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江苏省35岁及以上成人超重、肥胖、中心性肥胖与高血压的相关性研究
引用本文:顾亦斌,顾淑君,张秋伊,陈路路,苏健,崔岚,陶然,周金意,覃玉.江苏省35岁及以上成人超重、肥胖、中心性肥胖与高血压的相关性研究[J].中华疾病控制杂志,2022,26(8):934-938.
作者姓名:顾亦斌  顾淑君  张秋伊  陈路路  苏健  崔岚  陶然  周金意  覃玉
作者单位:1.215500 常熟,常熟市疾病预防控制中心慢性病防治科
基金项目:中央财政转移支付地方卫生计生服务项目Ministry of Finance 〔2015〕 No.82
摘    要:  目的  了解江苏省成人超重、肥胖、中心性肥胖与高血压之间的关系,为制定肥胖及高血压的干预策略提供科学依据。  方法  2016年1月22日―2019年4月8日对江苏省8个项目点117 691名35~75岁常住居民进行问卷调查、体格检查、实验室检测,非条件logistic回归分析模型分析超重、肥胖、中心性肥胖与高血压的关系。  结果  高血压患病率为57.79%,标化后患病率为26.79%。在调整混杂因素后,超重和肥胖、中心性肥胖增加了高血压患病风险;与既无超重肥胖又无中心性肥胖人群相比,单纯超重肥胖人群高血压患病风险增加了90.7%(OR=1.907,95% CI: 1.849~1.968),单纯中心性肥胖人群高血压患病风险增加了69.2%(OR=1.692,95% CI: 1.566~1.828),既有超重肥胖又有中心性肥胖人群高血压患病风险增加了2.171倍(OR=3.171,95% CI: 3.075~3.270)。  结论  江苏省≥35岁及成人高血压患病率较高,超重、肥胖、中心性肥胖增加了高血压患病风险。

关 键 词:超重    肥胖    中心性肥胖    高血压
收稿时间:2021-12-08

Association between overweight,obesity, central obesity and hypertension among adults aged 35 and over in Jiangsu Province
Affiliation:1.Changshu Center for Disease Control and Prevention, Changshu 215500, China2.Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Abstract:  Objective  To understand the relationship between overweight, obesity, central obesity and hypertension among adults in Jiangsu Province, and to provide scientific basis for prevention of obesity and hypertension.  Methods  A total of 117 691 residents aged 35-75 years from 8 sites of Jiangsu Province were recruited and received questionnaire surveys, physical examinations and laboratory tests during January 22, 2016 and April 8, 2019. The relationship of overweight, obesity, central obesity and hypertension was analyzed by non-conditional logistic regression.  Results  The prevalence of hypertension was 57.79%, with a standardization rate of 26.79%. After adjusting for confounders, overweight, obesity and central obesity increased the risk of hypertension. Compared with participants without overweight/obesity and central obesity, the risk of being hypertension increased by 90.7% (OR=1.907, 95% CI: 1.849-1.968) in those with overweight/obesity only, by 69.2% (OR=1.692, 95% CI: 1.566-1.828) in those with central obesity only, by 2.171 times (OR=3.171, 95% CI: 3.075-3.270) in those with both overweight/obesity and central obesity.  Conclusion  The prevalence of hypertension is relatively high in Jiangsu adults aged ≥35 years. Overweight, obesity, and central obesity increase the risk of hypertension.
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