上海市心血管病主要危险因素变化趋势分析

Epidemiological tendency in major cardiovascular disease risk factors in Shanghai area

目的 评价上海地区人群心血管病主要危险因素的变化趋势。 方法 采用重复横断面调查的方法 ,1992、1995、1996和 1999年共 4次对上海市某工厂人群进行心血管病主要危险因素调查 ,共1118人 ,对收缩压、舒张压、体重指数、高血压的患病率和吸烟情况的变化趋势进行了分析。 结果 (1) 1992年人群基线心血管病危险因素如血压、吸烟率、血清总胆固醇、甘油三酯、HDL 胆固醇、腰臀比、体重指数结果与MONICA北京的地区监测结果相近。 (2 )无论男性或女性 ,收缩压和舒张压水平均呈上升趋势。男性收缩压平均升高 12 3mmHg,舒张压平均升高 6 4mmHg ;女性依次为 11 5mmHg和 4.9mmHg。(3)男性高血压患病率呈上升趋势 ;女性变化趋势不明显。 (4 )男性与女性体重指数各年度比较均无显著性差异 ,无逐渐肥胖的倾向。 (5 )男性吸烟率一直维持在较高水平 ,1996年较 1992年有明显下降 ,1996至 1999年下降趋势不明显 ;女性吸烟率维持在较低水平 ,趋势平稳。

Objective To evaluate the epidemiological tendency in major cardiovascular diseases(CVD) risk factors in Shanghai area Methods Risk factor levels were estimated for men and women from four surveys of risk factors conducted in 1992,1995,1996 and 1999 in the Shanghai Carbon Factory study group,totally 1 118 subjects The epidemiological tendency in systolic blood pressure(SBP),diastolic blood pressure(DBP),body mass index(BMI),the prevalence of hypertension and cigarette smoking were analyzed Results (1)The baseline risk factor levels such as blood pressure level,the prevalence of cigarette smoking,serum total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL C),waist to hip ratio(WHR) and body mass index(BMI) conducted in 1992 were similar to that of the Beijing MONICA monitoring population (2)Both systolic and diastolic blood pressure levels were increased, 12.3mmHg and 6 4mmHg for men,respectively,and 11.5mmHg and 4 9mmHg for women (3)There was an increase in prevalence of hypertension in men,the tendency for women was not significant (4)There was no significant increase/decrease in BMI both in men and women (4)Although the cigarette smoking rate among men were decreased,the prevalence rate was still high Conclusion The results of this study suggested further reductions on prevalence of hypertension and cigarette smoking,are of importance in CVD control program in Shanghai