江苏省成年居民肥胖与高血压相关关系研究

目的 探讨不同体型人群中超重肥胖、中心性肥胖与高血压患病率、知晓率、治疗率、控制率、治疗控制率相关关系。方法 采用整群随机抽样，对江苏省成年居民进行横断面调查,采用t检验、F检验分析组间差异；采用χ2检验，logistic回归模型计算OR值及95％CI。结果 江苏省成年居民BMI≥24/中心性肥胖率高达47.6%。BMI≥24/中心性肥胖人群的高血压患病率、知晓率、治疗率分别为51.2%、60.6%、54.3%，均高于其他体型人群。BMI＜18.5/非中心性肥胖人群的高血压治疗控制率最高，为60.0%。Logistic 回归分析结果表明，在调整年龄、收入、文化程度及吸烟饮酒状况后，与BMI = 18.5～23.9/非中心性肥胖相比，BMI≥24/中心性肥胖的人群高血压患病风险增加3.111倍（aOR = 3.111，95%CI = 2.665～3.632）。BMI = 18.5～23.9/中心性肥胖人群以及BMI≥24/中心性肥胖人群高血压治疗控制不良风险显著增加，调整OR值分别为0.362（95%CI = 0.155～0.845）和0.579（95%CI = 0.394～0.851）。结论 江苏省成年居民BMI≥24/中心性肥胖率较高，且高血压患病风险最高，中心性肥胖增加高血压治疗控制不良的风险。

Study on the association between obesity and hypertension in adult residents in Jiangsu province

Objective The aim of the present study was to evaluate the association among overweight, obesity, central obesity and prevalence rate, awareness rate, treatment rate, control rate and treatment control rate of hypertension in different body types. Methods A cross-sectional survey was conducted among adult residents in Jiangsu province by means of cluster random sampling, t-test and F-test were used to analyze the differences between groups, and χ2 test was used to calculate OR value and 95% CI by logistic regression model. Results The prevalence rate of BMI≥24 and central obesity was up to 47.6% among the adult residents. The prevalence, awareness rate and treatment rate of hypertension were 51.2%, 60.6% and 54.3% respectively in the population of BMI≥24 and central obesity, which were significantly higher than the population in other body types. The treatment control rate was the highest among adult of BMI<18.5 and non-central obesity, up to 60.0%. Logistic regression analysis results showed that after adjusting age, income, education level and smoking and drinking status, compared with those with normal BMI, the risk of hypertension in BMI≥24 and central obese people increased 3.111 times (aOR=3.111, 95%CI=2.665-3.632). In the residents of normal BMI but central obesity and BMI≥24 residents of central obesity, the risk of poor treatment control of hypertension increased significantly, the adjusted OR values were 0.362 (95%CI=0.155-0.845) and 0.579(95%CI=0.394-0.851), respectively. Conclusion The rate of BMI≥24 and central obesity was high in adult residents in Jiangsu province. The risk of hypertension was the highest among BMI≥24 and central obese population, and central obesity increased the risk of poor control of hypertension treatment.