北京地区人群体重指数、性别及年龄对血压的影响

目的 探讨北京地区非体力劳动者人群体重指数(BMI)、性别和年龄对血压的影响.方法 对2008年我院体检人群共14 237例,男9548例(67.06%),女4689例(32.94%);年龄18.0～93.0岁,平均(49.8±10.2)岁]进行流行病学调查,采用Epidata 3.1软件建立数据库,使用SPSS 12.0统计软件包对数据进行分析.结果 调查人群BMI(22.30±3.08)kg/m2.不论男性还是女性,收缩压及舒张压均随BMI增加而逐渐升高.年龄<60.0岁组,男性高血压患病率明显高于女性男:24.28%(1662/6844),女:13.77%(493/3581),P=0.000];年龄1>60.0岁组,男性与女性患病率差异无统计学意义(P=0.268).以BMI<18.0 ks/m~2作为对照组,BMI 18.0～23.9 ks/m~2,24.O～27.9 kg/m~2 和≥28.0 kg/m~2组,男性高血压患病风险(OR值)分别为1.709(95%CI:0.920～3.173),3.154(95%CI:1.703～5.839)和5.125(95%CI:2.805～9.696);女,巨高血压患病风险分别为1.988(95%CI:1.033～3.824),5.703(95%CI:2.962～10.982和14.358(95%CI:7.334-28.106).结论 BMI与高血压患病明显相关.有效预防和控制超重和肥胖等高血压发病危险因素,是我国目前亟待解决的公共卫生问题.

Association of body mass index, age and sex with blood pressure in residents from Bejing area

Objective To investigate the association of body mass index (BMI),sex and age with blood pressure in non-physical labor population from Beijing area.Methods 14 237 subjects (67.06% male) ranged from 18.0-93.0 years (mean (SD):49.8(10.2)) wero recruited in the health examination in Beijing hospital. Statistical analysis wag performed using SPSS 12.0 software.Results The average BMI wag 22.30 ks/m~2 (SD: 3.08).Systolic blood pressure and diastolic blood pressure increaged with the increasing of BMI.The prevalence of hypertension in males <60.0 years wag considerably higher than that of female (24.28% and 13.77% for male and females, respectively, P=0.000).However,there were no significant statistical differences for the pmvalence between male and female older than 60.0 years (P=0.268).Multiple logistic regression showed that in males,using the group with BMI<18.0 kg/m~2 as reference group,in the groups of BMI 18.0-23.9,24.0-27.9,≥28.0 kg/m~2, OR wag 1.709 (95% CI:0.920-3.173),3.154(1.703-5.839),5.125 (95%CI:2.805-9.696),respeetively.In females.OR for hypertension in the groups of BMI 18.0-23.9,24.0-27.9,≥28.0 kg/m~2,OR was 1.988(95%CI:1.033-3.824),5.703(2.962-10.982),14.358(95%CI:7.334-28.106),respectively.Conclusions BMI is associated with hypertension.Prevention and eontrol of the risk factom of hypertension e.g.overweight and obesity is an important public health issue in China.