高血压危险因素聚集对高血压患病影响

Impact of risk factors clustering on prevalance of hypertension

目的探讨黑龙江省城市与农村居民高血脂、高血糖、饮酒和超重的聚集与高血压患病危险性的关联。方法选择黑龙江省哈尔滨市南岗区和兰西县平山镇共5 984名居民,调查其高血压患病和相关危险因素以及吸烟、饮酒等生活方式,测量血压、身高、体重、腰围和臀围,检测血糖、血脂;采用Logistic回归模型对危险因素聚集项数与高血压的关联性进行分析。结果调整年龄和性别因素后,城市居民高血压危险因素聚集1～4项的OR值(95%CI)分别为2.075(1.709～2.319),3.259(2.611～4.068),5.596(4.106～7.262)和5.597(2.993～10.465);农村居民高血压危险因素聚集1～4项的OR值(95%CI)分别为1.298(1.072～1.572),2.145(1.729～2.662),2.986(2.185～4.079)和2.169(1.1293～3.954);危险因素聚集2项及以上的OR值均高于1项的OR值。结论黑龙江地区城市和农村人群高血压患病危险性均随着危险因素的聚集项数增加而增加。

Objective To explore the association between the clustering of hyperlipidemia,hyperglycemia,alcohol drinking,overweight and hypertension in urban and rural residents in Heilongjinag provence.Methods Totally 5 984 residents in Nangang district of Harbin city and 11 villages in Pingshan town of Lanxi county in Heilongjiang province were selected.Lifestyle risk factors,including cigarette smoking and alcohol drinking,were investigated and blooy weigth,hight,waist circumference,hip circumference,and blood pressure were measured.Blood glucose and blood lipids were detected with standardized methods for all participants.Associations between the clustering of the risk factors and hyprtension were analyzed with logistic regression.Results For urban residents,after adjusting for age and gender,the odds ratios（95% cofidence interval） of hypertension for the clustering of 1-4 risk factors were 2.075（1.709-2.319）,3.259（2.611-4.068）,5.596（4.106-7.262）,and 5.597（2.993-10.465）.For rural residents,after adjusting for age and gender,the odds ratios（95%CI） of hypertension for the clustering of 1-4 risk factors were 1.298（1.072-1.572）,2.145（1.729-2.662）,2.986（2.185-4.079）,and 2.169（1.1293-3.954）.The odds ratios of hypertension for the clustering of two risk factors or more were all more than that of one risk factor.Conclusion The risk of hypertension is increased with the number of clustering risk factors in urban and rural residents of Heilongjiang province.