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长沙市不同体重指数社区人群血压、血脂和血糖干预前后的变化 总被引:6,自引:1,他引:5
目的 分析社区干预在不同重指数社区人群中的效果。方法 选定长沙市开福区10万城市居民,开展社区心脑血管病综合性干预研究,分别于1997年和2000年在所研究的人群中抽样进行危险因素调查。结果 肥胖人群(BMI>25)所占比例在干预组和对照组中均增加;血压和血脂等危险因素在BMI>25和BMI<18.5的人群中变化较小,而BMI在18.5-25之间的人群干预前后变化较大。结论 进行社区人群心脑血管病综合防治是有效的,但需针对不同的人群采取与之相适宜的措施,以达到最佳干预效果。 相似文献
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目的 了解北京大兴农村地区老年超重和肥胖与血压、血糖、血脂等的关系及临床意义.方法 对长子营地区3036名60岁以上老年人(包括超重1328人、肥胖747人、正常体重961人)通过问卷调查获得高血压、糖尿病和吸烟等情况,通过体格检查和实验室检查获得体重指数、血压、血糖、血脂、血尿酸等数据.结果 60岁以上老年女性超重和肥胖者明显多于男性.正常体重组、超重组和肥胖组血压、空腹血糖、TG、LDL-C、尿酸水平依次升高,而HDL-C水平逐渐降低,三组之间差异有统计学意义(P<0.01).超重和肥胖组的高血压、糖尿病、血脂异常和高尿酸血症发病率明显高于正常体重组.结论 超重和肥胖与高血压、糖尿病、血脂异常和高尿酸血症密切相关,可能是导致老年心脑血管疾病的共同危险因素. 相似文献
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目的了解广西机关干部脂肪肝患病情况及与血脂、血糖、血压、体重指数的关系,为控制和预防心脑血管疾病提供理论依据。方法对广西58家机关事业单位2337名(男1395人,女942人)23~89岁干部职工和离退休人员测量身高、体重、血压、心电图、B超、血尿酸、血脂、血糖。根据测量结果将研究对象分为脂肪肝组(957例)和非脂肪肝组(1380例),分别进行统计比较。结果 (1)检出脂肪肝957例,占调查人数40.9%。脂肪肝组中男性(66.0%)多于女性(34.0%);(2)脂肪肝组血尿酸、总胆固醇、甘油三酯、空腹血糖和体重指数高于非脂肪肝组(P〈0.05);(3)脂肪肝合并高血压患病人数明显高于非脂肪肝组(P〈0.05);(4)脂肪肝组体重指数(BMI)≥24kg/m2782人,占81.7%,明显高于非脂肪肝组(P〈0.05)。结论脂肪肝检出率较高,脂肪肝患者多伴有高血脂、高血压、高血糖和高尿酸。 相似文献
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北京市老年人群体重,血脂,血压及血糖水平的调理与分析 总被引:37,自引:0,他引:37
为了解老年人心血管疾病发病的相关因素,抽样检测北京市623例60岁以上老年人的健康状况,其中宣武区市民289例,大洋县郊区农民194例,怀柔县贫困山区农民1540例。发现城市市民及郊区农民总胆固醇及甘油三酯水平明显高于山区农民。顸 超重及的发生率,高脂血症及高血糖的发生率明显高于郊区及山区农民。 相似文献
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体重指数、腰围与血糖、血压的关系 总被引:4,自引:0,他引:4
目的 探讨体重指数、腰围与血糖、血压的关系.方法 2000年对克拉玛依市12个单位取样调查4830人测身高,体重,腰围(WC),测血糖,血压,计算体重指数(BMI).BMI、 WC按中国肥胖标准分组,男女按BMI各分为三组:(1)正常组BMI<24 kg/m^2,(2)超重组BMI≥24~<28 kg/m^2,(3)肥胖组BMI≥28 kg/m^2;男女按WC各分两组:男性正常组WC≤85 cm,腹型肥胖组WC>85 cm;女性正常组WC≤80 cm,腹型肥胖组WC>80 cm.男女各组间血糖,收缩压,舒张压进行统计学分析.结果 (1)男女各组间血糖、收缩压、舒张压均有显著性差异(P<0.01);(2)多元回归分析示男女血糖、收缩压、男性舒张压与BMI、 WC正相关(P<0.01),女性舒张压与BMI、WC无相关性(P>0.05).结论 为了防治糖尿病及高血压病,控制肥胖及腹型肥胖甚为重要,控制体重指数,腰围为基本的措施之一. 相似文献
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自然人群血糖、体重指数、腰臀比与血压的关系 总被引:1,自引:0,他引:1
目的:探讨自然人群中血糖、体重指数(BMI)、腰臀比(WHR)的水平对血压的影响及作用的大小。方法:应用1998年广东省糖尿病流行病学调查资料,采用分层整群抽样方法,调查对象年龄在20-74岁。血糖值为早晨空腹口服75g葡萄糖2h后的血糖值。糖悄病及糖耐量低减(IGT)的诊断标准采用1999年WHO糖尿病诊断标准。高血压诊断标准采用1999年中国高血压防治指南。结果:共调查11377人,其中男性5183人,女性6194人,平均年龄43岁,平均收缩压、舒张压、血糖、体重指数、腰臀比分别为117mmHg、74mmHg、104mg/dL、22kg/m^2和0.84。糖尿病高血压患病率明显高于血糖正常,为45.3%比14.4%,糖耐量低减高血压患病率明显高于糖耐量正常,为32.2%比14.5%,肥胖高血压患病率明显高于非肥胖,为21.5%比10.4%。多重线性回归模型分析显示,年龄、血糖体重指数、腰臀比对男女性收缩压和舒张压有显影响。结论:广东省自然人群的分析结果显示,血糖、体重指数和腰臀比是影响血压的重要因素,在控制我省高血压患病率不断增加的同时,尚须要注意控制血糖、体重指数和腰臀比的升高。 相似文献
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董晓莉 《实用心脑肺血管病杂志》2005,13(1):35-37
目的 探索安阳市市直机关干部体重指数与血压、血脂及血糖的相关性及其年龄分布特征。 方法 利用该市机关干部体检相关数据,进行统计学分析。 结果 体重指数(BMI)与血压(舒张压、收缩压)和血脂(甘油三酯、总胆固醇)、血糖均呈高度显著性相关(P<001)。 结论 肥胖是心脑血管病的危险行为问题之一,当前特别要注意脑力劳动者中的肥胖问题。 相似文献
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目的探讨动态血压监测体检人群体重指数对血压水平的影响。方法选择行动态血压监测的体检者1198例,根据体重指数分为正常体重组316例、超重组524例和肥胖组358例,分析体重指数与动态血压各指标之间的关系。结果超重组和肥胖组24 h血压水平、24 h舒张压负荷、夜间收缩压负荷明显高于正常体重组(P<0.01)。肥胖组24 h舒张压变化标准差、夜间收缩压变化标准差明显高于正常体重组(P<0.01)。Pearson相关分析显示,体重指数与24 h血压水平、24 h血压负荷、24 h舒张压变化标准差、夜间收缩压变化标准差呈正相关。多元线性回归分析显示,体重指数与24 h血压水平、夜间血压负荷、24 h舒张压变化标准差显著相关。结论随着体重指数升高,24 h动态血压水平、血压负荷、血压变化标准差均明显增加。 相似文献
