中国全科医学2017，Vol.20Issue(8)：969-973,5.DOI:10.3969/j.issn.1007-9572.2017.08.016
甘肃省居民肥胖现状调查及其与高血压的相关性研究
Investigation on Current Status of Obesity and Its Correlation with Hypertension among Residents in Gansu Province
摘要
Abstract
Objective To investigate the current status of overweight and obesity and to explore its correlation with hypertension among residents in Gansu province,so as to provide a scientific basis for developing intervention measures.Methods From September 2013 to July 2014,the residents aged 15 or over in Gansu province was selected to investigate by a multistage stratified cluster random sampling method.Questionnaire survey and physical examination were given to the subjects.The body mass index (BMI) and waist circumference (WC) were measured,and the diagnosis of hypertension was also carried out in the study.The correlation between overweight,obesity and hypertension was analyzed.Results A total of 16 000 subjects were involved in this survey.15 431 questionnaire were valid with an effective response rate of 96.44％.Among them,889 (5.76％) cases in low body mass,9 440 (61.18％) with normal weight,4 074 (26.40％) were overweight,1 028 (6.66％) were obesity;6 796 (44.04％) with central obesity;3 993 (25.88％) with hypertension.BMI,WC,body fat percentage and visceral adiposity index (VAI) in people with normal blood pressure were lower than those in patients with hypertension (P ＜ 0.05).There was significant difference in systolic blood pressure and diastolic blood pressure among people of low body mass,normal weight,overweight and obesity (P ＜ 0.05).Among the people of low body mass,normal weight,overweight and obesity,there was no significant difference in the prmalence of hypertension between men and women (P ＞0.05).The prevalence of hypertension increased with age among the people of low body mass,normal weight,overweight and obesity (P ＜0.01).Multivariate Logistic regression analysis showed that low body mass was a protective factor of developing hypertension [OR (95％ CI) =0.654 (0.537,0.796),P ＜ 0.001],overweight,obesity,and central obesity were independent risk factors of developing hypertension [OR (95％ CI) =2.058 (1.896,2.233),4.259 (3.734,4.858),1.733 (1.431,2.015),P ＜ 0.001].Conclusion The prevalence of overweight ard obesity among resident in Gansu province was lower than the national average level.The prevalence risk of developing hypertension increased obviously in overweight and obesity people,which suggests that controlling weight is of great significance in the prevention of hypertension.关键词
超重/肥胖/高血压/甘肃Key words
Overweight/Obesity/Hypertension/Gansu分类
医药卫生引用本文复制引用
梁伟,张小卫,于亨,余静..甘肃省居民肥胖现状调查及其与高血压的相关性研究[J].中国全科医学,2017,20(8):969-973,5.基金项目
科技部“十二五”科技支撑项目(2011BAI11B01) （2011BAI11B01）
中国科学院“西部之光”人才培养计划资助项目(2014年度) （2014年度）
