天津市社区成年人超重肥胖与高血压关系

目的了解天津市社区成年人超重、肥胖与高血压患病率的关系,为制定相应的干预措施提供科学依据。方法按分层整群随机抽样方法,于2007年9月—2009年7月抽取天津市内18岁及以上23 533名常住居民进行调查。结果高血压患病率有随BMI增高而增高的趋势,正常体重组、超重组和肥胖组的高血压患病率分别为20.1%,37.5%和52.2%,青年人中超重、肥胖者患高血压风险更大(男性OR值分别为2.737和5.236;女性OR值分别为3.744和7.360),大于中年组(男性OR值分别为1.913和4.090;女性OR值分别为2.099和3.942)和老年组(男性OR值分别为1.671和2.848;女性OR值分别为1.674和2.685)。结论与正常体重相比,超重和肥胖者患高血压危险增加。控制青年人群的超重和肥胖的发生率对于降低该人群的高血压患病水平有重要意义。

Epidemiology of Overweight and Obesity and its Relations with Hypertension in Urban Adult in Tianjin

Objective To understand the relationship of the prevalence of hypertension with the overweight and obesity in Tianjin.Methods By the stratified cluster random sampling,23 533 adults aged 18 yrs and over were selected from 24 communities during Sep.,2007 to Sep.,2009.Results Prevalence of hypertension increased with body mass index（BMI）.The prevalence of hypertension in normal weight group,overweight group and obesity group were 20.1%,37.5% and 52.2%,respectively.Overweight and obesity had stronger association with hypertension in young people（OR： 2.737 and 5.236 in male;3.744 and 7.360 in female）than in middle-aged（OR： 1.913 and 4.090 in male;2.099and 3.942 in female）and old（OR： 1.671 and 2.848 in male;1.674and 2.685 in female）.Conclusion Compared with normal weight people,overweight and obesity people have significantly increased risk of hypertension.Young overweight and obesity people deserves more attention in the control and prevention of hypertension in community.