老年人体重与血压的关联因素分析

Analysis of associated factors of body weight and blood pressure in elderly

目的研究并分析门诊体检人群的血压与体重的相互影响,为健康教育提供可靠依据。方法选取2015-01-01至2015-06-01医院门诊的169例老年体检患者(年龄≥60岁),面对面调查高血压病史及相关诊疗情况,由培训合格的护士测量其身高、体重和血压。结果女性高血压罹患比例为37/74,明显高于男性的31/95(χ2=5.218,P=0.022)。男性不同体质指数分级间收缩压和舒张压差异无统计学意义(F=0.462,P=0.709;F=1.262,P=0.292);女性不同体质指数分级间收缩压和舒张压差异无统计学意义(F=2.401,P=0.075;F=2.343,P=0.081)。男性不同腰围分组中收缩压和舒张压差异无统计学意义(t=0.491,P=0.625;t=0.275,P=0.784);女性不同腰围分组中收缩压差异无统计学意义(t=0.698,P=0.488),组间舒张压差异有统计学意义(t=2.201,P=0.031)。结论在女性中,依据腰围(WC)进行分级的两组间,肥胖组血压显著高于非肥胖组,建立健康的生活方式,对预防高血压发生、发展有重要意义。

Objective To investigate and analyze blood pressure interacts with body weight in elderly outpatients.Methods 169 cases of the elderly people（ aged ≥60 years） were recruited from January 1st to June 1st,2015. The face-to-face survey about history of hypertension and related medical conditions was carried out. Then qualified nurses measure their height,weight and blood pressure. Results The proportion of women suffering from hypertension is 37/74,significantly higher than the proportion of the male population 31/95（ χ2= 5. 218,P = 0. 022）. No statistically significance between different classification of body mass index and blood pressure（ systolic blood pressure and diastolic blood pressure） in male population（ F = 0. 462,P = 0. 709; F = 1. 262,P =0. 292）. There has statistically significance between different classification of body mass index and blood pressure（ systolic blood pressure and diastolic blood pressure） in female population（ F = 2. 401,P = 0. 075; F = 2. 343,P = 0. 081）. No statistically significance between different group of waist and blood pressure（ systolic blood pressure and diastolic blood pressure） in male population（ t =0. 491,P = 0. 625; t = 0. 275,P = 0. 784）. There has no statistically significance between different group of waist and systolic blood pressure（ t = 0. 698,P = 0. 488）,while there has statistically significance between different group of waist and diastolic blood pressure（ t = 2. 201,P = 0. 031） in female population. Conclusions In female population,blood pressure in obese group is significantly higher than the non-obese group according to WC classification,suggesting that female abdominal obesity is an important risk factor for hypertension prompt.