摘要
目的探讨体成分与高血压患病之间的关系。方法选取2018年1-7月期间在河南省某三甲医院体检科进行体检的人群为研究对象,采用生物电阻抗方法测定体质指数(body mass index,BMI)、体脂百分比、腰臀比、内脏脂肪下面积(visceral fat area,VFA)等体成分指标,另测量体检人群血压等。分析体成分指标与高血压患病风险之间的关系。结果本次共纳入研究对象2803例,高血压检出率为26.58%。logistic回归分析显示,男性(OR=2.26,95%CI:1.63~3.14)、年龄越大(OR=1.07,95%CI:1.05~1.66)、腰臀比超标(OR=1.32,95%CI:1.06~1.08)、BMI≥24.0 kg/m^2(OR=1.33,95%CI:1.02~1.72)和VFA越大(OR=1.01,95%CI:1.01~1.02)的体检人群罹患高血压的风险越高。腰臀比、BMI和VFA对男女高血压患病的预测截点分别为0.93、25.20 kg/m^2、84.95 cm^2和0.87、22.73 kg/m^2、96.25 cm^2。结论体脂比、腰臀比、VFA与高血压的患病有明显相关性,VFA对高血压预测作用最大,为建立高血压的一级预防提供了重要参考。
Objective To explore the relationship between body composition and suffering from hypertension.Methods The subjects were selected from the physical examination department of a grade-A tertiary hospital in Henan province from January to July in 2018.The body composition indexes,such as body mass index(BMI),body fat percentage,waist-to-hip ratio and visceral fat area(VFA),and blood pressure were measured by bioelectrical impedance radiometry.The relationship between body composition index and risk of suffering from hypertension was analyzed.Results A total of 2,803 cases were included in this study.The detection rate of hypertension was 26.58%.Logistic regression analysis showed that male cases(OR=2.26,95%CI:1.63-3.14)and cases with advanced age(OR=1.07,95%CI:1.05-1.66),higher waist-to-hip ratio(OR=1.32,95%CI:1.06-1.08),BMI≥24.0 kg/m^2(OR=1.33,95%CI:1.02-1.72)and higher VFA(OR=1.01,95%CI:1.01-1.02)were at higher risk of hypertension.The waist-to-hip ratio,BMI and VFA cut-off points for predicting hypertension in males were 0.93,25.20 kg/m^2 and 84.95 cm^2,and those in females were 0.87,22.73 kg/m^2 and 96.25 cm^2.Conclusions Body fat ratio,waist-to-hip ratio and VFA are significantly correlated with the occurrence of hypertension.VFA plays the most important role in predicting hypertension,and provides important references for establishing primary prevention of hypertension.
作者
许桢
杨婷婷
陈永春
向思云
文静
关珂
杨阳
王卫香
王雯
黄柳神
甘勇
XU Zhen;YANG Ting-ting;CHEN Yong-chun;XIANG Si-yun;WEN Jing;GUAN Ke;YANG Yang;WANG Wei-xiang;WANG Wen;HUANG Liu-shen;GAN Yong(Henan Provincial People's Hospital,Zhengzhou,Henan 450003,China;Heart Center of Henan Provincial People's Hospital,Zhengzhou,Henan 451464,China;School of Public Health,Guilin Medical University,Guilin,Guangxi 541004,China;School of Public Healthy Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)
出处
《实用预防医学》
CAS
2020年第3期266-269,共4页
Practical Preventive Medicine
基金
2018年中国博士后科学基金(2018M630870)
2016年河南省科技攻关项目(162102310280)。
关键词
体成分
高血压
预测作用
截点
body composition
hypertension
predictive effect
cut-off point
