在线办公
期刊论坛
主 管
中国人民解放军总医院
主 办
中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
编 辑
中华老年多器官疾病杂志编辑委员会
100853, 北京市复兴路28号
电话:010-66936756
传真:010-66936756
E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
吴子瑜,李小明,郭太林,杨津,李祖宙.老年人群体质量指数与高血压的相关性[J].中华老年多器官疾病杂志,2018,17(3):167~171
老年人群体质量指数与高血压的相关性
Correlation between body mass index and hypertension in the elderly
投稿时间:2017-12-06  修订日期:2018-01-07
DOI:10.11915/j.issn.1671-5403.2018.03.037
中文关键词:  老年人;高血压;肥胖;体质量指数
英文关键词:aged; hypertension; obesity; body mass index
基金项目:福建省自然科学基金(2016j01496)
作者单位E-mail
吴子瑜 福建省立医院老年医学科,福州 350000  
李小明 福建省立医院老年医学科,福州 350000 1981_lxm@sina.com 
郭太林 福建省立医院老年医学科,福州 350000  
杨津 福建省立医院老年医学科,福州 350000  
李祖宙 福建省立医院老年医学科,福州 350000  
摘要点击次数: 179
全文下载次数: 185
中文摘要:
      目的 调查分析福州市健康体检的老年人体质量指数(BMI)与血压水平及高血压患病率的关系。方法 收集2016年1月至12月期间福建省立医院≥60岁的老年人健康体检的资料,回顾性分析该人群血压水平及高血压、超重或肥胖的患病率;按BMI分层,评价不同BMI类型人群的血压水平和高血压发病率。采用SPSS 11.7统计软件进行数据分析,根据数据类型,组间比较采用非配对资料t检验或χ2检验。采用多因素logistic回归分析高血压的影响因素,采用受试者工作特征 (ROC)曲线分析BMI与高血压风险的相关性。结果 在资料完整的1659例体检者中,高血压患病率为34.2%(568/1659),其中男性患病率为36.2%(363/1003),女性患病率为31.2%(205/656);该人群超重或肥胖患病率为48.1%(798/1659),其中男性患病率为48.4%(485/1003),女性患病率为47.7%(313/656);随着BMI增加,收缩压、舒张压及高血压患病率逐渐增高(BMI<18.5,8.5~23.9,4.0~27.9,≥28.0 kg/m2组的高血压患病率分别为17.0%,27.4%,40.4%,55.5%) 。多因素logistic 回归分析发现超重或肥胖、空腹血糖高、高尿酸和高甘油三酯血症是高血压的危险因素。高血压风险相关ROC曲线显示,对收缩压性高血压风险,男性BMI的ROC曲线下面积(AUC)最大值为0.601(切点为25.55 kg/m2),女性BMI的AUC最大值为0.609(切点为25.85 kg/m2);对舒张性高血压风险,男性BMI的AUC最大值为0.665(切点为25.55 kg/m2),女性BMI的AUC最大值为0.609(切点为26.35 kg/m2)。结论 随着BMI的增加,收缩压、舒张压及高血压患病率逐渐增高。超重或肥胖、空腹血糖高、高尿酸和高三酰甘油血症是高血压的危险因素,BMI对预测高血压风险有一定价值。
英文摘要:
      Objective To investigate the relationship between body mass index (BMI) and hypertension among the elderly based on physical examination results in Fuzhou City. Methods Physical examination data of the inviduals over 60 years old who took the examination in our hospital from January to December 2016 were collected and retrospectively analyzed for blood pressure level and the incidences of hypertension, overweight or obesity. Based on BMI stratification, blood pressure levels and incidence of hypertension were evaluated in different BMI-level groups. SPSS statistics 11.7 was adopted for data processing. Unpaired t test or Chi-square test was employed for different data types. Multivariate logistic regression analysis was used to analyze the influencing factors of hypertension, and receiver operating characteristic (ROC) curve was adopted to analyze the correlation of BMI and risk of hypertension. Results In the 1659 enrolled subjects with complete data of physical examination, the incidence of hypertension was 34.2%(568/1659), with that of males accounting for 36.2%(363/1003) and females for 31.2 %(205/656). In the cohort, 48.1%(798/1659) of them were overweight or obese, and the ratio was 48.4%(485/1003) in the males and 47.7%(313/656) in the females. With the increase of BMI, the levels of systolic (SBP) and diastolic blood pressures (DBP) and incidence of hypertension were gradually elevated (for BMI<18.5,8.5-<23.9,4.0-27.9, ≥28.0 kg/m2, the incidence of hypertension was 17.0%, 27.4%, 40.4% and 55.5%, respectively). Multivariate logistic regression analysis found that overweight or obesity, high fasting blood glucose, high uric acid and hypertriglyceridemia were risk factors for hypertension. ROC curves analysis related to hypertension risk showed that the area under ROC curve (AUC) of male BMI was 0.601 (cut-off point=25.55 kg/m2) and that of female BMI was 0.609 (cut-off point=25.85 kg/m2) in the risk of systolic hypertension; for the risk of diastolic hypertension, the AUC was 0.665 for the male BMI (cut-off point=25.55 kg/m2) and 0.609 for female BMI (cut-off point=26.35 kg/m2). Conclusion The SBP and DBP levels and hypertension incidence are gradually increased with the increase of BMI level. Overweight or obesity, high fasting blood glucose, high uric acid and hypertriglyceridemia are risk factors for hypertension. BMI shows predictive value of hypertension risk.
查看全文    下载PDF阅读器
关闭