北京某社区55岁以上居民踝臂血压指数变化与心血管病相关危险因素

Analysis of ABI and cardiovascular disease related risk factors in Guangwai Communities,Beijing

目的分析北京广外社区55岁以上居民踝臂血压指数变化与心血管病相关危险因素关系。方法选取2014—2015年"十二五"国家科技支撑计划项目广外社区协作组55岁以上361例人群资料,通过问卷调查了解人群基本情况、家族史、生活方式及行为相关危险因素;体格检查收集调查对象的身高、体重、腰围、血压,踝臂血压、身体脂肪率,利用SPSS 19.0软件包进行统计分析。结果 1调查人群踝臂血压指数(ABI)均值为(1.22±0.11),其中男性水平(1.26±0.11)和女性ABI值(1.21±0.11)之间差异无统计学意义(P=0.306);2方差分析比较各年龄组之间ABI值的差异显著(P<0.05);3高血压组ABI值(1.21±0.10)与非高血压组ABI值(1.24±0.11)相比,两组差异具有统计学意义(P=0.033)。对生活方式和行为、家族史等因素进行Logistic回归分析得出:BMI、年龄、身体脂肪率、高血压家族史是影响ABI变化的主要影响因素。结论随着年龄增长,ABI值逐渐下降,高血压、年龄、体质指数、身体脂肪率和家族高血压病史是踝臂血压指数异常的重要影响因素。通过对踝臂指数的监测,可以有针对性开展高危人群心血管疾病早期评估和干预。

Objective To investigate the relationshi Pbetween ABI and cardiovascular disease risk factors.Methods Data were selected from Guangwai communities,a collaborative grou Pof ＂ Twelfth Five-Year＂ National Technology Support Program.The general information of the population,lifestyle and behavioral risk factors,family history were surveyed by questionnaires; Physical Examinations were conducted to collect height,body weight,waist circumference,blood pressure（systolic blood pressure,SBPand diastolic blood pressure,DBP）,ankle-brachial blood pressure and body fat ratio.All the results were analyzed by SPSS 19.0statistical software.Results T test indicated that the difference between the ABI level（1.26 ± 0.11） of males and ABI value（1.21 ± 0.11） of females was not statistically significant（P = 0.306）; Comparing the ABI value of the hypertension grou P（1.21 ±0.10） and the non-hypertension grou P（1.24 ± 0.11）,the difference was statistically significant（P = 0.033）; Variance analysis revealed that the difference of ABI values among age groups was statistically significant; Logistic regression analysis showed that BMI（OR = 0.077,P = 0.039）,age（OR = 0.463,P = 0.033）,body fat percentage（OR = 0.103,P = 0.003）,and family history of hypertension（OR = 0.917,P = 0.003） were major factors affecting ABI.Conclusion High blood pressure,age,body mass index（BMI）,body fat percentage and family history of hypertension were important factors influencing abnormalities of ankle-brachial index（ABI）,which might be associated with the increased incidence of cardiovascular diseases.Through monitoring ABI,the early assessment and intervention for cardiovascular diseases could be carried out aiming at high-risk groups.