[1]樊静静),刘晓田),王盼盼),等.河南农村成年人身体脂肪率与高血压的关系[J].郑州大学学报(医学版),2017,(05):613-617.[doi:10.13705/j.issn.1671-6825.2017.05.024]
 FAN Jingjing),LIU Xiaotian),WANG Panpan),et al.Association of body fat percentage and hypertension in adults from rural areas of Henan Province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(05):613-617.[doi:10.13705/j.issn.1671-6825.2017.05.024]
点击复制

河南农村成年人身体脂肪率与高血压的关系()
分享到:

《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2017年05期
页码:
613-617
栏目:
应用研究
出版日期:
2017-09-15

文章信息/Info

Title:
Association of body fat percentage and hypertension in adults from rural areas of Henan Province
作者:
樊静静1) 刘晓田1) 王盼盼1) 周 浩1) 尹 磊2) 冯天平2) 赵景志2) 王重建1)#
1)郑州大学公共卫生学院流行病学教研室 郑州 450001 2)河南省军区直属医院体检中心 郑州 450003
Author(s):
FAN Jingjing1) LIU Xiaotian1) WANG Panpan1) ZHOU Hao1) YIN Lei2) FENG Tianping2) ZHAO Jingzhi2) WANG Chongjian1)
1)Department of Epidemiology, College of Public Health, Zhengzhou University, Zhengzhou 450001 2)Department of Health Care, Military Hospital in Henan, Zhengzhou 450003
关键词:
身体脂肪率 高血压 患病率 河南 农村 成年人
Keywords:
body fat percentage hypertension prevalence Henan Province rural area adult
分类号:
R181.2
DOI:
10.13705/j.issn.1671-6825.2017.05.024
摘要:
目的:探讨河南省农村地区成年人身体脂肪率与高血压的关系。方法:采用整群随机抽样的方法选择河南农村35~74岁成年人9 980人,问卷调查收集研究对象的人口学特征、生活习惯及高血压家族史等信息,采用电子血压计测量坐位上臂血压,生物电阻抗法测量身体脂肪率。结果:河南农村地区成年人群高血压患病率(标化率)为33.99%(29.13%),其中男性为35.45%(31.96%),女性为33.19%(27.85%),男性高于女性(P=0.023)。总人群身体脂肪率中位数(P25~P75)为31.8%(26.6%~35.7%),男性为25.1%(21.8%~28.0%),女性为34.5%(31.7%~37.1%); 女性大于男性(Z=71.700,P<0.001)。按照身体脂肪率四分位数将研究对象分为4组:Q1组(<P25)、 Q2组(P25~)、 Q3组(P50~)、Q4组(≥P75)。与Q1组相比,Q2、Q3、Q4组人群高血压患病率均增加(P<0.001)。Logistic回归分析结果显示,总人群中身体脂肪率与高血压存在关联,Q2、Q3、Q4组调整后的OR(95%CI)分别为1.71(1.48~1.97)、2.69(2.25~3.22)和4.34(3.60~5.23)(P趋势<0.001)。男性和女性人群中两者关联性表现与总人群一致。结论:河南农村成年人群高血压患病率较高,身体脂肪率增加与高血压患病存在关联。
Abstract:
Aim: To explore the association of body fat percentage and hypertension in the adults from Henan rural areas.Methods: Questionnaire survey was applied to collect the social demographic characteristics, life habits and the family history of hypertension in 9 980 participants(aged 35-74 years)from the rural areas of Henan Province. The electronic sphygmomanometer was used to measure the blood pressure, and instrument based on bioelectric impedance analysis was adopted to obtain measurement of body fat percentage.Results: The prevalence(standardized prevalence)of hypertension was 33.99%(29.13%)in general population, 35.45%(31.96%)in males and 33.19%(27.85%)in females, and that of males was higher than females(P=0.023).The median(P25-P75)of body fat percentage was 31.8%(26.6%-35.7%),25.1%(21.8%-28.0%)and 34.5%(31.7%-37.1%)in the general population, males and females, respectively, and that of females was higher than males(Z=71.700,P<0.001). The participants were allocated into 4 groups according to the quartiles of body fat percentage; Q1 group(<P25), Q2 group(P25-), Q3 group(P50-)and Q4 group(≥P75). Compared with those of Q1 group, the prevalence of hypertension increased in Q2, Q3 and Q4 group(P<0.001), adjusted OR(95%CI) was 1.71(1.48-1.97), 2.69(2.25-3.22), 4.34(3.60-5.23), respectively. The similar association was found in males and females.Conclusion: The prevalence of hypertension is higher in adults from rural areas of Henan Province, and body fat percentage is strongly associated with hypertension.

