泸县成人体质指数、腰围与血压的关系研究

Association Among BMI,Waistline and Hypertension in Adults in Luxian County

目的比较泸县成人的体质指数、腰围与血压及高血压患病率的关系,为高血压防治提供依据。方法采用分层整群随机抽样的方法在泸县辖区的全部乡镇中抽取18岁以上成年人(共6 171人)为调查对象,对其身高、体重、腰围、收缩压和舒张压进行测量。结果高血压总患病率为18.9%,其中男性18.6%,女性19.2%。BMI过低、正常、超重和肥胖的比例分别占13.0%、59.5%、21.5%和6.05%;WC肥胖率为36.0%。随着BMI和WC的增加,研究对象血压水平、高血压患病率呈明显的上升趋势,BMI与WC均与血压水平呈正相关,且WC与血压水平的相关系数大于BMI与血压水平的相关系数,男女差异不大。结论 BMI、WC与高血压发病有关,应通过控制饮食,加强身体锻炼来控制全身性肥胖,尤其是腹部肥胖。

Objective To analyze the association among BMI, waistline and hypertension in the adults in Luxian county which could provide the basis for controlling hypertension. Methods A total of 6171 adults were chosen with stratified cluster random sampling and had completed a measurement of the height, weight, waist circum- ference, systolic blood pressure and diastolic blood pressure. Results The prevalence of hypertension was 18.9% , 18.6% for men, and 19.2% for women. The prevalence of hypertension among BMI groups of too low, normal, overweight and obesity were 13.0% , 59.5% , 21.5% and 13.0% , respectively the WC obesity rate was 36.0%. The level of BP and rate of hypertension were significantly increased with the rising of WC a- mong the majority of BMI groups. BMI and WC were positively correlated with blood pressure levels, amt the correlation coefficient of WC with blood pressure levels was greater than that of BMI. There was little difference between men and women. Conclusion BMI, WC is associated with hypertension disease, which should be con- trolled through diet, exercise, and extra attention should paid to abdominal obesity.