体重及脂肪分布与高血压病关系的流行病学研究

目的:探讨体重及脂肪分布与高血压病的相关性。方法:采取整群随机抽样的方法选择徐州市大屯社区259位中年居民为调查对象,运用病例对照研究,测量体重指数(BM I)、腰臀比(WHR)、腰围(W C)、臀围(HC)等参数数值,并作统计学处理。结果:(1)高血压组中的体重、体重指数、腰围、臀围、腰臀比高于对照组(P<0.05);高血压合并冠心病组中的腰围、臀围高于对照组(P<0.05);(2)腰臀比与年龄、收缩压、舒张压、尿酸、血糖、甘油三酯、体重呈正相关(r=0.17~0.305,P<0.05);体重指数与收缩压、舒张压、尿酸、甘油三酯、腰围、臀围呈正相关(r=0.299~0.670,P<0.05);(3)腹部肥胖型在各病例组中所占的比例明显高于对照组(P<0.05)。结论:超重、肥胖尤其是腹部肥胖型是高血压病的危险因素。

Study of epidemiology of the relationship among weight,body fat distribute and hypertension

Objective:To study the relationship among weight,body fat distribute and hypertension.Methods:A total of 259 middle age residents of Datun in Xuzhou were investigated.The levels of body mass index(BMI),waist/hip ratio,waist circumference and hip circumference etc.were measured;statistical analysis was done to all measured parameters.Results:(1)The weight,BMI,waist circumference,hip circumference,waist/hip ratio(WHR) of hypertension group and waist circumference,hip circumference of hypertension complicated with coronary heart disease(CHD) group were significantly higher than those in control group(P<0.05);(2) There were significantly positive correlation among WHR levels and age,systolic blood pressure(SBP),diastolic blood pressure(DBP),uric acid,blood glucose,triglyceride(TG) and weight levels(r=0.170~0.305,P<0.05),and among BMI levels and SBP,DBP,uric acid,TG,waist circumference and hip circumference levels(r=0.299~0.670,P<0.05);(3) The occurrence rate of abdominally obesity in patient group was higher than those in control group(P<0.05).Conclusion:Overweight,obesity,abdominally obesity are important risk factors for hypertension.