling method.Binary logistic regression was used to analyze the relationship between body mass index(BMI),waist circumference(WC),waist to height ratio(WHtR)and hypertension.Receiver operating characteristic(ROC)was used to analyze and compare the efficacy of obesity evaluation indicators in predicting the risk of hypertension.Results Logistic regression analysis showed that the three obesity indicators were related to the prevalence of hypertension,and the risk of hypertension increased with the increase of the index value(P<0.001).The area under the curve(AUC)of BMI,WC and WHtR in predicting the risk of hypertension in women were higher than those in men.The cut-off values of BMI,WC and WHtR for predicting the risk of hypertension in female were 24.502 kg/m~2,82.325 cm and 0.524,respectively.As for males,the corresponding were 24.643 kg/m~2,85.375 cm and 0.517.Conclusions In this study,BMI,WC and WHtR were all related to hypertension with the increase of index values,the risk of hypertension in Chinese adults gradually increased.WHtR was superior to BMI and WC in determining the risk of hypertension.

关 键 词：肥胖 高血压 身体质量指数 腰围 腰围身高比 

分 类 号：R544.1[医药卫生—心血管疾病]