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体重指数、腰围/臀围比与血压、血脂的相关性 总被引:19,自引:0,他引:19
本研究于1993年在北京地区抽取25~64岁的男女两性1282人,分析了体重指数(BMI)、腰围/臀围比(WHR)与血压、血脂的相关性。结果显示:男女两性的BMI和WHR均随年龄的增加而增加;男性WHR显著高于女性(P<0.001),而BMI无性别差异(P=0.06)。控制其它危险因素后,BMI与男女两性的舒张压正相关;WHR与血压的相关无显著性。BMI、WHR均与血脂独立相关,WHR与血脂的相关性强于BMI与血脂的相关性。本研究结果提示:BMI反映的是调整身高后的体重值,它与血压的相关性较强;WHR反映的是脂肪分布,它与血脂的相关性较强。此结果对高血压、高脂血症的防治具有重要的指导意义。 相似文献
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Bojko Bjelakovic MD PhD Stevo Lukic MD PhD Vladislav Vukomanovic MD PhD Sergej Prijic MSci Nikola Zivkovic MD Karin Vasic MD PhD Vladimir Ilic MSci Stevan Ilic MD PhD 《Journal of clinical hypertension (Greenwich, Conn.)》2013,15(12):905-909
Clinical implications of blood pressure variability (BPV) on subclinical organ damage in children are unknown. The authors sought to explore the potential utility of two newly derived BPV indices: weighted standard deviation (wBPSD) and real average variability (ARV), as well as two standard ambulatory blood pressure indices: average 24‐hour systolic blood pressure (SBP) and 24‐hour SBP load, to identify children at high risk for left ventricular (LV) hypertrophy (LVH). The study group consisted of 67 consecutive children who were referred to our institution for evaluation of suspected hypertension. LV mass was estimated by M‐mode echocardiography using Devereux's formula according to the Penn convention and indexed for height2.7. We found a statistically significant, positive correlation between 24‐hour wBPSD and LV mass index (LVMI) (ρ=0.389; P=.002) and no correlation between 24‐hour ARV and LVMI (P>.05). However, partial correlation analysis of 24‐hour wBPSD adjusted for body mass index (BMI) and LVMI showed only a weak correlation (ρ=0.3; P=.022). By using multiple linear regression analysis in a model with LVMI as a dependent variable and 24‐hour wBPSD, 24‐hour ARV, and BMI as independent variables, only BMI showed statistically significant independent positive associations with LVMI (P=.028). Results of our study showed that currently used BPV indices (24‐hour wBPSD and 24‐hour ARV) are not clinically reliable parameters to identify children at risk for LVH. Apparent contribution of the 24‐hour wBPSD parameter to LVMI is negligible and is secondary to its close correlation with BMI (ρ=0.335 P=.009). 相似文献
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目的探讨不同体质指数(BMI)受试者对盐负荷及补钾的血压反应。方法在陕西眉县农村选择年龄在16-60岁的农民39例,血压正常或轻度偏高的自愿者进行为期三周的慢性盐负荷及补钾试验,包括基线3天、低盐、高盐、补钾各7天的研究。各个阶段测量身高、体重及血压。结果与BMI30kg/m2者相比,BMI≥30kg/m2者有较高的基线血压,限盐饮食后血压下降幅度更大,高盐饮食后血压升高幅度大,补钾后的血压下降幅度也大。结论体质指数不仅与高血压相关,可能也参与了盐敏感性的发生与发展。补钾对于高体质指数者降压效果更明显。 相似文献
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Associations Between Body Mass Index,Ambulatory Blood Pressure Findings,and Changes in Cardiac Structure: Relevance of Pulse and Nighttime Pressures
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Massimiliano Fedecostante MD Francesco Spannella MD Federico Giulietti MD Emma Espinosa MD Paolo Dessì‐Fulgheri MD Riccardo Sarzani MD PhD 《Journal of clinical hypertension (Greenwich, Conn.)》2015,17(2):147-153
