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目的了解吉林市龙潭区45~59周岁成年人的高血压患病情况,探讨高血压的影响因素,为龙潭区高血压的防治工作提供理论依据。方法根据2010-2013年吉林省营养与健康状况调查项目的结果,抽取吉林市龙潭区年龄在45~59周岁354名成年人调查数据,应用SPSS 18.0软件建立数据库和统计分析,采用基本数据分析、χ2检验和Logistic回归分析方法。结果 354名成年人,平均年龄为(51.6±3.8)岁,均为汉族。平均收缩压(123.8±20.9)mm Hg,平均舒张压(77.1±11.7)mm Hg;平均身高(160.0±7.8)cm;平均体重(62.2±10.3)kg;平均腰围(81.8±11.5)cm,调查人群向心性肥胖率达49.4%。单因素分析结果显示,向心性肥胖、饮高度白酒、可能与高血压患病有关。多因素分析结果显示向心性肥胖(OR=0.322,95%CI=0.161~0.646)、饮高度白酒(OR=2.088,95%CI=1.014~4.296)与高血压成正相关。结论吉林市龙潭区45~59周岁成年人高血压患病率经标化后为26.0%,多因素分析显示正常体型是高血压的保护因素,而向心性肥胖、饮高度白酒是高血压的危险因素。建议其控制体重限制饮酒,改变不良生活方式,加强体育锻炼,确保高血压的有效防治。
Objective To understand the prevalence of hypertension in adults 45-59 years old in Longtan District of Jilin City and to explore the influencing factors of hypertension so as to provide a theoretical basis for the prevention and control of hypertension in Longtan District. Methods Based on the results of the survey of nutrition and health status in Jilin Province from 2010 to 2013, 354 adult aged 45-59 years from Longtan District of Jilin City were collected. The data and statistical analysis were made by using SPSS 18.0 software. Based on the basic data analysis, χ2 test and Logistic regression analysis. Results The average age of 354 adults (51.6 ± 3.8) years old were Han nationality. Mean systolic blood pressure (123.8 ± 20.9) mm Hg, mean diastolic blood pressure (77.1 ± 11.7) mm Hg, average height (160.0 ± 7.8) cm, mean body weight (62.2 ± 10.3) kg and mean waist circumference The population of centripetal obesity reached 49.4%. Univariate analysis showed that concentric obesity, drinking a high degree of liquor may be related to hypertension. Multivariate analysis showed that central obesity (OR = 0.322, 95% CI = 0.161-0.646) and alcoholism (OR = 2.088,95% CI = 1.014-4.296) were positively correlated with hypertension. Conclusion The prevalence of hypertension among 45- to 59-year-old adults in Longtan District of Jilin City was 26.0% after standardization. Multivariate analysis showed that normal body size was the protective factor of hypertension while concentric obesity and drinking liquor were the risk of hypertension factor. Proposed to control their weight restrictions on alcohol consumption, change the unhealthy lifestyles, strengthen physical activity, to ensure the effective prevention and treatment of hypertension.