浙江省三地区人群血脂、血糖、体质指数与血压关系的分析

目的　探讨浙江省三地区自然人群血脂、血糖、体质指数与血压之间的关系。方法　对三地区 2 5～ 74岁自然人群进行血压、血脂、血糖和身高、体重的调查。结果　 ( 1)三地区高血压患病率为 2 5 .5 8% ,标化率 2 1.0 6 ,其中 :嘉兴 2 4 .91% ,绍兴 2 7.80 % ,丽水 2 4 .0 7% ,>5 5岁年龄组患病率显著高于≤ 5 5岁年龄组 ,差异有显著性 ( P<0 .0 5 )。( 2 )三地区人群血脂、血糖异常率和超重分别为 :高胆固醇 ( TC) 2 3.39% ,高甘油三酯 ( TG) 32 .72 % ,低高密度脂蛋白胆固醇 ( HDL - C) 6 .81% ,高血糖 ( GL U ) 5 .73% ,体质指数 ( BMI)≥ 2 5为 2 2 .31%。( 3)高血糖、超重和高血脂人群中高血压患病率分别为 :5 3.6 2 %、39.70 %、36 .5 0 %、36 .18% ,明显高于血糖、血脂和体重正常的人群 ,血压与GL U、BMI、TG、TC水平呈正相关。结论　高血糖、超重、高血脂是高血压的主要危险因素 ,尤其以 >5 5岁龄组为显著。提示 :高血糖、超重、高血脂以及中、老年人群是社区高血压干预的重点对象。

Relationship bettween blood pressure and blood lipids,Glucose,weight in the population of three districts of Zhejiang province

Objective: To explore the relationship between blood pressure and blood lipids,glucose,weight in the district population. Methods Using the cluster sampling method,to investigate the blood pressure,blood lipds,glucose, weight of population (25-74 years old ) in the three districts of Zhejiang province. Resuls The morbidity rate of hypertension (MRH)in three districts was 25.58%.The age-standardized MRH was 21.06%.The MRH in the aged>55 years was higher than those in the aged ≤55years .The differences were outstanding(P< 0.05).The prevalence rate of blood lipids abnormality,glucose abnormality and over weight abnormality were TC increased 23.39%,TG increased 32.72%,HDL-c decreased 6.81%,GLU increased 5.73%,overweight 22.31%.The MRH in the group of hyperglycemia,overwight and abnormality of blood lipid was higher that those in the normal group. Blood pressure was significantly positively correlated with glucose,weight,blood lipids. Conclusion Hyperglycemia, overweight and abnormality of blood lipids were major risk factors of hypertension.