大学新生超重肥胖及高血压与静息心率过快的相关性

Correlation analysis of overweight obesity and hypertension with resting heart rate of freshmen in different gender universities

目的探讨不同性别大学新生超重和肥胖及高血压与静息心率(RHR)过快(RHR>100次/min)的相关性,为心血管病早期防控提供科学依据。方法 2016年9月对江汉大学4 362名大学新生进行身高、体重、血压及RHR测量,观察身高、体重、血压及RHR过快分布情况,分析不同性别大学新生超重肥胖及高血压对RHR过快的影响。结果大学新生RHR过快检出率为1.81%,男生(2.03%)高于女生(1.62%),差异无统计学意义(χ~2=0.99,P>0.05)。随着体质量指数(BMI)和血压的增加,男、女生RHR过快检出率均呈上升趋势;校正混杂因素后,男生超重肥胖发生RHR过快风险是体重正常者的1.13(95%CI=1.05～2.59)和2.87倍(95%CI=1.99～4.88),女生则是1.34(95%CI=1.11～2.85)和3.83倍(95%CI=2.12～8.84);男女生高血压患者发生RHR过快风险分别是血压正常者的15.52和17.81倍。结论大学新生超重肥胖及高血压与RHR过快具有密切的关系,高血压患者发生RHR过快风险较高,对BMI及血压的监测有助于预防和控制心血管病的发生。

Objective To explore the correlation of overweight,obesity and hypertension with fast resting heart rate (RHR3>100 times/min)among college freshmen in different genders,and to provide scientific reference for early prevention and control for cardiovascular disease.Methods In September 2016,4 362 college freshmen were measured by height,weight,blood pressure and RHR to observe the distribution of fast RHR and analyze the effects of overweight obesity and hypertension on fast resting heart rate of freshmen of different genders.Results The detection rate of fast resting heart rate of college freshmen was 1.81%, that of male students (2.03%)was higher than that of female students (1.62%),and the difference was not statistically significant (X^2=0.99,P>0.05).fast RHR increased with body mass index (BMI)and blood pressure.After adjusting other risk factors,for male freshmen,the risk of fast PHR in overweight and obesity were 1.13 fold (95%CI:1.05-2.59)and 2.87 fold (95%C1:1.99-4.88)higher than that of the healthy people.For females,the risks were 1.34 fold (95%CI:1.11-2.85)and 3.83 fold (95%CI: 2.12-8.84).In comparison to the normal blood pressure group,the ALT abnormal rate of the high blood pressure group was 15.52 fold higher in male freshmen and 17.81 fold higher in females.Condnsion Overweight,obesity and hypertension were positively correlated with fast RHR among college freshmen.Hypertensive patients have a high risk of fast RHR.Monitoring BMI and blood pressure is helpful to prevent and control cardiovascular disease.