摘要
目的分析北京社区居民新发高血压与代谢性危险因素及生活方式的关系。方法采用分层整群随机抽样法，分别于2007年6-8月和2009年6—8月对7222名北京市社区居民进行心血管危险因素现场调查。探讨2年间新发高血压累积发病率与代谢性危险因素的关系。结果基线时血压正常人数为4034名，2年后该人群新发高血压人数为978例，患病率为24．2％。多因素logistic回归分析示基线时处于高血压前期（OR=3．512，95％CI2．965～4．168）、超重（OR=1．654，95％c，1．423-1．918）、肥胖（OR=2．264，95％CI1．633～2．951）、经常饮酒（OR：1．493，95％CI1．231～1．775）、代谢综合征（OR=1．329，95％CI1．227～1．414）、年龄（每增长5年，OR=1．226，95％CI1．115-1．335）和男性（OR=1．135，95％CI1．018～1．221）为新发高血压的危险因素，大学及以上教育水平是新发高血压的保护性因素（OR=0．692，95％C10．476～0．897）。结论北京社区居民新发高血压与高血压前期、超重、肥胖、经常饮酒、代谢综合征以及教育程度较低等密切相关。
Objective To explore if the new onset hypertension was related with metabolic risk factors and lifestyle in Beijing community residents to guide the targeted prevention of hypertension. Methods A population-based survey with a randomly cluster sampling was made to observe the relationship between metabolic risk factors and lifestyle with new onset hypertension by multivariate and logistic regression. Results A total of 4 034 subjects with normal blood pressure at baseline were included and 978 （ 24. 2 % ） residents developed hypertension two years later. Multiple logistic analysis demonstrated that risk factors that contributed to new onset hypertension were prehypertension, overweight, obesity, frequent alcohol drinking, metabolic syndrome （MS）, age and male gender, the respective Odds Ratios （OR） and 95% confidence interval （ 95 % CI） are as follows ： 3.512 （ 2. 965 - 4. 168 ）, 1. 654 （ 1. 423 - 1.918 ）, 2. 264 （ 1. 633 - 2. 951 ）, 1. 493 （1.231-1.775）,1.329（1.227 - 1. 414）,1.226（1.115 - 1.335）,1.135（1.018 -1.221）. College education serves as the protective factor, and the OR （95% CI） was 0. 692 （0. 476,0. 897）. Conclusions New onset hypertension in Beijing community residents is mainly related with prehypertension, overweight or obesity, MS, frequent alcohol drinking and low edueation level. We should pay more attention to modulating metabolic risk factors and lifestyle to reduce the new onset hypertension in China.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2015年第11期989-993,共5页
Chinese Journal of Cardiology
基金
基金项目：高等学校博士学科点专项科研基金资助课题（2109000044）
关键词
高血压
发病率
危险因素
Hypertension
Incidence
Risk factors
