开封市企业职工高血压与膳食结构、BMI等相关因素关系研究

Relationship study between hypertension and dietary structure,BMI etc. related factors among enterprise staff of Kaifeng city

目的了解开封市企业职工高血压与膳食结构、BMI等相关因素的关系,为企业职工高血压膳食干预提供依据。方法采取整群抽样的方法抽取20家企业4 656名职工作为研究对象,测量其身高、体重及血压,使用统一问卷调查职工一般情况及过去一年膳食摄入情况,采用多因素Logistic回归分析高血压与相关因素的关系。结果职工高血压患病率17.1%,肥胖率12.7%,多因素Logistic回归显示家族史（OR=2.231,95%CI=1.914~2.503）、高食盐摄入量（OR=1.373,95%CI=1.213~1.701）、饮酒（OR=1.361,95%CI=1.201~1.873）和体重超重（OR=2.365,95%CI=1.925~3.269）肥胖（OR=2.961,95%CI=2.201~4.103）是高血压病的危险因素。结论企业职工高血压发病率较高,膳食因素、家族史、超重肥胖对高血压有较大影响。

Objective To investigate the relationship between hypertension and dietary structure,BMI among enterprise employees of Kaifeng, and provide evidence for dietary intervention in patients with hypertension. Methods Cluster sampling and 4656 employees from 20 companies were surveyed. Height,weight and blood pressure were measured. Using the unified questionnaire,demographics and dietary information in past one year was collected,logistic regression was performed to analyze the relationship between nutrition status and hypertension. Results The prevalence rate of hypertension was 17. 1%,obesity rate was 12. 7%,the results of logistic regression analysis indicated that family history（ OR = 2. 231,95% CI = 1. 914 ~ 2. 503）,high salt intakes（ OR = 1. 373,95% CI = 1. 213- 1. 701）,drinking（ OR = 1. 361,95% CI = 1. 201 ~1. 873）,overweight（ OR = 2. 365,95% CI = 1. 925 ~ 3. 269） and obesity（ OR = 2. 961,95% CI = 2. 201~ 4. 103） were the risk factors of hypertension. Conclusions The enterprise employees have high prevalence rate of hypertension. Dietary structure,overweight and family history are risk factors of hypertension.