西藏日喀则地区成年僧人体质状况与血压水平的相关性分析

Correlation between physical characteristics and blood pressure of adult monks in Shigatse District in Tibet

目的:探讨西藏日喀则地区成年僧人体质状况与血压水平的相关性,为高血压的早期预防提供相关依据.方法:采用整群随机抽样的方法,对居住在西藏日喀则地区成年僧人155例的血压(BP)、身高、体质量、腰围(WC)、臀围进行测量,并计算体质指数(BMI)、腰臀比(WHR)和腰身比(WHtR).结果:155例检测者中高血压的患病率是29％,高血压组在年龄、BMI、WC、WHR和WHtR等方面均高于血压正常组.收缩压和舒张压均随着年龄的增加呈升高趋势;脉压亦随着年龄的增大而增大;高血压的患病率也随着年龄的增加而逐步增大.随着全身性肥胖指标BMI的增加,血压各水平和高血压患病率均升高.各中心性肥胖组的血压水平和高血压患病率均明显高于非肥胖组.Pearson线性相关分析显示,BMI、WC、WHR和WHtR与收缩压、舒张压和脉压均呈正直线相关.以高血压为因变量进行多因素logistic回归分析,结果显示,BMI、WC和WHtR是血压变化的独立影响因素.结论:西藏日喀则地区成年僧人血压水平与体质状况密切相关,高血压患病率和肥胖率均较高,应予以足够重视,积极控制全身性肥胖和中心性肥胖,从而防治高血压的发生.

Objective:To analyze the relationship between physical characteristics and blood pressure of monks in Shigatse District in Tibet in order to formulate empodistic strategy for hypertension.Methods:A total of 155 monks aged 18-80 were surveyed by stratified random sampling of all the people living in Shigatse District in Tibet.Blood pressure(BP),height,weight,waist and hip circumferences were measured with unified standards by professionally trained investigators,and simultaneously body mass index(BMI),waist-to-hip ratio(WHR) and waist-to-height ratio(WHtR) were calculated.Results:(1) The prevalence of hypertension individuals was 29%in 155 monks.Compared to the controls with normal blood pressure,the subjects in hypertension group had significantly older age,higher BMI,WC,WHR and WHtR.The systolic pressure(SBP) and diastolic pressure(DBP) increased with age and the pulse pressure(PP) increased with age;the prevalence of hypertension individuals also increased with age.(2) SBP,DBP,PP and the prevalence of hypertension in monks increased along with BMI.(3) The blood pressure levels and the prevalence of hypertension in each of central obesity groups were higher than the normal people.(4) Pearson linear correlation analysis showed that BMI,WC,WHR and WHtR were all positively correlated with SBP,DBP and PP.(5) Multifactors logistic regression analysis showed that BMI,WC and WHtR were independent factors of blood pressure.Conclusion:There is significant correlation between the physical characteristics and blood pressure among monks in Shigatse District in Tibet.It should be noted that the prevalence of hypertension and obesity are both relatively high.General obesity and central obesity should be controlled in order to prevent and treat hypertension.