参考文献/References:

[1] 李黎明,刘晓田,张路宁,等.河南省某农村地区老年人群心血管代谢性危险因素与脑卒中的关系[J]. 郑州大学学报(医学版),2014,49(5):661
[2] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2015》概要[J].中国循环杂志,2016,31(6):521
[3] 贺媛,曾强,赵小兰.中国成人肥胖、中心性肥胖与高血压和糖尿病的相关性研究[J].解放军医学杂志, 2015,40(10):803
[4] 徐永太,潘静静,赵景志,等.河南省某地区农村居民肥胖指标与血压及高血压的关系[J].郑州大学学报(医学版),2012,47(1):91
[5] 易灵仙,罗长梅.宜昌市夷陵区35岁以上居民肥胖指标与高血压的关系及其预测价值[J].中国慢性病预防与控制,2016,24(6):441
[6] 韩冰,周刚,冯石献,等.河南省居民高血压相关危险因素分析[J].郑州大学学报(医学版),2014,49(1): 89
[7] 张璐,杨跃进,温瑞,等.超重、肥胖和腹型肥胖与心血管代谢性疾病的关联研究[J].现代预防医学,2016, 43(21):3887
[8] 余欣.吉林省农村人口身体脂肪率、内脏脂肪指数与其他心血管病危险因素及其聚集的相关性研究[D].长春:吉林大学,2016.
[9] 中国居民膳食指南专家委员会. 《中国居民膳食指南》(2007)(节录)[J]. 营养学报, 2008(1): 2
[10]LEE PH,MACFARLANE DJ,LAM TH,et al.Validity of the International Physical Activity Questionnaire Short Form(IPAQ-SF): a systematic review [J].Int J Behav Nutr Phys Act,2011,8(1):115
[11]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701
[12]KKORHONEN Pe, KAUTIANEN H, JÄRVENPÄÄ S,et al.Target organ damage and cardiovascular risk factors among subjects with previously undiagnosed hypertension [J].Eur J Prev Cardiol,2014,21(8):980
[13]张洪涛,禹萌,任雅芳,等.早期不同的血压控制目标对高血压性脑出血患者血肿扩大及预后的影响[J]. 南方医科大学学报,2016,36(12):1616
[14]罗国金,罗敏,陈小芳,等.四川省彭州市30岁以上居民高血压患病情况及危险因素分析[J].中华预防医学杂志,2016,50(5):404
[15]徐凯威,唐岚,沈丽华.上海市花木社区居民高血压危险因素分析[J].现代预防医学,2016,43(9):1603
[16]CAMPISI J,FINNn KE,BRAVO Y,et al.Sex and age-related differences in perceived, desired and measured percentage body fat among adults[J].J Hum Nutr Diet,2015,28(5):486

相似文献/References:

[1]于富洋,杨胜昌,郭亚净,等.消痰化瘀利窍方对慢性间歇性低氧暴露大鼠血压与心肌损伤的影响[J].郑州大学学报(医学版),2019,(01):29.[doi:10.13705/j.issn.1671-6825.2018.05.106]
 YU Fuyang,YANG Shengchang,GUO Yajing,et al.Effect of Xiaotan Huayu Liqiao formula on blood pressure and myocardial injury in rats exposed to chronic intermittent hypoxia[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(05):29.[doi:10.13705/j.issn.1671-6825.2018.05.106]
[2]司 童),陈 薇),张尤桥),等.磁共振扩散峰度成像对脑小血管病早期脑损害的检测价值[J].郑州大学学报(医学版),2019,(03):465.[doi:10.13705/j.issn.1671-6825.2018.10.046]
 SI Tong),CHEN Wei),ZHANG Youqiao),et al.Value of magnetic resonance diffusion kurtosis imaging in the assessment of early brain damage in patients with cerebral small vessel disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(05):465.[doi:10.13705/j.issn.1671-6825.2018.10.046]

备注/Memo

备注/Memo:
*国家重点研发计划“精准医学研究”重点专项 2016YFC0900803; 国家自然科学基金资助项目 81573243, 81602925; 河南省科技创新人才支持计划项目 164100510021; 河南省高校科技创新人才支持计划项目 14HASTIT035; 河南省医学科技攻关计划项目 201401002,201403002; 郑州大学高端人才支持计划项目 ZDGD13001
#通信作者,男,1977年10月生,博士,副教授,研究方向:心血管代谢性疾病,E-mail:tjwcj2005@126
更新日期/Last Update: 2017-09-20