摘要
目的:了解广西某三甲医院体检人群成年人正常高值血压流行现状并探讨其相关影响因素,为该地区高血压的一级防控提供理论依据和基础资料。方法:根据广西某三甲医院体检中心2019年1—5月的体检数据,选取18岁以上且体检资料完整的有效样本4303例,参照WHO年龄划分标准分为青年、中年和老年3个年龄段,分别计算各个年龄段不同性别、不同民族人群正常高值血压的检出率,采用Logistic回归模型进行正常高值血压相关因素分析。结果:调查人群正常高值血压检出率为40.3%。男性检出率高于女性(45.6%vs 34.3%,P=0.000),男性患病高峰年龄为青年时期,而女性患病高峰年龄为中年时期。汉族、壮族和其他少数民族检出率分别为41.1%、36.8%和40.3%,壮族检出率最低。多因素Logistic回归分析显示,男性(OR=2.235)、中老年(OR=1.612、OR=2.538)、超重(OR=1.875)、肥胖(OR=3.275)、TC升高(OR=1.771)是正常高值血压的危险因素,而低体重是保护因素(OR=0.523)。结论:广西某三甲医院体检成年人正常高值血压检出率居于全国中等水平,青年男性检出率较高,且男性、中老年、超重、肥胖、TC升高是正常高值血压的危险因素。
Objective:To understand the current situation of the prevalence of prehypertension among adults undergoing physical examination in a grade A tertiary hospital in Guangxi and to explore its related influencing factors,so as to provide theoretical basis and basic information for the primary prevention and control of hypertension in the region.Methods:According to the physical examination data of the physical examination center of a grade A tertiary hospital in Guangxi from January to May 2019,4303 valid samples aged 18 years or older with complete physical examination data were selected and divided into 3 age groups of youth,middle age and old age with reference to WHO age classification standards,and the detection rates of prehypertension were calculated for different sexes and ethnic groups in each age group.Logistic regression model was used to analyze the related factors associated with prehypertension.Results:The detection rate of prehypertension in the surveyed population was 40.3%.The detection rate was higher in males than in females(45.6%vs.34.3%,P=0.000),and the peak age of the disease in males was young age,while in females it was middle age.The detection rates were41.1%,36.8%and 40.3%for Han,Zhuang and other ethnic minorities,respectively,with Zhuang having the lowest detection rate.Multifactorial logistic regression analysis showed that male(OR=2.235),middle-age and elderly(OR=1.612,OR=2.538),overweight(OR=1.875),obesity(OR=3.275),and elevated TC(OR=1.771)were risk factors for prehypertension,while low weight was a protective factor(OR=0.523).Conclusion:The detection rate of normal hypertension in adults undergoing physical examination in a Grade A tertiary hospital in Guangxi was in the middle of the country,and the detection rate was higher in young men,and male,middle-age and elderly,overweight,obesity,and elevated TC are risk factors for normal hypertension.
作者
廖宁
李小珍
谈佳
陈丽平
Liao Ning;Li Xiaozhen;Tan Jia;Chen Liping(Guangxi Academy of Medical Sciences/People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《广西医科大学学报》
CAS
2022年第9期1474-1478,共5页
Journal of Guangxi Medical University
基金
广西壮族自治区卫健委自筹经费科研课题计划项目(No.Z20210879
No.Z20190662)。
关键词
正常高值血压
高血压
流行病学
影响因素
肥胖
prehypertension
hypertension
epidemiology
influencing factors
obesity