Ambulatory blood pressure monitoring (ABPM) is central in the management of hypertension. Factors related to BP, such as body mass index (BMI), may differently affect particular aspects of 24‐hour ABPM profiles. However, the relevance of BMI, the most used index of adiposity, has been underappreciated in the determination of specific aspects of 24‐hour ABPM profiles in hypertension. The authors evaluated the association between BMI and aspects of ABPM together with their associations with cardiac remodeling in 1841 patients. A positive association of BMI with 24‐hour, daytime, and nighttime pulse pressure in untreated normal weight and overweight/obese hypertensive patients and a positive association of BMI with nocturnal BP parameters in treated overweight/obese hypertensive patients was observed. The clinical relevance of these findings was supported by the positive significant correlations of BMI‐related BPs with left ventricular mass and atrial diameter. 相似文献
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《Clinical and experimental hypertension (New York, N.Y. : 1993)》2013,35(6):741-759
Erythrocyte Na+/K+-pump activities have been measured in hypertensives, alcohol consumers and obese persons, but the results have been variously reported as decreased, increased or unchanged. We analyzed the relationships between erythrocyte Na+/K+-ATPase activities and the membrane and serum lipid profiles in 83 middle-aged men, to clarify the reasons for these inconsistencies. Increases in erythrocyte Na+/K+-ATPase activity related closely to decreases in cholesterol to phospholipid (C/P) ratio of the erythrocyte membrane. Decreases in the C/P ratio in turn related closely to elevations of serum triglycerides (TG) with increasing body mass index, and weakly to the volume of alcohol consumed. Thus, erythrocyte Na+/K+-ATPase activities depend largely on the membrane and serum lipid profiles as related to body weight and alcohol consumption. 相似文献
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《The American journal of medicine》2019,132(7):840-846
BackgroundIt is unclear whether intensive blood pressure management is well-tolerated and affects risk uniformly across the body mass index (BMI) spectrum.MethodsThe randomized, controlled Systolic Blood Pressure Intervention Trial (SPRINT) included 9361 individuals ≥50 years of age at high cardiovascular risk, without diabetes mellitus, with systolic blood pressure between 130 and 180 mmHg. Participants were randomized to intensive vs standard antihypertensive treatment and evaluated for the primary composite efficacy endpoint of acute coronary syndromes, stroke, heart failure, or cardiovascular death. The primary safety endpoint was serious adverse events. We used restricted cubic splines to determine the relationship between BMI, response to intensive blood pressure lowering, and clinical outcomes in SPRINT.ResultsBody mass index could be calculated for 9284 (99.2%) individuals. Mean BMI was similar between the 2 treatment groups (intensive group 29.9±5.8 kg/m2 vs standard group 29.8± 5.7 kg/m2; P = 0.39). Median follow-up was 3.3 years (range 0-4.8 years). Body mass index had a significant, J-shaped association with risk of all-cause mortality, stroke, and serious adverse events (P < .05 for all), but these were no longer significant after accounting for key clinical factors (P > .05 for all). Intensive blood pressure lowering reduced the primary efficacy endpoint and increased the primary safety endpoint compared with standard targets, consistently across the BMI spectrum (Pinteraction > .05).ConclusionThe overall efficacy and safety of intensive blood pressure lowering did not appear to be modified by baseline BMI among high-risk older adults. 相似文献
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Alexander A. Leung Hsiu-Ju Chang Finlay A. McAlister Nadia A. Khan Doreen M. Rabi Hude Quan Raj S. Padwal 《The Canadian journal of cardiology》2018,34(5):670-675
Background
The Systolic Blood Pressure Intervention Trial (SPRINT) showed significant reductions in major cardiovascular events and all-cause mortality with a systolic blood pressure (BP) goal of < 120 mm Hg compared with < 140 mm Hg. We sought to determine the proportion of Canadian adults who meet SPRINT eligibility criteria.Methods
We conducted a cross-sectional study using cycles 1-3 of the nationally representative Canadian Health Measures Survey to estimate the prevalence and characteristics of Canadian adults between the ages of 20 and 79 who meet SPRINT eligibility criteria: age ≥ 50 years, elevated systolic BP of 130-180 mm Hg, and increased cardiovascular risk (with chronic kidney disease, Framingham Risk Score ≥ 15% in 10 years, and/or cardiovascular disease) but without diabetes, stroke, or end-stage renal disease.Results
An estimated 1.3 million (5.2%) Canadian adults met SPRINT eligibility criteria; 14.3% (95% confidence interval, 10.6%-17.9%), or 182,600 people, were not previously considered to have hypertension or need for antihypertensive therapy. Of adults aged 50-79 years treated for hypertension, 18.7% (95% confidence interval, 15.5%-21.8%), or 754,400 individuals, would potentially benefit from treatment intensification.Conclusions
If fully implemented, intensive systolic BP lowering to < 120 mm Hg in SPRINT-eligible high-risk individuals would substantially increase the proportion of Canadian adults receiving BP treatment initiation or intensification. 相似文献18.
人体测量指标与血脂、血糖及血压水平的典型相关 总被引:5,自引:0,他引:5
目的:探讨人体测量指标与心血管危险因素水平的相互关系,确定与心血管危险因素相关最密切的人体测量指标。方法:在江苏省金坛县农村抽取35~59岁自然人群(男492名;女606名),测量身高、体重、腰围、腹围、臀围和血胆固醇、高密度脂蛋白胆固醇、血糖、收缩压、舒张压,计算出体重指数(BMI)、腰/臀比(WHR)、腹/臀比(AHR)和锥削度指数(CI)后,与血脂、血糖及血压水平作典型相关分析。结果:人体测量指标与心血管危险因素指标呈典型相关(典型相关系数为0.31~0.50);人体测量指标中,体重指数的贡献最大,与心血管危险因素的相关最密切;血压是心血管危险因素中与人体测量相关最密切的指标。结论:体重指数是本组人群中最简单但最有价值的人体测量指标;而血压是受肥胖影响最大的心血管危险因素指标。 相似文献
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尽早对急性胰腺炎(AP)的病情严重程度作出准确评估,有助于快速诊断重症病例.及时开始正确的治疗。近年来,临床上起病时伴有代谢综合征(MS)的AP患者日趋多见。目的:探讨体质指数(BMI)、血糖和血清三酰甘油(TG)水平这三项MS组分指标与AP病情严重程度和预后的关系。方法:回顾2007年10月~2010年10月新疆医科大学第一附属医院住院AP患者的临床资料,分析入院时BMI、血糖、血清TG水平与Ranson评分、BalthazarCT分级、CT严重度指数(CTSI)的关系。结果:共398例AP患者纳入研究,重症患者的BMI、血糖、血清TG水平显著高于轻症患者(尸〈O.05)。Ranson评分≥3、BalthazarCT分级为D/E级和CTSI≥3的AP患者,BMI、血糖、血清TG水平分别显著高于Ranson评分〈3、BalthazarCT分级为A/B/C级和CTSI〈3的AP患者(P〈0.05)。根据Pearson相关系数,BMI、血糖、血清TG水平中的任意一项与Ranson评分、BahhazarCT分级、CTSI中的任意一项均呈显著正相关(P〈0.05)。结论:人院时BMI、血糖和血清TG水平能反映AP病情严重程度.可作为AP预后评估的参考指标。 相似文献